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The most recent version of this article was published on 1 July 2008

Br J Sports Med. Published Online First: 7 April 2008. doi:10.1136/bjsm.2008.046771
Copyright © 2008 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine

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Peer review: fair review&#63

Peer Review/Fair Review. How did A.V. Hill understand the VO2max and the "plateau phenomenon"? Still no clarity?

Timothy David Noakes 1*

1 University of Cape Town, South Africa

* To whom correspondence should be addressed. E-mail: timothy.noakes{at}uct.ac.za.

Accepted 28 February 2008


*   Abstract

Introduction/Purpose: A recent editorial in Medicine and Science in Sports and Exercise concludes that the study of Hawkins and colleagues confirms "beyond any doubt the proposition of Hill and Lupton". It is not clear which of Hill and Lupton’s propositions have been proved "beyond any doubt".

Methods: A review of all the relevant publications of A.V. Hill and his colleagues.

Results: Hill and Lupton believed (i) that myocardial ischemia limits maximal exercise performance by inducing circulatory failure; ((ii) that a "governor" protects the ischemic heart by causing a "slowing of the circulation" during maximal exercise; ((iii) that the oxygen cost of running increases exponentially at speeds above 16km per hour; and ((iv) that humans reach their highest measurable oxygen consumption of about 4 litres per minute at that running speed. Hill and Lupton neither invented the concept of the "plateau phenomenon" not did they utilized this concept to establish that a "true" maximum oxygen consumption (VO2max) had been achieved. Nor did they measure cardiac output during exercise.

Conclusion: Accepting uncritically this modern interpretation of Hill and Luptons’ theory that the cardiac output limits maximal exercise performance whether or not the plateau phenomenon is present fails to answer the question first posed more than 20 years ago: What causes the termination of exercise when the "true" VO2max is achieved without the "plateau phenomenon"? According to the Hill and Lupton model, this cannot be because a limiting cardiac output has been reached. Since a majority of maximal exercise tests terminate in the absence of the "plateau phenomenon", this is a seemingly an important question.




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Home page
Br. J. Sports. Med.Home page
T D Noakes
Testing for maximum oxygen consumption has produced a brainless model of human exercise performance
Br. J. Sports Med., July 1, 2008; 42(7): 551 - 555.
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eLetters:

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There is a “biologically plausible explanation” for lower supramaximal oxygen uptake
Mark Burnley
BJSM Online, 22 Apr 2008 [Full text]
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BJSM Online, 2 May 2008 [Full text]
The Hill model does exist
Samuele M Marcora
BJSM Online, 8 Jul 2008 [Full text]
Measuring exercise performance
fergus joseph dignan
BJSM Online, 22 Jul 2008 [Full text]



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