Brooks · Clinical and experimental pharmacology & physiology 1997 · narrative review / conceptual framework · n=?

Importance of the 'crossover' concept in exercise metabolism.

Cited 117 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and theoretical framework without primary experimental data.

PubMed 9363377 · doi:10.1111/j.1440-1681.1997.tb02712.x · record verified 2026-08-29

What was done

This paper describes the theoretical framework of the 'crossover' concept, a physiological model predicting patterns of substrate supply and utilization (carbohydrates versus lipids) at rest and during varying exercise intensities.

What was found

The author outlines the following model predictions without presenting new empirical trial numbers: - Lipids constitute the major fuel (approximately 60%) for non-contracting skeletal muscle and the whole body at rest. - Exercise intensity and energy flux serve as the primary drivers of substrate balance; moderate to high intensities stimulate glycogenolysis, glycolysis, fast-twitch fiber recruitment, and sympathetic nervous system activity while down-regulating mitochondrial fatty acid uptake. - Carbohydrate (glycogen and glucose) utilization scales exponentially with relative exercise power output, with glycogen use showing a greater gain than glucose at high power. - Free fatty acid flux follows an inverted hyperbolic relationship with power output, reducing lipid oxidation at high intensities. - Factors like endurance training, dietary manipulation, and prior exercise act as secondary modulators. - No primary experimental dataset, sample size, or statistical measures were reported in the abstract.

Why it matters

The paper outlines a central paradigm in exercise physiology explaining how relative intensity dictates fuel selection and why metabolic comparisons across cohorts require normalization to total energy flux.

Limits

The abstract presents a theoretical model rather than primary experimental data. No sample sizes, participant demographics, control groups, or empirical measurements are provided to directly evaluate the claims.

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