VO2 max (or maximal oxygen uptake) refers to the maximum volume of oxygen used during intense exercise. It’s considered to be the gold standard measure of cardiovascular fitness and has been shown to be important for success in a range of
endurance sports. Not only is VO2 max important for endurance sports, it’s also an important indicator of overall health and fitness. VO2 max gives a measure of cardiovascular fitness, but what does it actually mean? VO2max is a measure of the efficiency of your whole aerobic system. It provides a quantifiable way to assess cardiovascular fitness by measuring the maximum amount of oxygen consumed during intense
exercise. This is expressed as millilitres of oxygen consumed per kilogram of body weight per minute of exercise (ml/kg/min). As such, it provides insights into the combined efficiency of your respiratory, cardiovascular and muscular systems. In this way, your VO2 max is dependent upon: Whilst VO2 max is most
commonly expressed in relation to bodyweight it is sometimes expressed as an absolute value: Both are useful, however, relative VO2max is considered more beneficial since it takes account of bodyweight. VO2max values can vary greatly between individuals with untrained individuals typically recording a VO2 max in the range of 25-45ml/kg/min. However, some people naturally have a much higher aerobic capacity, even when untrained. So, what is considered a good VO2 max? The table below provides information on what’s considered a good VO2 max. However, as you will see later in this article,
elite athletes can achieve more than double these values. So, why is a high VO2 max important? The higher your VO2 max, the greater your ability to use oxygen during exercise i.e. greater cardiovascular fitness. As such, it’s an important predictor of success in many endurance sports like running, cycling, triathlon, duathlon, rowing and cross country skiing. It’s also a useful predictor of overall health. While,
there are numerous benefits to improving your aerobic fitness, the greatest benefit comes from an improved ability to consume and use oxygen. In this way, an improved VO2max indicates an improved ability to: This is important for two main reasons: Firstly, improving aerobic fitness is extremely important from a health perspective. In fact, there are numerous research articles demonstrating the link between aerobic fitness and: It’s also
an important predictor of exercise performance. VO2 max is considered an important predictor of success in endurance sport. So, why is that? An athlete with a higher VO2 max has a greater ability to uptake, transport and use oxygen during exercise. In this way an athlete with a high VO2max will have: Taken together, this means they have the potential to work at higher intensities, or work rates, before the demand for
oxygen exceeds the supply. Not surprisingly VO2max is considered to be a key determinant of endurance exercise performance (Conley and Krahenbuhl, 1980; Morgan et al., 1989; Jacobs et al., 2011). Interestingly, a high VO2 max may be even more important for older athletes, where research suggests that it may be a better predictor of endurance
performance capacity than the lactate threshold (Marcell et al., 2003; Wiswell et al., 2000). Whilst, it’s importance has been questioned by some researchers and coaches; the majority of elite endurance athletes record very high VO2max values (Noakes, 1991; Daniels and Daniels, 1992). And it’s uncommon to reach elite level in endurance sport, without a high aerobic capacity. Having said that, it’s important to remember that VO2 max is one of many factors that contribute
to endurance exercise performance: exercise efficiency, Lactate threshold and
vVO2max or the power at VO2max. As such an athlete with a higher VO2 max will not necessarily out perform an athlete with a lower VO2max. And while, a high VO2 max gives an athlete the potential to reach an elite level, their performance is also be dependent on other factors (Conley and Krahenbuhl, 1980; Morgan et al., 1989; Fallowfield and
Wilkinson, 1999). As well as improving endurance exercise performance, there’s another key benefit of having a high VO2max… One often overlooked benefit of having a high VO2 max is improved recovery from exercise. So why is aerobic capacity important for improve recovery from exercise? This is likely linked to an improved capacity to transport blood, oxygen and key nutrients around the body. In this way, a high VO2 max can allow athletes to:
Why is improved recovery important for success in endurance sport?
VO2 MAX CHART ELITE ATHLETESElite endurance athletes record much higher VO2max values than those recorded for untrained or trained individuals. Typically elite endurance athletes may have a VO2 max in the region of 60-85ml/kg/min – 60-75ml/kg/min in women and 70-85ml/kg/min in men – with some athletes recording values of greater than 90ml/kg/min. VO2 MAX Chart Elite MenThe following chart shows examples of some of the highest recorded VO2 max scores for elite men.
