ReviewPhysiological reports2019
The maximal metabolic steady state: redefining the 'gold standard'.
Review in Physiological reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers, 7 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
133 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- The 3-min all-out test in cycling: a systematic review and meta-analysis on its reliability and validity.European journal of applied physiology · 2026Pooled it
- Validity and Reliability of Portable Blood Lactate Analyzers: A Systematic Review with COSMIN and GRADE Assessment.Sports medicine - open · 2026Pooled it
- Heavy strength training effects on physiological determinants of endurance cyclist performance: a systematic review with meta-analysis.European journal of applied physiology · 2026Pooled it
- Field-based tests for determining critical speed among runners and its practical application: a systematic review.Frontiers in sports and active living · 2025Pooled it
- Pooled it
- The Additional Effect of Training Above the Maximal Metabolic Steady State on VO2peak, Wpeak and Time-Trial Performance in Endurance-Trained Athletes: A Systematic Review, Meta-analysis, and Reality Check.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Relative Proximity of Critical Power and Metabolic/Ventilatory Thresholds: Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Low carbohydrate availability reduces power output at the moderate-to-heavy transition, impairs efficiency, and increases median power frequency during cycling in females.European journal of applied physiology · 2026Trial
- Cardiorespiratory and metabolic stress responses to acute high-intensity interval training anchored to critical power or maximal heart rate.Scientific reports · 2025Trial
- Histamine-receptor blockade does not influence the heavy-severe domain boundary and time to task failure in the severe domain during cycling exercise in adults.Physiological reports · 2025Trial
- Cardiorespiratory Fitness Improvements Following Low-Frequency Training Are Not Inferior to High-Frequency Training Matched for Intensity and Volume.Scandinavian journal of medicine & science in sports · 2025Trial
- High-dose short-term creatine supplementation without beneficial effects in professional cyclists: a randomized controlled trial.Journal of the International Society of Sports Nutrition · 2024Trial
- Effect of low- and high-carbohydrate diets on swimming economy: a crossover study.Journal of the International Society of Sports Nutrition · 2020Trial
- Power-Based Running Durability in Trained Runners: Preliminary Evidence of Speed-Adjusted Mechanical Drift as a Marker of Fatigue.European journal of sport science · 2026Article
- Noninvasive assessment of the anaerobic threshold in endurance athletes: an evidence-based narrative review of methods, validity, and field feasibility.British medical bulletin · 2026Review
- Agreement between the respiratory compensation point and various critical power estimates using a step-ramp-step protocol in cyclists.European journal of applied physiology · 2026Article
- The Influence of Time of Day on Critical Swimming Speed in Chronotype-Screened (Neither-Type) Well-Trained Male Swimmers.Life (Basel, Switzerland) · 2026Article
- Near infrared spectroscopy-derived muscle oxidative capacity correlates to oxidative metabolic predictors of performance in highly trained female middle-distance runners.Physiological reports · 2026Article
- From diagnostics to prediction: development and validation of a multi-domain power-duration model.European journal of applied physiology · 2026Article
- Real-time AI-Driven cadence optimization in elite 800-m runners: a bioenergetic digital twin approach under metabolic constraints.BMC sports science, medicine & rehabilitation · 2026Article
73 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The maximal lactate steady state (MLSS) and the critical power (CP) are two widely used indices of the highest oxidative metabolic rate that can be sustained during continuous exercise and are often considered to be synonymous. However, while perhaps having similarities in principle, methodological differences in the assessment of these parameters typically result in MLSS occurring at a somewhat lower power output or running speed and exercise at CP being sustainable for no more than approximately 20-30 min. This has led to the view that CP overestimates the 'actual' maximal metabolic steady state and that MLSS should be considered the 'gold standard' metric for the evaluation of endurance exercise capacity. In this article we will present evidence consistent with the contrary conclusion: i.e., that (1) as presently defined, MLSS naturally underestimates the actual maximal metabolic steady state; and (2) CP alone represents the boundary between discrete exercise intensity domains within which the dynamic cardiorespiratory and muscle metabolic responses to exercise differ profoundly. While both MLSS and CP may have relevance for athletic training and performance, we urge that the distinction between the two concepts/metrics be better appreciated and that comparisons between MLSS and CP, undertaken in the mistaken belief that they are theoretically synonymous, is discontinued. CP represents the genuine boundary separating exercise in which physiological homeostasis can be maintained from exercise in which it cannot, and should be considered the gold standard when the goal is to determine the maximal metabolic steady state.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.