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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fphys.2018.00713</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Physiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Effects of Initial Performance, Gross Efficiency and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub><italic>2peak</italic></sub> Characteristics on Subsequent Adaptations to Endurance Training in Competitive Cyclists</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Skovereng</surname> <given-names>Knut</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/445952/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Sylta</surname> <given-names>&#x00D8;ystein</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/446918/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>T&#x00F8;nnessen</surname> <given-names>Espen</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/531076/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Hammarstr&#x00F6;m</surname> <given-names>Daniel</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/465248/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Danielsen</surname> <given-names>J&#x00F8;rgen</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/389127/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Seiler</surname> <given-names>Stephen</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/174243/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>R&#x00F8;nnestad</surname> <given-names>Bent R.</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/527882/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Sandbakk</surname> <given-names>&#x00D8;yvind</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/75452/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Centre for Elite Sports Research, Department of Neuroscience, Norwegian University of Science and Technology</institution>, <addr-line>Trondheim</addr-line>, <country>Norway</country></aff>
<aff id="aff2"><sup>2</sup><institution>Faculty of Health and Sport Sciences, University of Agder</institution>, <addr-line>Kristiansand</addr-line>, <country>Norway</country></aff>
<aff id="aff3"><sup>3</sup><institution>The Norwegian Olympic Federation</institution>, <addr-line>Oslo</addr-line>, <country>Norway</country></aff>
<aff id="aff4"><sup>4</sup><institution>Section for Sport Science, Lillehammer University College</institution>, <addr-line>Lillehammer</addr-line>, <country>Norway</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Thomas Leonhard St&#x00F6;ggl, University of Salzburg, Austria</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Jeremiah John Peiffer, Murdoch University, Australia; Beat Knechtle, University Hospital Zurich, Switzerland</p></fn>
<corresp id="c001">&#x002A;Correspondence: Knut Skovereng, <email>knut.skovereng@ntnu.no</email></corresp>
<fn fn-type="other" id="fn002"><p>This article was submitted to Exercise Physiology, a section of the journal Frontiers in Physiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>14</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="collection">
<year>2018</year>
</pub-date>
<volume>9</volume>
<elocation-id>713</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>06</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>05</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018 Skovereng, Sylta, T&#x00F8;nnessen, Hammarstr&#x00F6;m, Danielsen, Seiler, R&#x00F8;nnestad and Sandbakk.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Skovereng, Sylta, T&#x00F8;nnessen, Hammarstr&#x00F6;m, Danielsen, Seiler, R&#x00F8;nnestad and Sandbakk</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>The present study investigated the effects of initial levels of cycling performance, peak oxygen uptake (<inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>) and gross efficiency (GE) on the subsequent adaptations of these variables and their relationship following high-intensity training (HIT) designed to increase <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> in competitive cyclists. Sixty cyclists (<inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> = 61 &#x00B1; 6 mL kg<sup>-1</sup> min<sup>-1</sup>) were assigned a 12-week training program consisting of twenty-four supervised high-intensity interval training sessions and <italic>ad libitum</italic> low intensity training. GE was calculated at 125, 175, and 225 W and performance was determined by mean power during a 40-min time-trial (Power<sub>40 min</sub>). In addition to correlation analyses between initial level and pre- to post-intervention changes of the different variables, we compared these changes between four groups where participants were categorized with either low and/or high initial levels of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE. Average volume of high- and low-intensity training during the 12-week intervention was 1.5 &#x00B1; 0.3 and 8.3 &#x00B1; 2.7 h&#x00B7;week<sup>-1</sup>, respectively. Following the 12-week training period, there was a significant increase in absolute and body mass normalized <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and Power<sub>40 min</sub> (<italic>p</italic> &#x003C; 0.05) and a significant decrease in GE (<italic>p</italic> &#x003C; 0.05) for all athletes pooled. There was no change in body mass following the 12-week training period. We found a moderate negative correlation between initial level of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and the change in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> following the training period (<italic>r</italic> = -0.32; <italic>p</italic> &#x003C; 0.05). A small negative correlation was also found between initial Power<sub>40 min</sub> and its change following training both when expressed in absolute power and power normalized for body mass (<italic>r</italic> = -0.27 and -0.28; both <italic>p</italic> &#x003C; 0.05). A moderate negative correlation was also found between initial levels for GE and its change following training (<italic>r</italic> = -0.44; <italic>p</italic> &#x003C; 0.01). There were no differences between the four groups based on initial levels of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE in the response to training on <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, GE, or Power<sub>40 min</sub> (all <italic>p</italic> &#x003E; 0.12). In conclusion, the present findings suggest that there are statistically significant effects of initial levels of cycling performance and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and on the subsequent adaptations following a 12-week HIT program, but the small and moderate effects indicate limited influence on training practice.</p>