VO2 MAX Chart Elite WomenThe chart below shows some of the highest recorded VO2 max scores for elite women.
FACTORS AFFECTING VO2 MAXThere are a number of factors that affect an individuals VO2max, including:
AgeNot surprisingly, age is strongly linked to VO2 max, with the highest values typically recorded between the ages of 20-25. Why is that?….well, as we age our VO2 max is known to decrease linearly with age. In most cases, it declines at a rate of approximately 0.5ml/kg/min per year. This is due in part to the age related decline in maximum heart rate and heart stroke volume. Aerobic training, particularly high intensity training, can help to delay the age related decrease in VO2 max. This is likely due to the way cardiovascular training can slow the age associated decline in maximum heart rate and help to maintain stroke volume. Gender and VO2maxGender is also linked to VO2 max, with male athletes generally recording slightly higher values – approximately 15-30% higher than female athletes. The difference between men and women is influenced by a number of factors including:
Genetics and physiologyAs you would expect, genetics/physiology also plays a significant role, with approximately 10-30% of the variability being attributed to genetics. Genetics appears to influence VO2max in a number of ways including:
Genetics also influences how well we adapt to training. Some individuals show a greater level of training adaptation. And, even if two athletes follow exactly the same training plan, there can be significant differences in how they adapt to this training. The differences in training adaptation can be seen both in the short term and long term. AltitudeAltitude can affect VO2max on two levels. Firstly, the decreased air pressure at altitude reduces the availability of oxygen, which in turn decreases aerobic capacity. So when at altitude we see a decrease in aerobic capacity compared with when at sea level. The extent of this decrease accelerates with increasing altitude. Interestingly, there can be wide individual variation in the effect of altitude, with larger decreases typically being observed in athletes with a higher VO2max (recorded at sea level). A secondary effect of altitude, is that the adaptations that occur following sufficient exposure to altitude, can lead to increased aerobic capacity at sea level. Bodytype/body compositionSince VO2max is normally expressed relative to bodyweight, any variation in bodyweight will affect it. In this way, athlete’s with a large bodymass (even if it’s lean bodymass) tend to record lower values than smaller athletes. Body composition is also known to influence VO2max: an athlete with a higher % bodyfat will tend to have a lower VO2max than a similarly sized athlete with a lower % bodyfat. So, why is bodyweight an important factor? Simply put, a lighter bodyweight allows a greater distribution of oxygen per kilogram of body mass. Let’s consider an example:
Whilst they both have the same absolute Value, Athlete A’s lighter body weight means they have a higher relative VO2max of 57 vs 50 for athlete B. In this way, athlete A has a 14% greater relative oxygen uptake, compared with athlete B. Changes in bodyweight can significantly affect VO2max values:
This is one of the reasons why most successful endurance athletes tend to have low body weights. The exception to this being in non-weight baring endurance sports like rowing. Whilst the absolute value can be useful in non weight baring sports like rowing, it is less useful in sports like running, cycling or cross country skiing. Here the relative VO2 max value tends is more useful. Training statusTraining can significantly influence VO2max. The extent of any increase varies greatly between individuals but aerobic capacity can be increased by up to 20%, depending on current fitness, previous training history and your current training programme. Despite this, highly trained elite athletes are unlikely to see further significant improvements in aerobic capacity. In most cases, further improvements in exercise performance come from improvements in the lactate threshold, % sustainable VO2 max and improved exercise economy and the speed or power at which VO2 max occurs. Exercise TypeThe type of exercise is known to affect VO2max with greater values generally recorded in weight-baring exercises (e.g. running) than non-weight-baring exercises (e.g. swimming). Another factor here is that athletes tend to record higher values in their primary sport. As an example you would expect to see a runner score higher during a running test, compared with if they underwent a cycling VO2 max test. VO2 MAX TESTSMost elite athletes undergo VO2 max testing in order to monitor fitness levels and sometimes for determining training zones. However, these tests are not just for the elite and can also be useful for all endurance athletes. They can also be used for health screening as an indicator of overall cardiovascular fitness. How the VO2 max test is performed
VO2 PlateauOne feature of a VO2max test is the way oxygen uptake increases linearly and then plateaus at higher intensities. This allows the identification of the minimum intensity required for VO2 max. The two graphs (below) demonstrate the plateauing of oxygen consumption with increasing speed or power output. In these examples oxygen consumption increases linearly until at a given speed (running) or power output (cycling) it begins to plateau. In some cases there may not be a plateauing of oxygen consumption. When this happens, VO2 max is recorded as the highest volume of oxygen consumed during the test (averaged over 60 seconds). The general criteria for achieving VO2Max is:
There are also a number of field based tests that can be used as an estimate of VO2 max (see below). Treadmill running testsDuring treadmill running tests, the speed or gradient are increased incrementally. By using running speed you can then identify the velocity at VO2 max (vVO2max), which is useful for training prescription. Cycling testsDuring Cycling VO2max tests, power is used rather than speed. Again, identifying the power at VO2max is useful for training prescription.
