The ability of the heart, lungs and blood vessels to supply oxygen to skeletal muscles

While there are numerous methods for evaluating aerobic capacity, in most instances treadmill walking/running is appropriate for the majority of individuals. Normative data correlates time on the treadmill with aerobic fitness. V̇O2 is an index of the body’s efficiency at producing work. It is expressed in milliliters of oxygen consumed per minute, and adjusted for body weight in kilograms: ml/kg/min. There are many factors that can influence V̇O2max, e.g. heredity, training, age, gender, and body composition. Generally, V̇O2max declines with age (about 2% per year after age 30) and males typically have a greater oxygen consumption value than females. Nevertheless, the trend is that a higher V̇O2 max allows one to produce more energy, thereby performing more work. With this in mind, V̇O2 max is the "gold standard" measure of overall fitness.

Aerobic fitness is assessed by having the subject perform exercise at increased loads, for 12 to 15 minutes, while breathing into a mouthpiece which collects information on inspired and expired air. A treadmill, personal bike on a Computrainer, or a stationary bicycle are typically used. The test starts with an easy-moderate work load which is maintained for a 1-2 minutes. The load is increased gradually every 1-2 minutes until reaching the maximum level that the subject can tolerate and/or until physiological parameters such as heart rate, oxygen consumption, f... have hit a peak or plateau. This is done by increasing the cycling resistance or the speed and/or grade of the treadmill. The oxygen uptake, heart rate, speed and/or watts are measured at the ventilatory threshold and at maximal load, the latter would be the subject's V̇O2 max.

V̇O2 max values cannot be used in every day training, but follow-up V̇O2 tests can be used as a measure of progress. However, since heart rate, speed and/or power is typically measured during a V̇O2 max test, various heart rate, speed and/or power levels can be garnered from testing and then associated to appropriate training zones, which are then applied to everyday training. Other information such as V̇O2 economy (oxygen consumption values at a given heart rate or power output) can also be extracted from the data, compared to subsequent tests and against performance norms.

Training results in an increase in the efficiency of oxygen transport within the body. By lowering the resting heart rate (HR), and the HR at sub maximal loads, the heart pumps more blood with every heart beat. This, in addition to other physiological changes, increases the oxygen extraction capability. When an individual is tested before and after training while performing exercise at the same load, a lower HR is shown after training because more blood (thus, oxygen) is delivered in each heart beat. Such HR differences during exercise can be used to predict aerobic fitness.   The % of increase in V̇O2 max is dependent on many variables and differs considerably from individual to individual, ranging from 5-30%. In general, individuals who are the least fit see the largest changes and individuals who are highly fit see the smallest changes.

Significant amounts of research and public health data indicate that low aerobic fitness levels are correlated with an increased risk of premature death from many causes but in particular from cardiovascular disease. Accordingly, higher aerobic fitness levels are associated with numerous health benefits e.g. longer lifespan, better quality of life, reduced risks for stroke, heart disease, diabetes and cancer, improved mood and self-esteem, and improved sleep patterns. To improve or maintain cardiovascular health an individual must engage in cardiovascular exercise (run, walk, swim, bike, etc...) at least 3 times per week. Currently, however, public health data indicates that only 22-25% of Americans exercise regularly enough to achieve these positive health benefits.

V̇O2 max is also a predictor of performance, although its correlation to athletic success in endurance sports is only 30-40%, with other factors such as sustainable lactate threshold, motivation, training, etc... also playing a role. In general, however the higher a V̇O2 max the more potential for a successful performance in an aerobic endurance event.

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  • In many studies related to physical fitness and health, researchers have focused on exercise, as well as on the more broadly defined concept of physical activity. Physical activity is defined by the World Health Organization as any bodily movement produced by skeletal muscles that requires energy expenditure, while exercise is a form of physical activity that is planned, structured, repetitive, and performed with the goal of improving health or fitness. So, although all exercise is physical activity, not all physical activity is exercise. Although physical activity and exercise are defined concepts, the ultimate focus of the health related components of physical fitness is to provide a framework for components that are necessary for good health. They are cardiorespiratory (CR) endurance (also called aerobic endurance), flexibility, muscular strength, muscular endurance, and body composition.

    Cardiorespiratory Endurance

    • Aerobic endurance: The ability of the heart, blood vessels, and lungs to work together to accomplish three goals:
      1. deliver oxygen to body tissues
      2. deliver nutrients
      3. remove waste products.
    • CR endurance exercises involve large muscle groups in prolonged, dynamic movement (ex. running, swimming, etc)

    Table \(\PageIndex{1}\)

    Examples of Different Aerobic Physical Activities and Intensities
    Moderate Intensity Vigorous Intensity
    • Walking briskly (3 miles per hour or faster, but not race-walking)
    • Water aerobics
    • Bicycling slower than 10 miles per hour
    • Tennis (doubles)
    • Ballroom dancing
    • General gardening
    • Racewalking, jogging, or running
    • Swimming laps
    • Tennis (singles)
    • Aerobic dancing
    • Bicycling 10 miles per hour or faster
    • Jumping rope
    • Heavy gardening (continuous digging or hoeing, with heart rate increases)
    • Hiking uphill or with a heavy backpack

    Frequency and Duration

    Aerobic physical activity should preferably be spread throughout the week. Research studies consistently show that activity performed on at least 3 days a week produces health benefits. Spreading physical activity across at least 3 days a week may help to reduce the risk of injury and avoid excessive fatigue.