</abstract>
<kwd-group>
<kwd>cycling</kwd>
<kwd>performance</kwd>
<kwd>maximal oxygen consumption</kwd>
<kwd>gross efficiency</kwd>
<kwd>high intensity training</kwd>
<kwd>interval training</kwd>
</kwd-group>
<counts>
<fig-count count="8"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="21"/>
<page-count count="9"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec><title>Introduction</title>
<p>Cycling performance requires high aerobic energy turnover and effective transfer of that energy to external power. Hence, the peak oxygen uptake (<inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>) and gross efficiency (GE), defined as the ratio of work rate to metabolic rate, are two key determinants of performance (<xref ref-type="bibr" rid="B9">Joyner and Coyle, 2008</xref>). Exercise training interventions focusing on high-intensity training (HIT) in cyclists have repeatedly shown enhanced <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> as the main physiological adaptation (<xref ref-type="bibr" rid="B12">Lucia et al., 2000</xref>; <xref ref-type="bibr" rid="B2">Bacon et al., 2013</xref>) whereas GE has been reported to both be unaffected (<xref ref-type="bibr" rid="B16">Ronnestad et al., 2015</xref>) and improved (<xref ref-type="bibr" rid="B3">Hintzy et al., 2005</xref>; <xref ref-type="bibr" rid="B5">Hopker et al., 2009</xref>, <xref ref-type="bibr" rid="B6">2010</xref>). However, the study of <xref ref-type="bibr" rid="B16">Ronnestad et al. (2015)</xref>, where GE was unaffected, used an effort-based approach to control intensity, which likely induced higher intensity compared to the studies by <xref ref-type="bibr" rid="B5">Hopker et al. (2009</xref>, <xref ref-type="bibr" rid="B6">2010</xref>) who regulated intensity by set blood lactate levels. The study by <xref ref-type="bibr" rid="B3">Hintzy et al. (2005)</xref> used a combination of moderate- and high-intensity, but the untrained participants in the study are a likely reason for the increased GE. Furthermore, sprint and strength training led to reduced oxygen cost of submaximal cycling (i.e., GE likely increased) (<xref ref-type="bibr" rid="B15">Paton and Hopkins, 2005</xref>), whereas low- and moderate-intensity training led to unchanged (<xref ref-type="bibr" rid="B11">Kristoffersen et al., 2014</xref>) or increased (<xref ref-type="bibr" rid="B4">Hopker et al., 2012</xref>) GE in cycling. Overall, the current literature indicates that both training intensity and fitness level influence the responses on GE.</p>
<p>It is generally believed that greater training loads, achieved through both volume of training and sufficient intensity, are required to trigger <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> or performance adaptations in individuals with high compared to low initial levels of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> or performance. In previous studies, there has been reported an effect of initial level of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> on the response to exercise (<xref ref-type="bibr" rid="B17">Saltin et al., 1969</xref>), but more recently no significant correlation between initial <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and the response to a training intervention was reported (<xref ref-type="bibr" rid="B10">Kohrt et al., 1991</xref>; <xref ref-type="bibr" rid="B20">Skinner et al., 2001</xref>). However, these studies (<xref ref-type="bibr" rid="B10">Kohrt et al., 1991</xref>; <xref ref-type="bibr" rid="B20">Skinner et al., 2001</xref>) do not include any measures of performance, and the participants had a relatively low initial level of fitness (reported <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> &#x003C; 31.8 mL kg<sup>-1</sup> min<sup>-1</sup>). As such, inference to performance and/or more highly trained populations cannot be made based on these studies.</p>
<p>The interaction between <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE adaptations in response to a training intervention requires further elucidation. An inverse relationship between <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE has been found (<xref ref-type="bibr" rid="B13">Lucia et al., 2002</xref>) and also an inverse relationship between the change in GE and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> following a training intervention (<xref ref-type="bibr" rid="B18">Santalla et al., 2009</xref>; <xref ref-type="bibr" rid="B4">Hopker et al., 2012</xref>). However, none of these interventions led to increased <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> at the group level.</p>
<p>Therefore, the purpose of the present study was to investigate how baseline characteristics of cycling performance, <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE influence subsequent adaptations of these parameters and their interplay following a 12-week high-intensity intervention designed to increase <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> in competitive cyclists. We hypothesized that a large training load would lead to increased <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and reduced GE, but there would be no influence of initial levels of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE.</p>
</sec>
<sec id="s1" sec-type="materials|methods">
<title>Materials and Methods</title>
<p>Sixty-three male competitive cyclists (38 &#x00B1; 8 year, <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>: 61 &#x00B1; 6 mL kg<sup>-1</sup> min<sup>-1</sup>) were recruited to take part in the current multicentre study, involving three test centers completing the same experimental trial. All participants were categorized as well-trained (<xref ref-type="bibr" rid="B8">Jeukendrup et al., 2000</xref>) with 9 &#x00B1; 3 h of weekly training in the year prior to participation. All participants completed the intervention, however, three participants were excluded from the final analyses due to absence from post-testing. The study was approved by the ethics committee of the Faculty for Health and Sport Science, University of Agder, and registered with the Norwegian Social Science Data Services (NSD). All athletes gave their verbal and written informed consent prior to study participation. The present study is part of a larger research project and thus, the intervention period, testing procedures and instrument are described in brief. A detailed description of the intervention period, testing procedures, and instruments can be found in <xref ref-type="bibr" rid="B21">Sylta et al. (2016)</xref>.</p>
