Exercise Not Training

(Work in Progress)


Overview

There is a distinction between training and exercise.

The basic difference is that when one is "training" one is training for a specific goal, usually athletic in this context: running a 5K or 10K, competing in a weight lifting contest, or being a better specific sport athlete (e.g. baseball, football, ...). Exercise is mostly just a generic "be physically healthier" or "look better" (e.g. carry less body fat, be more muscular) goal.

In my case, the goal is pretty much 'general health' with an emphasis on cardio, but with no intention to run a 5K or 10K (I hate running) race. I'd like to be stronger, or at least have more muscle and less body fat.

This makes quantitatively measuring improvement difficult :-)

Broadly, I'm paying attention to the number of pullups I can do (currently zero), the amount of weight I can bench press, the number of calories I can burn in an hour and the number of flights of stairs I can climb in an hour (the last two while keeping my average heart rate to no more than 140 beats/hour).

Basic Goal

More specifically, I've been "working out" for a while now with the goals being to: In addition, I have a few constraints that I'm applying: With these goals and constraints I'd like to get the most value out of my three-ish hours/week spent at the gym.

And, yes, sleep and nutrition are important, too, but that's not the focus of this document.

So ... how do Cardiovascular and Strength Exercise work and what makes sense for me given my goals and constraints?

Cardiovascular Exercise

Current Status

My typical cardio workout is to stretch and then get on a elliptical machine or stair stepper for an hour while keeping my heart rate in the 130 - 140 beats/minute range. 140 beats/minute is 85% of my estimated HRmax as traditionally calculated and 85% is a Mayo Clinic recommended upper limit for exercise.

So ... my current strategy is to basically go "all out" for 60 minutes keeping in mind my desired cap to sustained heart rate. Can I do better? There are other cardio strategies such as HIIT (High Intensity Interval Training) and Zone 2 training. How do those work? Maybe doing one of these would be good?

Topics


Calories and Kilocalories

For historical reasons we have two different definitions of calorie. One, the food or dietary calorie, is the amount of energy needed to raise one kilogram of water one degree celsius. The other, historically used in physics and chemistry, is the amount of energy needed to raise one gram of water one degree celsius. Obviously, the two units are different by a factor of 1,000. This document uses the food/dietary definition of calorie.

Max VO2

One of the factors limiting how hard and how long you can exercise is the amount of oxygen your body can take in over a period of time.

The amount of oxygen that your body can take in is referred to as VO2 max, which is short for "Volume of Oxygen Maximum" Because the oxygen is used as the oxidizer when your body is burning fuel, the value is defined in terms of body mass. The same amount of oxygen for a person with ½ the mass will result in a VO2 max value twice as high.

Commonly, the VO2 max value is reported as
        mL of oxygen per Kg of body mass per minute
Perhaps surprisingly, the limit here is rarely your lungs, but instead how hard, fast and efficiently your heart can beat. [Another limit can be how good your blood is at carrying oxgen. Blood doping increases VO2 max by making your blood better at transporting oxygen.]

Max Heart Rate

Many cardiovascular activities are either limited by how fast your heart is able to beat or are limited by a desire to remain in a given heart rate range. These ranges are usually defined relative to a person's maximum heart rate.

The most accurate way to measure an someone's max heartrate is to hook them up to a treadmill and a heart rate monitor and see how fast they can actually run their heart. Most casual exercisers don't do that, but instead use an age based forumula to estimate max heart rate.

A few common formulas can be used to estimate the max heart rate in beats/minute requiring only the age in years of the individual:
    Fox Formula:     HRmax = 220 - age
    HUNT Formula:    HRmax = 211 - (0.64 * age)
    Tanaka Formula:  HRmax = 208 - (0.70 * age)
    Gellish Formula: HRmax = 207 - (0.70 * age)
    Gulati Formula:  HRmax = 206 - (0.88 * age)
The formulas generate different max heart rate estimates, but are not wildly different, except that the Gulati values — intended for women only — are noticeably lower than the others:

AgeFoxHUNTTanaka Gulati
20200 198 194 188
30190 192 187 180
40180 185 180 171
50170 180 173 162
60160 173 166 153

In 2020 the paper "Accuracy of Commonly Used Age-Predicted Maximal Heart Rate Equations" noted that the Fox formula "has been reported to have a standard deviation of between 10 and 12 bpm, as well as significantly over and underestimating HRmax in younger and older adults, respectively. Although the limited predictive accuracy of this equation has been documented it is still used in clinical settings and published in resources by well-established organizations in the field."