VO2max Calculation Using Field testsThere are a number of fitness tests that can be used to give an estimate of VO2max, these include: The Cooper TestThe Cooper run test estimates VO2 max based on the distance covered during a 12 minute run. The formula for the cooper test is: VO2 max calculation = (distance covered in 12 mins – 504.9) / 44.73 I found this test to be fairly accurate for myself: The Cooper test is not accurate for everyone, especially those with particularly good running efficiency. It’s also far less accurate for those who participate in other sports such as swimming or cycling. HRmax and HRrest RatioThe ratio between HRmax and HRrest can be used to estimate VO2 max (Uth et al., 2004). In this method you divide your maximum heart rate by your resting heart rate and multiply this by 15 to get an estimate of VO2max. For me this tended to overestimate my VO2max predicting it to be 87ml/kg/min ([197/34]*15 = 86.9) however it is more applicable across multiple sports than the cooper test. The Balke TestThe Balke Test was originally proposed by Bruno Balke (Balke, B. 1963) and involved running on a track for 15mins. VO2 max is then calculated by the following: VO2 max = 6.5 + 5*Laps completed. This formula was then modified by Frank Horwill (Horwill F, 1991) so: VO2max = (0.172*(distance in metres/15 – 133)) +33.3. This method tended to underestimate my VO2 max predicting a value of around 68 (difference of 16.1%). This particular test appears to be better suited for people with good running economy (reduced oxygen consumption at given speeds) making it less likely to be accurate across other sports. GPS Watch VO2max Calculation
This is based on either the relationship between heart rate and speed (running), or heart rate and power (cycling). These can be useful as a basic calculation/estimation of VO2 max, although you often see variation in the VO2max calculation on a day to day basis. From my own experience there can be quite wide variation on a daily basis, as well as between activities. As an example, my calculated Cycling VO2 max is normally around 10 higher than my running calculation. During a lab based max test, it would be the other way around. HOW TO IMPROVE VO2 MAXSo, can VO2 max be improved with training? The good news is…if you’re new to endurance/fitness training then you should be able to achieve some quite significant improvements.
One point to note: in order to achieve the greatest improvements, you need to train at close to your aerobic capacity. Research has demonstrated that intensive aerobic training can increase VO2 max by 10-25% (Gormley et al., 2008; Green et al., 1995; Smith and O’Donnell, 1984; Pollock 1973;). Not everyone achieves the same improvementsAnother point to note – the level of improvement can vary significantly between individuals:
Timespan of improvementsWhen we first start fitness training, our body adapts quickly and we often see significant improvements. Overtime, these training adaptations begin to slow down. Although we can continue to see improvements, significant improvements in VO2 max are harder to achieve in well trained, or, elite level athletes. Research in cross country skiers found that there was no significant change in VO2max across a training season, even though there were significant changes in both the volume and intensity of training across the season (Losnegard et al., 2012). In fact, improvements in performance of well-trained endurance athletes tend to be more associated with an increased ability to sustain higher percentages of VO2 max, improved lactate threshold profile and exercise efficiency (Jones, 2006).