<sec><title>Intervention Period</title>
<p>In brief, after a 6-week preparation and familiarization period, the training intervention consisted of three 4-week mesocycles. During the last week in each mesocycle, participants were advised to reduce low-intensity training (LIT) volume by 50% compared to previous weeks. In addition, HIT session frequency was reduced from 3 to 1 during the last week of each mesocycle. In total, each participant was prescribed twenty-four supervised HIT sessions in addition to testing and self-organized <italic>ad libitum</italic> LIT. All training was recorded using an online training diary and a heart rate monitor was worn for all exercise training. Three different HIT session models were utilized and all included a self-selected warm up of 20&#x2013;30 min of LIT, followed by four high intensity interval efforts of 4, 8, or 16 min at a self-selected cadence, separated by 2 min rest, followed by 10&#x2013;20 min of LIT as a cool-down. All HIT training was performed while supervised on Computrainer cycling trainers (RacerMate Inc., Seattle, WA, United States) using the participants&#x2019; own bikes and, additionally, blood lactate measurements were taken from a selection of the participants on each session. The participants were instructed to cycle at their maximal sustainable intensity for the entire session, and provided with continuous feedback regarding cadence, heart rate (HR), and power output. All participants were prescribed the same number of the three different HIT session models.</p>
</sec>
<sec><title>Testing Procedures</title>
<p>In brief, on test <italic>day 1</italic>, a submaximal, incremental exercise test consisting of 5-min steps was performed on a bicycle ergometer at work rates of 125, 175, and 225 W. <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2</sub> and the respiratory exchange ratio (RER) was used to calculate the metabolic rate during the three work rates. The work rate was then divided by the metabolic rate to calculate GE. The 125, 175, and 225 W work rates used to calculate GE corresponded to 34 &#x00B1; 4, 48 &#x00B1; 5, and 61 &#x00B1; 6% of the participants&#x2019; peak power output (PPO) and to 43 &#x00B1; 4, 53 &#x00B1; 5, and 65 &#x00B1; 6% of their <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> achieved during the incremental test. <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2</sub>, RER, and HR were measured during the last 2.5 min of each step when a steady state condition had occurred. Blood lactate was measured after 4.5 min of each step. After 10 min recovery, an incremental test to exhaustion was performed starting with 1 min of cycling at 3 W kg<sup>-1</sup> (rounded down to nearest 50 W) and subsequent increases of 25 W every minute. Strong verbal encouragement was provided throughout the test. <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> was calculated as the average of the two highest consecutive 30-s <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2</sub> measurements and PPO was calculated as the mean power output during the final 60 s the participants were able to maintain power output during the incremental test. HR<sub>peak</sub> was observed during the final 5 s before exhaustion and blood lactate was measured 60 s post-exhaustion.</p>
<p>On test day 2, participants performed a 40-min time trial (Power<sub>40min</sub>) after a 30-min warm-up at a self-selected power output. The Power<sub>40min</sub> test was conducted under supervision in a well-ventilated room. The temperature and relative humidity were similar at the pre- and post-tests and on both occasions <italic>ad libitum</italic> water intake was allowed. Participants were blinded to all feedback except for elapsed time and the participants were instructed to cycle at the highest possible mean power output for 40 min.</p>
</sec>
<sec><title>Instruments and Materials</title>
<p>In brief, all physiological tests were performed on a cycling ergometer [Velotron (RacerMate, Seattle, WA, United States) or Lode Excalibur Sport (Lode B. V., Groningen, Netherlands)] adjusted to the participant&#x2019;s preference. The type of ergometer was consistent at pre- and post-tests. Participants were instructed to remain seated during all tests, with self-selected cadence. Performance tests and all HIT sessions were performed using each participant&#x2019;s personal road bike mounted on Computrainer Lab<sup>TM</sup> trainers (RacerMate, Seattle, WA, United States), calibrated according to the manufacturer&#x2019;s specifications. <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2</sub> was measured using Oxycon Pro<sup>TM</sup> with mixing chamber (Oxycon, Jaeger GmbH, Hoechberg, Germany) calibrated using gases of known concentrations before every test. The flow turbine (Triple V, Erich Jaeger) was calibrated using a 3L calibration syringe (5530 series; Hans Rudolph, Kansas, MO, United States). HR was measured using Polar V800 (Polar Electro Oy, Kempele, Finland) and blood lactate was measured using capillary blood samples taken from the fingertip (Biosen C-Sport, EKF diagnostics, Cardiff, United Kingdom).</p>
</sec>
<sec><title>Data Analysis</title>
<p>Four subgroups (each with <italic>N</italic> = 8) were identified from the complete cohort, characterized by high or low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> relative to body mass and high or low GE. <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE rank within the cohort from the pre-test was used as criteria for selecting participants to the respective groups (<bold>Figure <xref ref-type="fig" rid="F1">1</xref></bold>). The HH (high GE and high <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>) and LL (low GE and low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>) groups were selected to yield the highest and lowest average rank for <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE, respectively. The HL (high GE and low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>) group was selected to have the highest <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> rank while maintaining an average rank as close to the mean as possible and LH (low GE and high <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>) group was selected to have the highest possible GE score while maintaining an average rank as close to the mean as possible.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Participant distribution of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> relative to body mass and GE at the baseline measurement. Open circles indicate participants in the HH (high <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and high efficiency) group. Filled circles indicate participants in the HL (high <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and low efficiency) group. Filled squares indicate participants in the LH (low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and high efficiency) group. Open squares indicate participants in the LL (low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and low efficiency) group.X indicates subjects not included in any of the sub groups (<italic>N</italic> = 28). Dotted lines indicate the mean value for <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and gross efficiency.</p></caption>