Resting Heart Rate

Resting heart rate is the rate at which the heart beats when the body isn't doing anything specific. The resting heart rate is specific to individuals and common rates for non-athletes range from 60 beats/minute to 100 beats/minute. There is no age (or weight) based formula for this. You need to measure it by doing something like taking your pulse early in the morning after you have woken up but before you get out of bed.

My resting heart rate is around 72.

Heart Rate Reserve

Heart Rate Reserve is the difference between an individual's HRmax and resting heart rate. If someone has a HRmax of 160 beats/minute and a resting heart rate of 60 beats/minute then that someone has a Heart Rate Reserve of 100 (160 - 60).

Energy Systems

This is the section where I am least confident of my understanding.
Bodies convert 'stored energy' (e.g. fat, ATP) to useful energy via chemical reactions. Two of these reactions are anaerobic reactions which do not need external oxygen. The third reaction is aerobic which requires external oxygen. This external oxygen for the aerobic reaction is provided by your lungs breathing in air and the oxygen is distributed to your body by your heart via your blood.

The aerobic system can run for hours, but the two anaerobic systems will run out of fuel fairly quickly.

The three systems are:

Different heart rates will use different mixes of the three energy systems.

Heart Rate Zones

Cardio workouts are often defined in terms of "zones." This may be extra true right now because "Zone 2" training is popular right now. The training zones are usually defined on the Internet as ranges of the percent of max heart rate:

Zone % Max HR
Zone 150% - 60%
Zone 260% - 70%
Zone 370% - 80%
Zone 480% - 90%
Zone 590% - 100%

This table is simple and the 10% range per zone is easy to remember. But it is so simple that one suspects that it doesn't match the reality of human biology as well as it might. Very specifically, it likely doesn't map terribly well to the three energy systems.

The American College of Sports Medicine has a different set of values for the various Zones:

Zone % Max HR
Zone 1<57%
Zone 257% - 63%
Zone 364% - 76%
Zone 477% - 95%
Zone 5> 95%

The ACSM folks point out that the '220 - age' max heart rate estimation "formula wasn't intended to be used for the calculation of fitness programs." Instead, the ACSM uses the Tanaka formula for calculating max heart rates and the ACSM also sets the Zones at different cut points (I don't know where they get the data to set the cut points). For 55-year-old me this results in competing Zone tables:

Zone beats/minute range
TraditionalACSM
Zone 182 - 99 <97
Zone 2100 - 115 97 - 107
Zone 3116 - 132 108 - 129
Zone 4133 - 148 130 - 161
Zone 5149 + 162 +

The differences aren't too big, with the maximum heart rate at the top of Zone 2 being the only difference of consequence. The difference at the top of Zone 4 is larger, but can mostly be ignored as folks are unlikely to be between 90% and 95% of max heart rate long enough to care whether to consider it to be in Zone 4 or Zone 5.

There is, however, one more wrinkle and this wrinkle matters more. Rather than calculating Zones as a percentage of max heart rate the Zones can be calculated as a percentage of your heart rate reserve.

The Karvonen Formula accomplishes this (and the Mayo clinic uses this method as well as the percent of HRmax approach even though they result in very different values for "85%"!). Using the traditional zones table but applying the percentages to the heart rate reserve as the Karvonen Formula does we get the following table of heart rate beats per minute ranges for 55 year old me:

Zone beats/minute range
TraditionalACSMKarvonen
Zone 182 - 99 <97 119 - 128
Zone 2100 - 115 97 - 107 129 - 137
Zone 3116 - 132 108 - 129 138 - 146
Zone 4133 - 148 130 - 161 147 - 156
Zone 5149 + 162 + 157+

The difference here is obvious: The Karvonen ranges are substantially higher than any of the other methods for the first three zones. This becomes important when the various training styles are considered. Notice, to illustrate, that 136 beats/minute would be considered Zone 4 using Traditional and ACSM zone definitions and as the high end of Zone 2 using Karvonen zone definitions based on heart rate reserve.

