1) It depends on each country and your minister. In Finland, the thing is done so that it says the energy stored in food, which will be released if burned.
2) It is the energy pushed to the bike when the bike does not take into account your pulse. If the bike is smart one, it takes into account your pulse rate, then it tries to estimate the amount of energy released by your body. This is done differently among different manufacturers of those watches.
3) By the way heart is a bunch of muscles, a myogenic muscular organ! So consider instead heart and some part of lungs. Very broad problem otherwise.
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