<graphic xlink:href="fphys-09-00713-g001.tif"/>
</fig>
</sec>
<sec><title>Statistical Analyses</title>
<p>Pearsons correlation coefficients were calculated to determine relationships between cycling performance, <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and GE and a descriptors of effect sizes of the correlations were calculated according to <ext-link ext-link-type="uri" xlink:href="http://www.sportsci.org/resource/stats/effectmag.html">http://www.sportsci.org/resource/stats/effectmag.html</ext-link>. Differences between PRE and POST conditions were evaluated using a one-way ANOVA. Differences in responses among the four different groups were evaluated using a two-way repeated measures ANOVA. We calculated the smallest worthwhile change in performance as 0.20 multiplied with the standard deviation (SD) at the pre-test (<xref ref-type="bibr" rid="B7">Hopkins et al., 2009</xref>). All data analyses were conducted using SPSS 22.0 (SPSS Inc, Chicago, IL, United States) and are presented as mean &#x00B1; SD with statistical significance accepted as &#x03B1; &#x2264; 0.05.</p>
</sec>
</sec>
<sec><title>Results</title>
<p><inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> ranged from 48 to 76 mL&#x00B7;kg<sup>-1</sup> min<sup>-1</sup> and GE from 16.5 to 20.8%. The average Power<sub>40min</sub> ranged from 194 to 342 W and 2.3 to 4.6 W kg<sup>-1</sup> when expressed as absolute values and normalized to body mass, respectively. A plateau in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2</sub> occurred in 54 and 58 out of the 60 pre- and post-tests, respectively. Following the 12-week training intervention, there was a significant increase in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, PPO, and Power<sub>40min</sub> but there was a decrease in GE (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>; all <italic>p</italic> &#x003C; 0.05). The weekly training volume during the intervention was 10 &#x00B1; 3 h, of which 97 &#x00B1; 4% was endurance training. The mean power output during all HIT intervals was 310 &#x00B1; 40 W and average blood lactate taken during the sessions was 8.7 &#x00B1; 4.0 mmol L<sup>-1</sup>. The overall intensity distribution for all training based on heart rate data is presented in <bold>Figure <xref ref-type="fig" rid="F2">2</xref></bold>.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Pre- and post-test values of performance and physiological factors following the 12-week high-intensity training intervention in 60 well-trained cyclists.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left"></th>
<th valign="top" align="center">Pre</th>
<th valign="top" align="center">Post</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (mL min<sup>-1</sup>)</td>
<td valign="top" align="center">4859 &#x00B1; 462</td>
<td valign="top" align="center">5078 &#x00B1; 484&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left"><inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (mL kg<sup>-1</sup> min<sup>-1</sup>)</td>
<td valign="top" align="center">61 &#x00B1; 6</td>
<td valign="top" align="center">65 &#x00B1; 6&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left">GE (%)</td>
<td valign="top" align="center">19.0 &#x00B1; 0.9</td>
<td valign="top" align="center">18.6 &#x00B1; 0.9&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left">PPO (W)</td>
<td valign="top" align="center">372 &#x00B1; 40</td>
<td valign="top" align="center">384 &#x00B1; 29&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left">PPO (W kg<sup>-1</sup>)</td>
<td valign="top" align="center">4.7 &#x00B1; 0.5</td>
<td valign="top" align="center">4.9 &#x00B1; 0.4&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left">Power<sub>40min</sub> (W)</td>
<td valign="top" align="center">282 &#x00B1; 30</td>
<td valign="top" align="center">301 &#x00B1; 31&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left">Power<sub>40min</sub> (W kg<sup>-1</sup>)</td>
<td valign="top" align="center">3.6 &#x00B1; 0.4</td>
<td valign="top" align="center">3.9 &#x00B1; 0.4&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left">Peak blood lactate (mmol L<sup>-1</sup>)</td>
<td valign="top" align="center">12.1 &#x00B1; 2.3</td>
<td valign="top" align="center">12.7 &#x00B1; 2.1</td>
</tr>
<tr>
<td valign="top" align="left">RER</td>
<td valign="top" align="center">1.15 &#x00B1; 0.1</td>
<td valign="top" align="center">1.15 &#x00B1; 0.1</td>
</tr>
<tr>
<td valign="top" align="left">Body mass (kg)</td>
<td valign="top" align="center">80 &#x00B1; 8</td>
<td valign="top" align="center">78 &#x00B1; 8</td></tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic>Peak oxygen uptake (<inline-graphic xlink:href="fphys-09-00713-e002.jpg"/>O<sub>2peak</sub>), gross efficiency (GE) averaged from 125, 175, and 225 W, peak power output from the incremental test (PPO), average power output during the 40-min time trial (Power<sub>40min</sub>), peak blood lactate, and RER-values from the incremental test and body mass are presented as arithmetic mean (&#x00B1;SD). Asterisks indicate a significant change from the pre- to post-test (p &#x003C; 0.05)</italic>.</attrib>
</table-wrap-foot>
</table-wrap>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Intensity distribution from heart rate monitored training throughout the study. Zone 1: &#x003C;75% of HR<sub>peak</sub>, zone 2: 75&#x2013;85% HR<sub>peak</sub>, zone 3: 85&#x2013;90% of HR<sub>peak</sub>, zone 4: 90&#x2013;95% of HR<sub>peak</sub>, and zone 5: &#x003E;95% of HR<sub>peak</sub>.</p></caption>
<graphic xlink:href="fphys-09-00713-g002.tif"/>
</fig>
<sec><title>Initial Characteristics</title>