    Both moderate- and vigorous-intensity aerobic activity should be performed in episodes of at least 10 minutes. Episodes of this duration are known to improve cardiovascular fitness and some risk factors for heart disease and type 2 diabetes.

    Intensity

    The Guidelines for adults focus on two levels of intensity: moderate-intensity activity and vigorous–intensity activity. To meet the Guidelines, adults can do either moderate-intensity or vigorous-intensity aerobic activities, or a combination of both. It takes less time to get the same benefit from vigorous-intensity activities as from moderate-intensity activities. A general rule of thumb is that 2 minutes of moderate-intensity activity counts the same as 1 minute of vigorous-intensity activity. For example, 30 minutes of moderate-intensity activity a week is roughly the same as 15 minutes of vigorous-intensity activity. A person doing moderate-intensity aerobic activity can talk, but not sing, during the activity. A person doing vigorous intensity activity cannot say more than a few words without pausing for a breath.

    Muscular Strength and Endurance

    • Muscular strength: The ability of muscles to exert maximal effort.
    • Muscular endurance: The ability of muscles to exert submaximal effort repetitively (contract over and over again or hold a contraction for a long time).

    Activities for Muscular Strength and Endurance

    These kind of activities, which includes resistance training and lifting weights, causes the body's muscles to work or hold against an applied force or weight. These activities often involve relatively heavy objects, such as weights, which are lifted multiple times to train various muscle groups. Muscle-strengthening activity can also be done by using elastic bands or body weight for resistance (climbing a tree or doing push-ups, for example).

    Activities for Muscular Strength and Endurance also has three components:

    • Intensity, or how much weight or force is used relative to how much a person is able to lift;
    • Frequency, or how often a person does muscle strengthening activity; and
    • Repetitions, or how many times a person lifts a weight (analogous to duration for aerobic activity). Repetitions play a key role in determining if an activity is improving muscular strength or endurance. Low repetitions with more weight will focus more on muscular strength, while high repetitions with less weight will focus more on muscular endurance. The effects of muscle-strengthening activity are limited to the muscles doing the work. It's important to work all the major muscle groups of the body: the legs, hips, back, abdomen, chest, shoulders, and arms.

    Muscle-strengthening activities provide additional benefits not found with aerobic activity. The benefits of muscle-strengthening activity include increased bone strength and muscular fitness. Muscle-strengthening activities can also help maintain muscle mass during a program of weight loss.

    Muscle-strengthening activities make muscles do more work than they are accustomed to doing. That is, they overload the muscles. Resistance training, including weight training, is a familiar example of muscle-strengthening activity. Other examples include working with resistance bands, doing calisthenics that use body weight for resistance (such as push-ups, pull-ups, and sit-ups), carrying heavy loads, and heavy gardening (such as digging or hoeing).

    Muscle-strengthening activities count if they involve a moderate to high level of intensity or effort and work the major muscle groups of the body: the legs, hips, back, chest, abdomen, shoulders, and arms. Muscle strengthening activities for all the major muscle groups should be done at least 2 days a week.

    No specific amount of time is recommended for muscle strengthening, but muscle strengthening exercises should be performed to the point at which it would be difficult to do another repetition without help. When resistance training is used to enhance muscle strength, one set of 8 to 12 repetitions of each exercise is effective, although two or three sets may be more effective. Development of muscle strength and endurance is progressive over time. Increases in the amount of weight or the days a week of exercising will result in stronger muscles.

    Flexibility

    Flexibility is the ability of moving a joint through the range of motion. Flexibility is an important part of physical fitness. Some types of physical activity, such as dancing, require more flexibility than others. Stretching exercises are effective in increasing flexibility, and thereby can allow people to more easily do activities that require greater flexibility. For this reason, flexibility activities are an appropriate part of a physical activity program, even though they have no known health benefits and it is unclear whether they reduce risk of injury. Time spent doing flexibility activities by themselves does not count toward meeting the aerobic or muscle-strengthening Guidelines. Although there are not specific national guidelines for flexibility, adults should do flexibility exercises at least two or three days each week to improve range of motion. This can be done by holding a stretch for 10-30 seconds to the point of tightness or slight discomfort. Repeat each stretch two to four times, accumulating 60 seconds per stretch.

    Body composition

    The percentage of the body composed of lean tissue (muscle, bone, fluids, etc.) and fat tissue. Changes in body composition usually occur as a result of improvements in the other components of health related physical fitness, as well as changes in eating habits. This is discussed in more detail in the Weight Management and Healthy Eating Chapter.

    There are also other components of fitness related to sports performance rather than just health. They are called skill-related components of fitness or motor fitness and include power, speed, agility, balance, and coordination. For the purpose of this class we will focus mainly on the health-related components of fitness.

    What is the ability of the heart lungs and blood vessels to supply oxygen to skeletal muscles during sustained physical activity?

    Cardiorespiratory endurance: The efficiency of the body's heart, lungs, and blood vessels to send fuel and oxygen to the body's tissues, most often during extended periods of moderate- to-vigorous activity.

    What is the ability of heart and lungs to produce oxygen to the different body parts?

    Cardiovascular endurance is the ability of the heart and lungs to work together to provide the needed oxygen and fuel to the body during sustained workloads.

    Which term refers to the ability of the body to supply the muscles with oxygen in order to sustain physical activity?

    Cardiovascular fitness—also known as cardiorespiratory fitness, is the ability of the heart, lungs, and vascular system to deliver oxygen-rich blood to working muscles during sustained physical activity. 2. Muscular strength—the amount of force a muscle or muscle group can exert against a resistance.