The incidence of the oxygen uptake plateau during incremental exercise testing is not clearly influenced by exercise mode or protocol, and supramaximal verification bouts offer little advantage.
The occurrence of an oxygen uptake plateau during exercise testing is highly dependent on the methodological definitions used, and current evidence does not support widespread assumptions about the superiority of specific exercise modes or discontinuous protocols for eliciting a plateau.
Abstract A flattening of the oxygen uptake–work rate relationship at severe exercise indicates the achievement of maximum oxygen uptake (VO₂) VO 2 max. Unfortunately, a distinct plateau ({{VO}₂ pl}) VO 2 pl at {VO}₂ VO 2 max is not found in all participants. The aim of this investigation was to critically review the influence of research methods and physiological factors on the {VO}₂ pl VO 2 pl incidence. It is shown that many studies used inappropriate definitions or methodical approaches to check for the occurrence of a {VO}₂ pl VO 2 pl. In contrast to the widespread assumptions it is unclear whether there is higher {VO}₂ pl VO 2 pl incidence in (uphill) running compared to cycling exercise or in discontinuous compared to continuous incremental exercise tests. Furthermore, most studies that evaluated the validity of supramaximal verification phases, reported verification bout durations, which are too short to ensure that {VO}₂ VO 2 max have been achieved by all participants. As a result, there is little evidence for a higher {VO}₂ pl VO 2 pl incidence and a corresponding advantage for the diagnoses of {VO}₂ VO 2 max when incremental tests are supplemented by supramaximal verification bouts. Preliminary evidence suggests that the occurrence of a {VO}₂ pl VO 2 pl in continuous incremental tests is determined by physiological factors like anaerobic capacity, {VO}₂ VO 2 -kinetics and accumulation of metabolites in the submaximal intensity domain. Subsequent studies should take more attention to the use of valid {VO}₂ pl VO 2 pl definitions, which require a cut-off at ~ 50% of the submaximal {VO}₂ VO 2 increase and rather large sampling intervals. Furthermore, if verification bouts are used to verify the achievement of {VO}₂{₄₀₊} VO 2 peak / {VO}₂ VO 2 max, it should be ensured that they can be sustained for sufficient durations.
Niemeyer et al. (Thu,) conducted a review in Oxygen Uptake Plateau. The incidence of the oxygen uptake plateau during incremental exercise testing is not clearly influenced by exercise mode or protocol, and supramaximal verification bouts offer little advantage.