<p>Initial absolute <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> did not correlate significantly with the change in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (<bold>Figure <xref ref-type="fig" rid="F3">3A</xref></bold>) following the 12-week intervention (<bold>Figure <xref ref-type="fig" rid="F2">2A</xref></bold>; <italic>r</italic> = -0.18; <italic>p</italic> = 0.17). However, for <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> expressed relative to body mass, there was a moderate significant negative correlation between the initial values and the change in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> following the intervention (<bold>Figure <xref ref-type="fig" rid="F3">3B</xref></bold>; <italic>r</italic> = -0.32; <italic>p</italic> &#x003C; 0.05). Smallest worthwhile changes for body mass normalized <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, GE, and body mass normalized performance during the Power<sub>40min</sub> were 1.2 mL kg<sup>-1</sup> min<sup>-1</sup>, 0.18%, and 0.08 W kg<sup>-1</sup>, respectively.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Correlation between the change in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> during the training intervention and initial <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> in absolute values <bold>(A)</bold> and normalized for body mass <bold>(B)</bold>.</p></caption>
<graphic xlink:href="fphys-09-00713-g003.tif"/>
</fig>
<p>There was a significant negative moderate correlation between initial GE and percentage change in GE following the 12-week intervention (<bold>Figure <xref ref-type="fig" rid="F4">4</xref></bold>; <italic>r</italic> = -0.44; <italic>p</italic> &#x003C; 0.01). There was no change in cadence during the stages used for GE calculation from the pre- to the post-test (<italic>p</italic> = 0.35).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Correlation between the percentage change in gross efficiency during the training intervention and initial gross efficiency.</p></caption>
<graphic xlink:href="fphys-09-00713-g004.tif"/>
</fig>
<p>Initial performance during the Power<sub>40min</sub> displayed a small negative correlation with the change in performance following the training intervention both when expressed as absolute values (<bold>Figure <xref ref-type="fig" rid="F5">5A</xref></bold>; <italic>r</italic> = -0.28; <italic>p</italic> &#x003C; 0.05) and relative to body mass (<bold>Figure <xref ref-type="fig" rid="F5">5B</xref></bold>; <italic>r</italic> = -0.27; <italic>p</italic> &#x003C; 0.05). Initial PPO showed small and moderate correlations with the change following the intervention both for absolute power output (<italic>r</italic> = -0.23; <italic>p</italic> = 0.08) and values relative to body mass (<italic>r</italic> = -0.42; <italic>p</italic> &#x003C; 0.01), respectively.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Correlation between the change in time trial performance during the training intervention and initial time trial performance (Power<sub>40min</sub>) in absolute units <bold>(A)</bold> and normalized for body mass <bold>(B)</bold>.</p></caption>
<graphic xlink:href="fphys-09-00713-g005.tif"/>
</fig>
</sec>
<sec><title>GE and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> Relationship and Their Relationship With Performance</title>
<p>There was a moderate negative correlation between GE and both absolute <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (<bold>Figure <xref ref-type="fig" rid="F6">6A</xref></bold>; <italic>r</italic> = -0.36, <italic>p</italic> &#x003C; 0.01) and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> relative to body mass (<bold>Figure <xref ref-type="fig" rid="F6">6B</xref></bold>; <italic>r</italic> = -0.27, <italic>p</italic> &#x003C; 0.05).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>Correlation between changes in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> relative to body mass <bold>(A)</bold> and absolute <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> <bold>(B)</bold> and changes in gross efficiency (GE) during the training intervention.</p></caption>
<graphic xlink:href="fphys-09-00713-g006.tif"/>
</fig>
<p>There were significant moderate correlations between change in performance during the Power<sub>40min</sub> and change in absolute <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (<italic>r</italic> = 0.30, <italic>p</italic> &#x003C; 0.05) and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> relative to body mass (<bold>Figure <xref ref-type="fig" rid="F7">7A</xref></bold>; <italic>r</italic> = 0.38, <italic>p</italic> &#x003C; 0.01). There was no significant correlation between change in performance during the Power<sub>40min</sub> and change in GE (<bold>Figure <xref ref-type="fig" rid="F7">7B</xref></bold>; <italic>r</italic> = -0.06, <italic>p</italic> = 0.63).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption><p>Correlation between change in 40-min time trial performance normalized for body mass and change in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> normalized for body mass <bold>(A)</bold> and between changes in 40-min time trial performance normalized for body mass and changes in gross efficiency <bold>(B)</bold> during the training intervention.</p></caption>
<graphic xlink:href="fphys-09-00713-g007.tif"/>
</fig>
</sec>
<sec><title>Sub-group Analyses</title>
<p>Characteristics of the participants included in the four sub-groups are presented in <bold>Table <xref ref-type="table" rid="T2">2</xref></bold>. The HH group showed the best performance on both the incremental and the time-trial test, but only when the results where normalized for body mass. Total training volume, LIT, and HIT did not differ between the four subgroups (all <italic>p</italic> &#x003E; 0.36).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Pre-test characteristics and training data during the 12-week intervention period for the four sub-groups.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left"></td>
<th valign="top" align="center">Hi <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>/Hi GE</th>
<th valign="top" align="center">Hi <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>/Low GE</th>
<th valign="top" align="center">Low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>/Hi GE</th>
<th valign="top" align="center">Low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>/Low GE</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Age (years)</td>
<td valign="top" align="center">32 &#x00B1; 6<sup>cd</sup></td>
<td valign="top" align="center">36 &#x00B1; 6<sup>d</sup></td>
<td valign="top" align="center">41 &#x00B1; 6<sup>a</sup></td>
<td valign="top" align="center">44 &#x00B1; 4<sup>ab</sup></td>
</tr>
<tr>
<td valign="top" align="left">Height (cm)</td>
<td valign="top" align="center">181 &#x00B1; 9</td>