This also calls into question discussions of Zone based training. If there are wildly different definitions of the Zones, then generalized conclusions from different experiences and experiments cannot be compared or merged.

Styles: SIT, HIIT, MICT and Zone 2

People can't run (or climb stairs or ...) at their maxiumum heart rate for long periods of time, so the mix of various intensities and durations make up different 'types' or 'styles' of cardio training. The boundaries between these styles is not well defined and different people will use slightly different dividing lines between the styles. Still, a reasonable set of definitions is:

TypeDescription
SITSprint Interval Training:
This is basically exercising with an all out effort — max heart rate (100% or higher!) — for a short period of time, maybe 10 to 30 seconds, followed by a relatively long recovery time of maybe 120 seconds. A running activity done as SIT might be to sprint for 100 - 200 yards and then walk back to the start. Then repeat as many times as needed/desired until done. Alternately, one might repeatedly run up three flights of stairs and then walk (not run) down them.

During Covid (2020 - 2022) while the gyms were shut down I did this for two years. An overpass near my house had a flight of stairs ~3 floors high and I could run stairs but had no access to elliptical machines or exercycles.

HIITHigh Intensity Interval Training:
This is exercising at a high intensity — 80% - 100% of HRmax — for 1 - 4 minutes, followed by a recovery period that gets the heart rate back down to 55% - 70% of HRmax. Repeat until done.

MICTModerate Intensity Continuous Training:
This is exercising at an low enough intensity that one can maintain the intensity for up to an hour if not more. A heart rate of around 55% - 70% HRmax is often considered MICT.

Zone 2  This is similar to MICT and often conflated with it, but Zone 2 training is easy enough that, in theory, one can maintain it for many hours.

Zone 2 Training

Zone 2 training isn't just another name for "Moderate Intensity Continuous Training." The basic idea behind Zone 2 training is that you keep your body in its aerobic range which means that all the energy used is burned with oxygen. Above this range the body begins burning glycol via anaerobic glycolysis. One side-effect of this glycolysis is that the body begins to generate lactic acid faster than the body can clear it out.

Training in the aerobic range is supposed to provide a number of benefits (e.g. mitochondrial development/growth) which eventually manifest as being able to maintain a higher effort (e.g. speed) at a given heart rate. For endurance runners this is important.

Dr. Phil Maffetone

Before (I think) we had Zone 2 training, Phil Maffetone was pushing the idea that the way to run faster in endurance activities (e.g. marathons) was to spend most of your training time beneath the upper limit of your aerobic heart rate.

Doing so would train your body to run (or bike or swim or whatever) faster at this heart rate and thus would allow you to run faster at higher heart rates, too.

Initially, Maffetone found this for athletes by using exercise equipment (e.g. treadmills, exercycles) and heart rate monitors.

By the early 1980s, Maffetone came up with a simple formula using age in years to establish the heart rate upper limit to keep your heart rate in the aerobic regime. The formula matched his machines well enough that it could be reliably used on its own. The formula is:
    MAF180 = 180 - age
A handful of adjustments are then made:
AdjCondition
-10If you have or are recovering from a major illness (heart disease, any operation or hospital stay, etc.), are in rehabilitation, are on any regular medication, or are in Stage 3 (chronic) overtraining (burnout)
-5If you are injured, have regressed or not improved in training (such as poor MAF Tests) or competition, get more than two colds, flu or other infections per year, have seasonal allergies or asthma, are overfat, are in Stage 1 or 2 of overtraining, or if you have been inconsistent, just starting, or just getting back into training
+5If you have been training for more than two years without any of the problems listed above, have made progress in your MAF Tests, improved competitively and are without injury

In addition, below age 16 Maffetone says to use 165 as an upper heart rate to stay in the aerobic regime. Over 65 may require adjusting up by as many as 10 beats/minute.

Maffetone notes that the Maffetone heart rate doesn't correspond to any specific physical measurement (e.g. VO2 max, lactate threshold, ...). It is simply the individual's maximum aerobic heart rate.

