Brooks · Journal of applied physiology (Bethesda, Md. : 1985) 1994 · narrative review · n=?

Balance of carbohydrate and lipid utilization during exercise: the "crossover" concept.

Cited 855 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and theoretical concept paper without original empirical data or systematic review methodology

PubMed 7928844 · doi:10.1152/jappl.1994.76.6.2253 · record verified 2026-08-29

What was done

This narrative review and theoretical paper outlines the "crossover" concept describing how exercise intensity and prior endurance training interact to regulate the balance of carbohydrate and lipid metabolism during sustained exercise.

What was found

The abstract reports conceptual synthesis and ranges from existing literature rather than new empirical data. Following endurance training, low-intensity exercise (<= 45% maximal O2 uptake) utilizes lipid as the main substrate. In contrast, hard-intensity exercise (~75% maximal O2 uptake) relies predominantly on carbohydrate. The crossover point is defined as the power output where energy derived from carbohydrates exceeds that from lipids.

Why it matters

It introduces the foundational crossover concept in exercise physiology, reconciling divergent literature regarding substrate utilization as a predictable function of exercise intensity and training adaptations.

Limits

As a theoretical narrative review, it presents no original empirical dataset, sample sizes, or formal systematic review methodology.

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