<td valign="top" align="center">184 &#x00B1; 5</td>
<td valign="top" align="center">181 &#x00B1; 4</td>
<td valign="top" align="center">184 &#x00B1; 6</td>
</tr>
<tr>
<td valign="top" align="left">Heart rate peak (bpm)</td>
<td valign="top" align="center">194 &#x00B1; 7</td>
<td valign="top" align="center">194 &#x00B1; 10</td>
<td valign="top" align="center">184 &#x00B1; 9</td>
<td valign="top" align="center">185 &#x00B1; 13</td>
</tr>
<tr>
<td valign="top" align="left">Body mass (kg)</td>
<td valign="top" align="center">71.3 &#x00B1; 7.9<sup>bcd</sup></td>
<td valign="top" align="center">79.6 &#x00B1; 2.7<sup>ad</sup></td>
<td valign="top" align="center">80.9 &#x00B1; 3.2<sup>ad</sup></td>
<td valign="top" align="center">88.9 &#x00B1; 10.3<sup>abc</sup></td>
</tr>
<tr>
<td valign="top" align="left"><inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (mL min<sup>-1</sup>)</td>
<td valign="top" align="center">4784 &#x00B1; 509<sup>b</sup></td>
<td valign="top" align="center">5362 &#x00B1; 268<sup>acd</sup></td>
<td valign="top" align="center">4622 &#x00B1; 460<sup>b</sup></td>
<td valign="top" align="center">4916 &#x00B1; 488<sup>b</sup></td>
</tr>
<tr>
<td valign="top" align="left"><inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (mL kg<sup>-1</sup> min<sup>-1</sup>)</td>
<td valign="top" align="center">67.3 &#x00B1; 5.0<sup>cd</sup></td>
<td valign="top" align="center">67.4 &#x00B1; 2.8<sup>cd</sup></td>
<td valign="top" align="center">57.2 &#x00B1; 3.4<sup>ab</sup></td>
<td valign="top" align="center">55.5 &#x00B1; 4.1<sup>ab</sup></td>
</tr>
<tr>
<td valign="top" align="left">GE (%)</td>
<td valign="top" align="center">19.9 &#x00B1; 0.4<sup>bd</sup></td>
<td valign="top" align="center">17.9 &#x00B1; 0.7<sup>ac</sup></td>
<td valign="top" align="center">20.1 &#x00B1; 0.7<sup>bd</sup></td>
<td valign="top" align="center">18.2 &#x00B1; 0.7<sup>ac</sup></td>
</tr>
<tr>
<td valign="top" align="left">PPO (W)</td>
<td valign="top" align="center">367 &#x00B1; 43</td>
<td valign="top" align="center">394 &#x00B1; 38</td>
<td valign="top" align="center">367 &#x00B1; 43</td>
<td valign="top" align="center">361 &#x00B1; 46</td>
</tr>
<tr>
<td valign="top" align="left">PPO (W kg<sup>-1</sup>)</td>
<td valign="top" align="center">5.2 &#x00B1; 0.4<sup>cd</sup></td>
<td valign="top" align="center">4.9 &#x00B1; 0.4<sup>cd</sup></td>
<td valign="top" align="center">4.5 &#x00B1; 0.5<sup>abd</sup></td>
<td valign="top" align="center">4.1 &#x00B1; 0.4<sup>abc</sup></td>
</tr>
<tr>
<td valign="top" align="left">Power<sub>40min</sub> (W)</td>
<td valign="top" align="center">283 &#x00B1; 22</td>
<td valign="top" align="center">282 &#x00B1; 20</td>
<td valign="top" align="center">274 &#x00B1; 40</td>
<td valign="top" align="center">281 &#x00B1; 39</td>
</tr>
<tr>
<td valign="top" align="left">Power<sub>40min</sub> (W kg<sup>-1</sup>)</td>
<td valign="top" align="center">4.0 &#x00B1; 0.3<sup>abc</sup></td>
<td valign="top" align="center">3.5 &#x00B1; 0.2<sup>a</sup></td>
<td valign="top" align="center">3.4 &#x00B1; 0.5<sup>a</sup></td>
<td valign="top" align="center">3.2 &#x00B1; 0.5<sup>a</sup></td>
</tr>
<tr>
<td valign="top" align="left">HIT volume (h week<sup>-1</sup>)</td>
<td valign="top" align="center">1.4 &#x00B1; 0.3</td>
<td valign="top" align="center">1.5 &#x00B1; 0.3</td>
<td valign="top" align="center">1.5 &#x00B1; 0.3</td>
<td valign="top" align="center">1.6 &#x00B1; 0.7</td>
</tr>
<tr>
<td valign="top" align="left">LIT volume (h week<sup>-1</sup>)</td>
<td valign="top" align="center">9.1 &#x00B1; 3.7</td>
<td valign="top" align="center">7.3 &#x00B1; 2.0</td>
<td valign="top" align="center">7.3 &#x00B1; 2.4</td>
<td valign="top" align="center">7.7 &#x00B1; 2.3</td></tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic>Pre-test values for the HH (high <inline-graphic xlink:href="fphys-09-00713-e002.jpg"/>O<sub>2peak</sub> and high efficiency), HL (high <inline-graphic xlink:href="fphys-09-00713-e002.jpg"/>O<sub>2peak</sub> and low efficiency), LH (low <inline-graphic xlink:href="fphys-09-00713-e002.jpg"/>O<sub>2peak</sub> and high efficiency), and LL (low <inline-graphic xlink:href="fphys-09-00713-e002.jpg"/>O<sub> 2peak</sub> and low efficiency) groups. <inline-graphic xlink:href="fphys-09-00713-e002.jpg"/>O<sub>2peak</sub>, gross efficiency (GE), peak power output from the incremental test (PPO) and average power output during the 40-min time trial (Power<sub>40min</sub>) are presented as mean (&#x00B1;SD). <sup>a</sup>Indicates a difference from HH (p &#x003C; 0.05). <sup>b</sup>Indicates a difference from HL (p &#x003C; 0.05). <sup>c</sup>Indicates a difference from LH (p &#x003C; 0.05). <sup>d</sup>Indicates a difference from LL (p &#x003C; 0.05)</italic>.</attrib>
</table-wrap-foot>
</table-wrap>
<p>There was a significant main effect of the training intervention on <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, Power<sub>40min</sub> (<bold>Figure <xref ref-type="fig" rid="F8">8</xref></bold>; all <italic>p</italic> &#x003C; 0.05) and PPO (not shown) during the incremental test. However, there was no difference between the four groups in the change in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, PPO, Power<sub>40min</sub> or GE (all <italic>p</italic> &#x003E; 0.12) and all four groups maintained the selection characteristics following the intervention (i.e., the HH and HL had higher <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> compared to the LH and LL and the HH and LH had higher GE compared to the HL and LL) (all <italic>p</italic> &#x003C; 0.05).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption><p>Group responses from the pre-test to the post-test for the HH (high <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and high efficiency), HL (high <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and low efficiency), LH (low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and high efficiency), and the LL (low <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and low efficiency) groups for <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, time trial performance and gross efficiency (GE). <sup>&#x2217;</sup>Indicates a significant main effect of the training intervention.</p></caption>
<graphic xlink:href="fphys-09-00713-g008.tif"/>
</fig>
</sec>
</sec>
<sec><title>Discussion</title>
<p>The purpose of the present study was to investigate how the initial characteristics of cycling performance, <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, and GE, as well as their interplay, influences subsequent adaptations in these parameters following a 12-week HIT intervention in well-trained cyclists.</p>