Since Zone 2 training tries to accomplish the same thing that Maffetone advocates — keeping the training heart rate in the aerobic heart rate range — we can see how this matches up. For 55 year old me the heart rate to not exceed using the various approaches is:

Approach bpm range % of Fox HRmax
Zone 2 using Fox HRmax & Decile zones 100 -115 60-70%
Zone 2 using Tanaka HRmax & ACSM zones 97 -107 59-65%
Zone 2 using Fox HRmax, Karvonen HR reserve & Decile zones 129 -137 78-83%
Maffetone HR180 125 -130 76-79%

It is interesting that the last two rows are fairly similar and that the first two rows are fairly similar but that the two pairs are quite far apart. A reasonable belief might be that the aerobic heart rate range ends at around 80% of HRmax for me. Since I try to avoid exceeding 85% of my HRmax as calculated using the Fox formula, this means that I'm (probably) mostly exercising in the aerobic heart rate range.

The Original Conundrum & My Conclusion

Initially, this analysis began with me attempting to make consistent the Traditional Decile Zone table above and HIIT:
My HRmax, using the Fox formula (220 - 55), is 165 beats/minute.

85% of my HRmax is 0.85 × 165, or 140 beats/minute.

I can sustain an average of 132+ beats/minute (or 80% of my HRmax) for over an hour. The 80+% puts my heart rate in the (low end of the) intense part of HIIT using the traditional zone definitions. The 60+ minutes puts my heart rate in the MICT regime.

I am in reasonably good cardiovascular shape, but by no means an "athlete." So what gives?
The key insight seems to be the difference between defining zones using the Karvonen HRmax approach, which uses percent of Heart Rate Reserve, and the approaches that define zones using the percent of HRmax. The Karvonen Formula has the nice property that it puts my typical cardio workout at the top of Zone 2 rather in Zone 4. Since I can maintain my 132+ beats/minute heart rate for over an hour, thinking of this as Zone 2 rather than Zone 4 makes a lot more sense. In addition, the Karvonen Formula gets values similar to Maffetone so that would be another data point in favor of believing that the decile Zone definitions as percentages of HRmax are just wrong (assuming that we want them to correspond to anything physical).

There are examples of Zone confusion on the Internet. One such is here:
Zone 2 training involves running or cross-training at a pace that keeps your heart rate within 60-70% of your maximal heart rate.
...
Zone 2 is defined by a heart rate range of 60-70% of your maximum heart rate. If you know your maximum heart rate, you can use that; otherwise, you can estimate your heart rate using the following formula: For example, if you're a 36-year old male: 208.609-0.716 x 36 = 183 bpm.

Once you have your maximum heart rate, you need to calculate your heart rate reserve (HRR), which is your maximum heart rate minus your resting heart rate (HRR = Maximum heart rate - resting heart rate).

Measure your resting heart rate first thing in the morning while you're still lying in bed. For example, if your maximum heart rate is 180 bpm and your resting heart rate is 60, your heart rate reserve is 120 bpm.

From there, you can determine your zone 2 heart rate with the following formula: With an HRR of 120 bpm, for example, you would end up with the following: This means the runner's Zone 2 heart rate is 132-144 bpm.
The flaw with the analysis here is that 60% - 70% of an HRmax of 180 gives a range of 108 - 126 beats/minute, not the calculated 132 - 144 beats/minute. 132 - 144 beats/minute is 73% - 80% of a HRmax of 180 beats/minute. Other sites calculate Zone 2 for an individual with a HRmax of 180 as falling in the range of 108 - 126 beats/minute so there is certainly inconsistency about what defines Zone 2.

My tentative conclusion is that I am doing Zone 2 or Moderate Intensity Continuous Training workout (mostly) and many of the folks who think they are doing HIIT training are not unless they actually get well into the traditional Zone 4 beats/minute range.

Additionally, I believe that meaningful "Zones" — Zones that correspond to something physical such as aerobic threshold — need to be estimated as percentages of Heart Rate Reserve rather than a percentages of HRmax

Extra Info: Cardiac Drift

For reasons not entirely clear, the heart rate needed to sustain a given level of moderate to high intensity activity drifts higher over time. In short, the heart rate needed to run a mile in a given time (e.g. 10 minutes) for the first mile will be lower than the heart rate needed to run the same mile in the same given time after running a number of miles.

