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Updated: Aug 29, 2026

Determining and Controlling External Power Output During Regular Handrim Wheelchair Propulsion
Published on: February 5, 2020
Fat oxidation at different intensities in wheelchair racing
B Knechtle1, G Müller, F Willmann
1Institute of Sports Medicine, Swiss Paraplegic Centre, Nottwil, Switzerland.
Study Design:
Determination of fat oxidation at three different intensities in trained wheelchair athletes on the treadmill.
Objective:
The aim of the study was to assess the level and highest rate of fat oxidation in endurance-trained wheelchair athletes for recommendation on endurance training.
Setting:
Institute of Sports Medicine, Swiss Paraplegic Centre, Nottwil, Switzerland.
Methods:
Nine (seven men and two women) endurance-trained wheelchair athletes (VO(2peak) 40.2+/-6.7 ml/kg/min) were studied over 20 min at 55, 65 and 75% VO(2peak) on a treadmill in their own racing wheelchairs in order to find the exercise intensity with the highest absolute fat oxidation.
Results:
As presumed, total energy expenditure for wheelchair racing was highest at 75% VO(2peak), while absolute fat oxidation was statistically not significantly different at the three tested intensities. Percentage of energy expenditure from fat oxidation decreased with increasing intensity from 31.4% at 55% VO(2peak) to 20.9% at 75% VO(2peak), while percentage from carbohydrate oxidation increased from 68.6% at 55% VO(2peak) to 79.1% at 75% VO(2peak).
Conclusion:
For wheelchair athletes, we recommend training of fat metabolism for endurance exercise at an intensity of 55% VO(2peak), because absolute fat metabolism is not higher at higher intensities but less carbohydrates are used at lower intensity levels. At lower intensities, exercise can be performed over a longer time before the emptied glycogen stores will limit exercise duration. This may apply especially to paraplegic subjects whose active muscle mass is limited in contrast to able-bodied athletes.

