Until my recent adventures in heart disease, I'd never set foot on a treadmill, but I enjoyed scoffing at people who used them and thought they were actually getting exercise. I now have to reevaluate that position.
My logic was as follows: When you're actually walking or running, you're not just moving your legs, you're using them to propel your body forward in space. This takes energy, and that energy comes from your legs. If you're on a treadmill, your legs are moving, but your body is remaining relatively stationary. You aren't spending any of that energy that would normally be used to move the mass of your body. So the treadmill may say you've walked five miles, but it's not the same amount of exercise as actually walking five miles. All you did was move your legs the equivalent of what they'd do if you'd walked five miles.
Similarly, you can vary the slope, but it's not the same thing. If you actually walk up a 3% uphill grade, your body is being raised three feet for every 100 feet forward you walk. But if you're on a treadmill set for a 3% grade, all you're doing is walking on a belt that has been slanted a little bit. You're not actually spending the extra energy to raise your altitude.
So... why is it that it's actually harder to walk on the treadmill when it's set to a 3% grade? It definitely seems like it is. And if that's true, then I'm willing to entertain the notion that I'm wrong about the other thing. Do you actually spend as much energy walking five miles on a treadmill as you would walking five miles outdoors? It doesn't seem possible. How the heck does that work?