<p>The training intervention led to an increase in performance and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> but a decrease in GE. Furthermore, we found significant associations between the athletes&#x2019; initial levels of GE, <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, and performance and subsequent adaptations of that same parameter. However, parameter specific initial levels explained only 4&#x2013;18% of the variance in adaptations, and when we compared our four groups with combinations of high and/or low initial levels of GE and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, no differences in adaptations were found among groups. Overall, our study shows that the impact of initial characteristics of cycling performance, <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>, and GE on the subsequent responses to these parameters are relatively small, and the effect disappears if we investigate the relationship in groups based on initial GE and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> characteristics in combination.</p>
<p>While the present study shows significant effects of initial performance and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> on the subsequent adaptation to HIT in highly trained cyclists, the effect is only moderate. An effect of initial fitness on the <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> responses has also been reported previously in less trained individuals (<xref ref-type="bibr" rid="B17">Saltin et al., 1969</xref>), although other studies (<xref ref-type="bibr" rid="B10">Kohrt et al., 1991</xref>; <xref ref-type="bibr" rid="B20">Skinner et al., 2001</xref>) showed no effect. The HIT element in the present study had an overall positive effect on <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and endurance performance, which differs from the previous studies that utilized a lower training intensity (e.g., 75% of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (<xref ref-type="bibr" rid="B20">Skinner et al., 2001</xref>)). Furthermore, the total training load added in our study seemed to be sufficient to elicit an overload stimulus and thereby trigger endurance adaptions in most of the athletes. This is exemplified by a recent study where further increasing the training load effectively elicited training adaptations in participants who were unresponsive to 180 min of moderate to high intensity exercise per week (<xref ref-type="bibr" rid="B14">Montero and Lundby, 2017</xref>). However, even in our study, the observed improvements were relatively modest, which may partly be due to differences in how optimal the added training load was for each individual participant. In addition, the subsequent recovery phase is of importance for adaptations, and e.g., subjects need to be healthy and avoid other factors which might negatively influence adaptations.</p>
<p>In contrast to the positive effects of the 12-week high intensity training intervention on <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (&#x223C;5%), GE declined slightly following the intervention (&#x223C;2%), and there was a moderate association between initial level of GE and the subsequent response. However, there were no significant differences in adaptation between the groups with high and low GE. Previous literature examining changes in GE following high intensity training reported no effect (<xref ref-type="bibr" rid="B16">Ronnestad et al., 2015</xref>) or an increase in GE when utilizing an exercise intensity equivalent to five heart rate beats above the work rate eliciting 4 mmol&#x22C5;L<sup>-1</sup> of blood lactate (<xref ref-type="bibr" rid="B6">Hopker et al., 2010</xref>). However, previous studies in participants of a similar performance level to our participants, who utilized low- to moderate-intensity training, reported improved GE and a significant positive relationship between changes in GE and performance (<xref ref-type="bibr" rid="B6">Hopker et al., 2010</xref>, <xref ref-type="bibr" rid="B4">2012</xref>).</p>
<p>A potential explanation for the different effect of training on GE between our study and others might be the HIT applied in our study, which primarily influenced performance via enhanced <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (<xref ref-type="bibr" rid="B21">Sylta et al., 2016</xref>)). Previous studies (<xref ref-type="bibr" rid="B6">Hopker et al., 2010</xref>, <xref ref-type="bibr" rid="B4">2012</xref>) have used a lower intensity compared to the present study, and a lower intensity may be more effective for enhancing GE at a submaximal work rate. In the present study, training was executed as HIT with the addition of <italic>ad libitum</italic> LIT. A possible influencing factor on the decline in GE in the present study may be the low amount of training as moderate-intensity exercise, which may be important for maintaining GE (<xref ref-type="bibr" rid="B5">Hopker et al., 2009</xref>; <xref ref-type="bibr" rid="B11">Kristoffersen et al., 2014</xref>).</p>
<p>Intensity in the present study was controlled utilizing an effort based approach where the participants are instructed to aim to achieve the highest possible average power output within each session (<xref ref-type="bibr" rid="B19">Seiler et al., 2013</xref>). This is the same approach used by <xref ref-type="bibr" rid="B16">Ronnestad et al. (2015)</xref> who demonstrated unchanged GE after HIT training. It is possible that the effort based intensity control leads to higher intensity, as shown through the high blood lactate levels during intervals in the present (i.e., average blood lactate of 8.9 mmol L<sup>-1</sup>) and a previous study using intervals of 4 to 8 min duration (<xref ref-type="bibr" rid="B19">Seiler et al., 2013</xref>), compared to the approaches used by <xref ref-type="bibr" rid="B6">Hopker et al. (2010)</xref> who demonstrated increased GE with intensity based on absolute blood lactate levels of 4 mmol L<sup>-1</sup> + 5 heart rate beats per minute. Furthermore, <xref ref-type="bibr" rid="B5">Hopker et al. (2009</xref>, <xref ref-type="bibr" rid="B6">2010</xref>) proposed that training at moderate intensity, eliciting less than 4 mmol L<sup>-1</sup> blood lactate, is important for maintaining GE. Hence, training at (very) high-intensity may lead to unchanged or declined GE, whereas training at lower intensity may have the opposite effect.</p>
