In this study we compared substrate use at submaximal intensities of a maxi
mal graded exercise test (GXT) with that derived from equivalent intensitie
s during continuous submaximal steady-state exercise in obese and normal-we
ight women. Sedentary obese (n = 20, body fat >30%) and normal-weight (n =
1.5, body fat less than or equal to 30%) women performed three treadmill te
sts with concurrent metabolic measurements. Maximal oxygen consumption ((V)
over dpt O-2max) was determined using the Bruce protocol, followed by two,
randomly assigned, continuous 15-min, steady-state exercise bouts, on diffe
rent days; one bout at 50% and one bout at 75% (V)over dot O-2max. Analysis
of variance revealed no significant differences between groups for blood l
actate or respiratory exchange ratio (R) values at any point during exercis
e. Therefore, obese and normal-weight group data were combined for subseque
nt analyses. The R at 50% (V)over dot O-2max from the GXT [0.83 (0.01)] was
significantly (P < 0.05) lower than at 8 min [0.90 (0.01)] and 15 min [0.8
9 (0.01)] of steady-state exercise, whereas at 75% (V)over dot O-2max, the
GXT R [0.96 (0.01)] was similar to that seen at 8 min [0.96 (0.01)] and at
15 min of steady-state exercise [0.93 (0.01)]. Blood lactate values at 50%
(V)over dot O-2max were similar between the GXT [1.66 (0.10) mM] and steady
-state exercise [1.65 (0.09) mM], but at 75% (V)over dot O-2max the GXT blo
od lactate values [2.58 (0.21) mM] were lower than after 15 min of steady-s
tate exercise [4.65 (0.46) mM]. Total exercise fat oxidation was greater at
50% compared to 75% (V)over dot O-2max. There was no difference in substra
te use between sedentary obese and normal-weight women either at rest or du
ring steady-state exercise at the same relative intensity. Total fat oxidat
ion was greater during low- (50% (V)over dot O-2max) compared to high-inten
sity (75% (V)over dot O-2max) exercise. Data from a GXT cannot be used to p
redict R or substrate utilization values for the purpose of exercise prescr
iption.