Should you train to improve aerobic capacity?If you’re new to fitness/endurance training then improving aerobic capacity should be an important target, especially as it’s known to be a key predictor of overall health. As we’ve seen, highly trained and elite level athletes, are much less likely to achieve improvements in VO2 max. But here’s the thing: the training methods used to improve VO2 max are highly effective for improving endurance exercise performance. So, even if these may not lead to significant improvements in VO2max they will improve exercise performance, and should still form a key part of endurance training. Let’s take a look at the current recommendations for improving your VO2 max: 1. Increase Training volumeOne way to improve your VO2 max is to increase your training volume. As an example, completing 4 workouts per week is more beneficial than completing 2 workouts. Having said that, the benefit from increasing training volume begins to diminish as training volume continues to increase. And, completing more than 6-7hours of aerobic training per week is not believed to result in further increases in VO2max.
One other advantage of high volume training is decreased body fat percentage, which as we’ve seen can improve your VO2 max. Another advantage, is improved recovery from exercise. 2. Include Interval trainingHigh intensity interval training – is believed to be one of the best training methods for improving VO2 max.
What intensity should you use?The most important factor is to ensure that intensity is near to VO2 max intensity (ideally above 90% of VO2max). If you’re not sure what this is: VO2max intensity is an intensity that can normally be sustained for around 6-9minutes during intense exercise. As an approximate guide:
One point to note: this depends on your running speed. For instance, a 30minute 10k runner will be running at a higher percentage of VO2max than a 60minute 10k runner. Here’s some example running interval sessions to develop aerobic capacity: Longer VO2 max intervals:
Shorter intervals:
*These should only be completed, if you have a good level of training experience. Always, include a good warm up before completing any intense training session. 3. Altitude training/simulated altitudeAltitude training has been popular amongst elite endurance athletes looking to improve VO2 max and enhance endurance exercise performance at sea level. This is mainly due to the increased stimulation of red blood cell production following exposure to altitude. However, the benefits of living and training at altitude are controversial mainly due to the decrease training intensity at altitude. Research suggests that a better approach is to either, live at altitude whilst training at sea-level, or, to utilise simulated altitude tents (Levine and Stray-Gundersen, 1997;Bonetti and Hopkins 2009) although it should be noted that there appears to be a minimum exposure of 12h/day required for stimulation of erythropoiesis (red blood cell production) at altitude (Millet et al., 2010). Final thoughts on improving VO2 maxVO2 max is clearly an important predictor of health, endurance exercise performance, and is linked to improved recover after training. It’s important to remember, that VO2max does not appear to significantly improve amongst elite, or highly-trained athletes. As such, coaches should consider the extent to which they are using training to specifically target VO2 max. Despite this, there are clear benefits to training at VO2 max intensities. And, while these can bring about quick training adaptations, we know less about the longer term training benefits. In fact, most research has only used very short term interventions (typically just 4-week interventions). From my own experience VO2 max interval training can led to very quick adaptations. And often, just a few weeks training can yield significant results. For this reason, VO2 max intervals can prove particularly useful in the build up to important races. They should also feature within all phases of training. And even during base training. One point here: this doesn’t always lead to improved endurance performance, particularly in events of greater than 30mins duration. As with everything, we don’t all gain the same training benefits from interval training. And with this in mind, it’s important to also remember that most research looks at the average response and not the individual response to training. As such, some athletes may achieve greater long term progression through lactate threshold training and sub-maximal intervals. Having said that, including VO2max training is clearly beneficial, it just needs to be considered as part of the larger training picture. Found this article useful? Don’t forget to share it… Share on facebook VO2 Max Summary
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How much can VO2max improve with physical training?Exercise training is an effective means of achieving improvements in VO2max, with a rise of one metabolic equivalent (3.5 ml O2·kg−1·min−1) in VO2max associated with a 10–25% improvement in survival (30).
How much cardio respiratory endurance is enough?Individuals may engage in either moderate intensity activity for a minimum of 30 minutes on five days per week (150 min per week) or vigorous intensity activity for a minimum of 20 minutes on three days per week (60 min per week).
Does aerobic training increase VO2?Results: High-intensity aerobic interval training resulted in significantly increased VO2max compared with long slow distance and lactate-threshold training intensities (P<0.01).
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