About ½ of the drift seems to be accounted for by (1) an increase in the body's core temperature which requires energy to cool and (2) dehydration leading to thicker blood (thus requiring more work for the heart to pump). Staying hydrated counters this ½ of cardiac drift.

Extra Info: Maffetone/Zone 2 Maybe Works

I've been doing cardio workouts like this: The machines report calories burned during your workout and seem to be consistent (if not accurate!) as long as I enter my weight.

My results over time on the elliptical machine look like this:

Calories
DateAvg HRDurationOverall10 min30 min40 min
18-Sep-2022 13160:01837
19-Jan-2023 13662:10900160455
24-Jan-2023 13560:50900 455605
31-Jan-2023 13161:50900165447595
16-Feb-2023 13260:16900
19-Feb-2023 13460:00904 462609
12-Mar-2023 13060:00914163472619

Progress over past six months is going from around 840 calories/hour burned with an average heart rate of 131 beats/minute to almost 915 calories/hour burned with an average heart rate of 130 beats/minute. So about a 9% improvement in six months.

Stair stepper progress is similar. 225 flights of stairs took 73 minutes to climb in May 2022. The same 225 flights takes about 62 minutes in January 2023.

Since it appears that I've been mostly exercising with my heart rate in a "real" Zone 2 as defined by the aerobic heart rate range or, alternately, near the Maffetone upper heart rate limit a reasonable conclusion is that exercising in this range can/will increase performance at the same heart rate.

Additionally, one can see cardiac drift at work in the calorie counts at various times during a given workout. Comparing the 30 minute calorie count to the final count shows this pretty clearly as the second half of any given session burns fewer calories than the first half [and, in addition, the earlier thirty minutes includes some time ramping my heart rate up from baseline to whereever it eventually stabilizes for that session].

Extra Info: Estimating Resting Calorie Usage

Your body needs to do work just to keep itself alive. A body's base metablolic rate (BMR) accounts for this work as calories.

As with HRmax estimation formulas there are a number of estimation formulas for your base metabolic rate (expressed in terms of calories/day). One is the Mifflin-St Jeor equation:
    Males:   BMR = 10 × W + 6.25 × H - 5 × A + 5
    Females: BMR = 10 × W + 6.25 × H - 5 × A - 161
The estimate makes no specific assumptions about an individual's lean body mass vs fat percentage. Better estimates can be made if this is known.

Extra Info: Gross vs Net Calories

Gross calories is all the calories burned in a given time. Net calories are the additional calories burned beyond what your body was going to burn keeping itself alive with the base metabolic rate.

The two values can be quite different and it is common for various claims and reports to not make clear which is being discussed.

As an example, if a base metabolic rate for a person burns ~100 calories per hour then an exercise that burns an additional 300 calories/hour will have a Gross calorie burn of 400 calories/hour, but a Net calorie burn of only 300 calories/hour.

Extra Info: Calorie Burn Estimate

There exist functions to provide calorie burn estimates given heart rate, weight, age and sex. One such is this (allegedly from "Target heart rates for the development of cardiorespiratory fitness" by Swain, et.al.):
    Male:   Gross Calories/min = ((-55.0969 + (0.6309 ×  HR) + (0.1988 ×  W) + (0.2017 × A))/4.184)
    Female: Gross Calories/min = ((-20.4022 + (0.4472 ×  HR) - (0.1263 ×  W) + (0.074 ×  A))/4.184)

    [NOTE: The 4.184 divide converts kJ into dietary calories]
Where: NOTE: The estimates are valid only from about 60% of HRmax and above.

The estimate makes no specific assumptions about an individual's VO2 max and can be improved if the VO2 max is known:
    Male:   Gross Calories/min = ((-95.7735 + (0.634 ×  HR) + (0.394 ×  W) + (0.271 × A) + (0.404 * VO2max))/4.184)
    Female: Gross Calories/min = ((-59.3954 + (0.450 ×  HR) + (0.103 ×  W) + (0.274 × A) + (0.380 * VO2max))/4.184)

Additionally, the formulas can be combined to show the VO2 max assumed in the forumulas that don't require it as an input.
Male/Female Differences

The difference between estimated male and female gross calorie burns at the same heart rate, weight and age can be large and the difference grows with weight. Using the Gross Calorie estimation formulas that make no VO2 max assumptions results in this table:

Estimate
AgeWeightHR MaleFemale
2550 130 600477
25100 130 743387
3075 150 868565
55100 130 830418 ← Almost 2:1

In all likelihood not all weights are valid. I don't know the range of valid weights.

