Energy expenditure during level human walking: seeking a simple and accurate predictive solution.

Accurate prediction of the metabolic energy that walking requires can inform numerous health, bodily status, and fitness outcomes. We adopted a two-step approach to identifying a concise, generalized equation for predicting level human walking metabolism. Using literature-aggregated values we compared 1) the predictive accuracy of three literature equations: American College of Sports Medicine (ACSM), Pandolf et al., and Height-Weight-Speed (HWS); and 2) the goodness-of-fit possible from one- vs. two-component descriptions of walking metabolism. Literature metabolic rate values (n = 127; speed range = 0.4 to 1.9 m/s) were aggregated from 25 subject populations (n = 5-42) whose means spanned a 1.8-fold range of heights and a 4.2-fold range of weights. Population-specific resting metabolic rates (...O_2rest) were determined using standardized equations. Our first finding was that the ACSM and Pandolf et al. equations underpredicted nearly all 127 literature-aggregated values. Consequently, their standard errors of estimate (SEE) were nearly four times greater than those of the HWS equation (4.51 and 4.39 vs. 1.13 ml O₂⋅kg^-1⋅min^-1, respectively). For our second comparison, empirical best-fit relationships for walking metabolism were derived from the data set in one- and two-component forms for three ...O₂-speed model types: linear (∞...^1.0), exponential (∞..._2.0), and exponential/height (⋅...^2.0/Ht). We found that the proportion of variance (R²) accounted for, when averaged across the three model types, was substantially lower for one- vs. two-component versions (0.63 ± 0.1 vs. 0.90 ± 0.03) and the predictive errors were nearly twice as great (SEE = 2.22 vs. 1.21 ml O₂-kg^-1⋅min^-1). Our final analysis identified the following concise, generalized equation for predicting level human walking metabolism:...O_2total = ...O_2rest + 3.85 + 5.97⋅...²/Ht (where V is measured in m/s, Ht in meters, and ...O₂ in ml O₂⋅kg^-1⋅min^-1). [ABSTRACT FROM AUTHOR]