<p>However, the decline in GE may also be influenced by the fact that it was calculated at a moderate intensity (i.e., the average of 125, 175, and 225 W) and might not reflect what occurs at higher workloads (i.e., training intensity average interval work rate of 310 W). Additionally, since 225 W exceed 60% of PPO, there is a possibility that the <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2</sub> slow component influence our measurements slightly, which could have led to an overestimation of the decline in GE from pre- to post-test. However, since there was no difference in the change in GE for the three work rates used for GE calculation and the corresponding RER measurements were below 1.0, a possible influence would be minor.</p>
<p>As expected, we found a positive relationship between change in cycling performance and change in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>. In contrast, change in GE was not related to a change in performance. This inverse relationship between the change in GE and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>) corresponds with previous findings (<xref ref-type="bibr" rid="B13">Lucia et al., 2002</xref>; <xref ref-type="bibr" rid="B4">Hopker et al., 2012</xref>). However, in contrast to previous studies which have shown an increase in GE and small changes in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> (<xref ref-type="bibr" rid="B13">Lucia et al., 2002</xref>; <xref ref-type="bibr" rid="B4">Hopker et al., 2012</xref>), we show the same inverse relationship when the average GE decreases and the average <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> increases.</p>
<p>Also contrary to previous findings (<xref ref-type="bibr" rid="B4">Hopker et al., 2012</xref>) is an increased performance despite a decrease in GE. Although the 12-week HIT intervention led to a large increase in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> that positively influenced cycling performance, it appears that cycling efficiency is slightly reduced, especially in those with large <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> improvements. However, it is important to keep in mind the relatively short duration of the intervention executed in this study. As demonstrated by the findings in this study, the decrease in GE over a relatively short period where the objective of training is to increase <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> was not detrimental to performance due to the improved <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>. However, in general, long-term decreases in GE can be detrimental to performance. Since studies using low- and moderate-intensity training, as well as sprint and strength training (<xref ref-type="bibr" rid="B15">Paton and Hopkins, 2005</xref>; <xref ref-type="bibr" rid="B4">Hopker et al., 2012</xref>) have shown increases in GE, cyclists should likely use a combination of different training intensities to optimize their long-term performance development. This also represents a typical training pattern over a season for elite cyclists, where a combination of intensities and periods with different focus is employed (<xref ref-type="bibr" rid="B12">Lucia et al., 2000</xref>; <xref ref-type="bibr" rid="B5">Hopker et al., 2009</xref>). Although different types of training influence GE and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> differently, both high and moderate intensity training may be necessary for optimal performance increases during a competitive season. Additionally, the long-term effect on GE and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> is potentially different from the effects seen in this relatively short 12-week intervention compared to the effect on performance.</p>
<p>We believe the finding of a small effect of baseline level has important practical implications and demonstrates that if an appropriate training stimulus is administered, the initial physiological characteristics have little effect on the training adaptation in a large cohort of well-trained athletes. It demonstrates that an appropriate training stimulus can further enhance performance, independent of the initial physiological characteristics of even well-trained athletes. A known limitation of the present arises from the baseline characteristic and change following the intervention are not independent measurements, we violate the assumption of independence in the correlation analyses. This may lead to an effect known as regression to the mean (<xref ref-type="bibr" rid="B1">Altman and Bland, 1994</xref>) which ultimately would lead to an overestimation of the correlation. When calculated using Oldham&#x2019;s correction to minimize the effect, the correlations in the present study were weakened. The additional finding that the groups based on differences in baseline characteristics show no difference in the adaptation to the training intervention also supports our interpretation. Although the groups in the present study where comprised of only eight athletes which limit statistical power with multiple comparisons, however, the group size is comparable to similar studies on training adaptation.</p>
</sec>
<sec><title>Conclusion</title>
<p>In conclusion, the present study demonstrates statistically significant, but practically trivial effects of initial levels of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and performance on subsequent adaptations following a 12-week HIT intervention in well-trained cyclists. In contrast to the improvements in performance and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> following this intervention, GE was reduced and the changes in GE negatively correlated with changes in <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub>. However, when comparing adaptations between groups with different levels of <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> and/or GE, we found no differences. Overall, this study indicates that the effects of initial level of performance and physiological capacities on subsequent adaptations are relatively small, and the effect disappears if we investigate the relationship in groups based on GE and <inline-graphic xlink:href="fphys-09-00713-e001.jpg"/>O<sub>2peak</sub> characteristics.</p>
</sec>
<sec><title>Author Contributions</title>
<p>KS, &#x00D8;Sa, ET, JD, BR, and &#x00D8;Sy contributed in conceptualization the study. KS, &#x00D8;Sa, DH, and JD contributed in data collection. KS, &#x00D8;Sa, DH, and &#x00D8;Sy contributed in data handling and statistical analysis. KS, &#x00D8;Sa, ET, DH, JD, SS, BR, and &#x00D8;Sy contributed in preparing the manuscript.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
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