Extra Info: Human Energy Efficiency

The amount of energy needed to raise one kilogram one meter in Earth's gravity field (9.81 m/s2) is 9.81 Joules. The energy required to raise a 100 kg body one meter in Earth's gravity field is 981 Joules. Moving a 100 kg body up three meters (almost a full building floor), maybe by taking the stairs instead of the elevator, requires ~3,000 Joules

~3,000 Joules is ~0.70 nutritional calories.

So if a 100 kg person climbs 100 flights of stairs they will burn 70 calories? Seems low.

It is. The human body is not 100% efficient at converting energy to work. A reasonable estimate for human body efficiency is around 20% (though slightly lower values and also values up to 25% are also common. As with much of this, if the actual value is important then it will have to be measured for the specific individual doing the specific task ...). So our 100 kg person climbing 100 flights of 3 meter stairs will burn around 70/0.2 = 350 calories!

It is important to be clear about whether one is measuring/reporting calories burned (accounting for the human bodies efficiency) or the Newtonian energy of the movement (stair climbing, running, etc.). For exercise one almost always cares about calories burned.

Some cites:

Extra Info: METS

Another way that exercise effort is reported is in METS (Metabolic EquivalenTS).

1 MET is intended to be the amount of energy (and thus Oxygen) needed for the body to sustain itself. Basically, the amount of energy needed while at 'rest'.

METS are thus a multiple of this.

1 MET seems to be fairly commonly 3.5 ml O2/kg of body weight. The 3.5 value is a common convention, but as with so much of health information has a problem:
The value equating 1 MET to a VO2 of 3.5 ml/kg/min was derived from a single 70 kg, 40-year-old male subject's resting oxygen consumption (VO2). This decade long convention based on one healthy non obese male's energy expenditure has been widely used in individuals of all ages, sexes, phenotypes and disease states.

METS to VO2: An Accurate Analysis (2020) (underlining added by me)

The article/paper goes on to claim:
A total of 272 people were reviewed. Mean Resting VO2 for all patients was noted to be 3.37 ml/kg/min. This is significantly different from conventionally assumed resting VO2 of 3.5 (95% CI 3.24-3.49, P 0.0379). Additionally, resting Vo2 was noted to be significantly different for patients aged 60 and over (3.3), Patients with BMI <25 (3.88), Patients with BMI >30 (3.12) and females (3.29). 169 patients were noted to reach maximal exercise based on RER <1.15 while 102 patients could not reach maximal exercise. Maximal Vo2 to maximal MET ratio for patients with maximal studies was noted to be 2.28 (95% CI 2.13-2.43) and for patients with sub-maximal studies was 2.81 (95% CI 2.38-3.24). Both these values were significantly different from conventionally accepted relationship of 3.5.

Still, the average value from the group of 272 people, 3.37 ml/kg/min, is not terribly far off the estimate of 3.5 ml/kg/min — being just 4% lower. The primary problem with the conventional 3.5 value is that it: 3.5 is probably fine as an estimate for slightly overweight middle aged men. Fortunately, that describes me :-)

Conveniently, the units of METS translate directly into the same units used by VO2 max: 1 MET is ~3.5 ml O2/kg of body weight; 10 METS is ~35 ml O2/kg of body weight. The ~3.5 can be adjusted if one knows more about BMI, age and sex.

This means that VO2 max can be converted into METS and METS can be thought of a a percent of VO2 max.

The National Academy of Sports Medicine provides this helpful (though wrong!) shortcut formula:
    Gross Calories/min = METS × 3.5 × W / 200
Where 'W' is weight in kg.

This formula appears on many sites. It is probably wrong, even as a estimation. Note that 1 MET for a 100 kg person works out to 1.75 calories/min. For an entire day this is 2520 calories. Using the Mifflin-St Jeor BMR estimation formula from above, we get these BMR estimates (using 165 cm (5' 5") for the women and 180 cm (5' 11") for the men):

BMR (calories/day)
Mifflin-St JeorNASM
AgeWeightMaleFemale
3075 1,7301,4701,890
30100 1,9801,7202,520
5575 1,6301,3701,890
55100 1,8801,6202,520

The difference between the NASM estimate at 1 MET and the Mifflin-St Jeor equation is large. Another commonly seen equation is this:
    METS = 1.163 * Watts / W
Where 'W' is weight in kg.

