Purpose: To evaluate the reliability of calculating gross efficiency (GE) conventionally and using a back extrapolation (BE) method during high-intensity exercise (HIE). Methods: A total of 12 trained participants completed 2 HIE bouts (P1?=?4 min at 80% maximal aerobic power [MAP]; P2=4 min at 100%MAP). GE was calculated conventionally in the last 3 minutes of submaximal (50%MAP) cycling bouts performed before and after HIE (Pre50%MAP and Post50%MAP). To calculate GE using BE (BGE), a linear regression of GE submaximal values post-HIE were back extrapolated to the end of the HIE bout. Results: BGE was significantly correlated with Post50%MAP GE in P1 (r=.63; P=.01) and in P2 (r=.85; P=.002). Reliability data for P1 and P2 BGE demonstrate a mean coefficient of variation of 7.8% and 9.8% with limits of agreement of 4.3% and 4.5% in relative GE units, respectively. P2 BGE was significantly lower than P2 Post50%MAP GE (18.1% [1.6%] vs 20.3% [1.7%]; P=.01). Using a declining GE from the BE method, there was a 44% greater anaerobic contribution compared with assuming a constant GE during 4-minute HIE at 100%MAP. Conclusion: HIE acutely reduced BGE at 100%MAP. A greater anaerobic contribution to exercise as well as excess postexercise oxygen consumption at 100%MAP may contribute to this decline in efficiency. The BE method may be a reliable and valid tool in both estimating GE during HIE and calculating aerobic and anaerobic contributions.
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