What one does for ultra-endurance rides is…
Topo the whole route.
Get a measure of the drag characteristic ( CdA ) and mass of the vehicle.
Get a measure of how fast your gonna ride along the flat and up hills ( from previous experience ).
Do the sums to work out energy expenditure based on a 'finite element' breakdown of the route.
Decide where you are going to stop.
Eat accordingly.
Those were the days, eh?
The conclusion is stating the cyclist had an energy deficiency. ie, he didn't eat enough and his skeletal muscles were used as fuel.
His dietician should be sacked.
From the lab tests, he gave an RMR of 2.42 kCals/min, or 3480 kCals in 24 hrs.
They fed him just about double this on the 'flat' days. They thought he was 50% efficient
??