This one gets bizzarly low results when using Newtonian mechanical energy for the Watts component, but the results are reasonable (which doesn't mean correct!) when an efficiency factor of ~20% is applied to account for the chemical energy in Watts that one's body uses to generate the Newtonian mechanical energy. The equation then becomes:
    METS = 5.815 * Newtonian-Watts / W
The assumption here is that an alive body cannot be using 0 Watts. This calculates ~10.7 METS for 180 (Newtonian Mechanical) Watts by a 100 kg person. This seems to be roughly in the range that ~10 METS would be. See the energy calculation below under Equipment Reported Calorie Usage.

Extra Info: Equipment Reported Calorie Usage

Getting accurate calorie counts from exercise equipment can be tough. The good news is that you can still track progress as long as the equipment is consistent. More good news is that the equipment from a given vendor seems to be internally consistent :-)

To illustrate the problems we can perform some basic Newtonian physics mechanical energy calculations for a machine where we know what is happening fairly well: the step mill.

Using me as an example we can calculate the amount of mechanical energy that must be expended to climb a certain number of stairs and then compare that to what the machine reports. So, from an actual exercise session: Raising ~100 kg ~681.25m in a one gravity field (9.81 m/s2, such as we have on Earth) takes 100×681.25×9.81 ~= 668,306.25 joules of energy.

668,306 joules / 3,720 seconds ~= 180 joules/sec = 180 watts (for 62 minutes)

1 Wh = 0.86 calories

180 watts for 62 minutes ~= 160 calories

The machine reports ~900 calories for the hour. 900 isn't close to 160. What gives?

We need to account for several things:

Gross vs Net Calories

The first thing to do is to account for Gross vs Net calories. At zero flights of stairs per hour the calorie burn isn't 0 calories/hour but instead is whatever the resting metabolic rate is for the person on the step mill. The machine doesn't know my resting metabolic rate, but resting metabolic rate can be estimated from weight, sex and age. The machine, however, only knows my weight. It is plausible that 1 calories/hour/kg is what the machine uses as a crude estimator. 1 calories/hour/kg would be close the NASM "Gross Calories/min = METS × 3.5 × W / 200" forumula with a METS value of 1 (for resting). For me this would work out to ~100 calories/hour or ~2,400 calories/day. This value, obviously, won't be as good as one that takes into account age and sex as well, but it isn't terrible and the machine doesn't ask for age or sex.

If the 900 calories/hour reported is the Gross calorie burn, then removing the estimated resting metabolic rate gives the Net calorie burn for doing the stairs rather than sitting quietly: 900 - 100 = 800 calories.

Human Body Energy Efficiency

800 calories is closer to 160 calories than 900 calories is, but 800 is still not particularly close. The next adjustment is to take into account the fact that the human body is not 100% efficient at converting chemical energy into mechanical energy.

The efficiency varies by both individual and activity, but 20% efficiency is a plausible value. It has the additional property that 20% of 800 is 160, which is ... pretty much the number we are hoping to find.

The Machines Have Limited Information

Now, are the 20% efficiency factor and the 100 calories/hour resting metabolic rate accurate estimates? Probably not very, but they are also probably not horribly far off — especially for slighly overweight middle-aged men. More importantly, as long as they are consistent for a given individual then progress will be accurately reported even if the progress is over or under-stated.

Still, if the true resting metabolic rate is closer to 1,900 calories/day instead of 2,400 and the true efficiency is 25% rather than 20% (though 20% is a MUCH better guess for metabolic efficiency ...) then the actual gross calories burned will be closer to 720 (160 × 4 + 80) instead of 900 (160 × 5 + 100). This would have the 900 overstate the gross calories burned by 25%! Still, it will be difficult for the machines to do much better given how little information they have to work with.

Strength Training Exercise

TBD

Flexibility and Range of Motion

TBD

Balance and Agility

TBD