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All you need to know about VO2 Max

All you need to know about VO2 Max

All you need to know about VO2 Max


Written by Laoise Bennis ANutr

For anyone interested in fitness, endurance, or overall health, VO2 max is a term worth knowing, it may be something you have come across an estimate of on your watch.  

Often referred to as the gold standard for measuring cardiovascular fitness, it offers valuable insights into your body's ability to utilise oxygen during intense exercise.  

Whether you're a seasoned athlete or just starting your fitness journey, understanding VO2 max can help you optimise your training, improve performance, and achieve better health outcomes. 

In this blog, we’ll explore what VO2 max is, why it matters, how to improve it, and even how to test it - whether at home or in the gym. We’ll also touch on the role of nutrition in maximising your VO2 max potential. 

What is VO2 Max? 

VO2 max measures the maximum amount of oxygen your body can utilise during intense exercise. It is expressed in millilitres of oxygen per kilogram of body weight per minute (ml/kg/min). Essentially, VO2 max reflects how efficient your heart, lungs, and muscles are at transporting and utilising oxygen to produce energy. 

This metric is important because oxygen is a critical component of aerobic metabolism. The higher your VO2 max, the better your body can sustain high-intensity efforts, making it a crucial factor for endurance sports like running, cycling, and swimming. 

Factors that influence VO2 max are: 

  • Age: VO2 max tends to decline with age. 

  • Genetics: Some individuals are naturally predisposed to higher VO2 max levels. 

  • Training: Aerobic and interval training can significantly boost VO2 max. 

  • Altitude: Training at higher altitudes can enhance oxygen efficiency over time. 

VO2 Max Testing (at home or in the gym) 

At-Home VO2 Max Testing 

While lab tests are the most accurate, you can estimate your VO2 max at home using simple tools like fitness trackers or smartphone apps. Many devices, such as Garmin or Apple Watch, use algorithms based on your heart rate, age, and activity level to estimate VO2 max. 

Another DIY method is the Cooper 12-minute Run Test: (Cooper, 1968) 

How to 

  1. Warm-Up: Do 5-10 minutes of light jogging and dynamic stretching. 

  1. Choose a track: Ideally, use a 400m running track or a flat, measured path. 

  1. Set a timer: The test lasts exactly 12 minutes. 

  1. Run at a steady pace: Cover as much distance as possible within the time limit. 

  1. Record your sistance: Measure how far you ran in meters or kilometers. 

After completing your test, you will calculate your estimated VO2 max using this handy calculator or the following formulas. 

Kilometres: VO2 max = (22.351 x your distance in kilometres) – 11.288 
Miles: VO2 max = (35.97 x your distance in miles) – 11.29 

If you cover 3.2 kilometres in your 12 minutes, your estimated VO2 max would be (22.351 x 3.2) -11.3 = 60.22 

If you covered 1.6 miles, your estimated VO2 max would be (35.97 x 1.6) – 11.29 = 46.26. 

Lab-Based VO2 Max Testing 

Gyms and sports science labs often offer VO2 max testing using advanced equipment. The most common method involves a graded exercise test on a treadmill or bike while wearing a mask to measure oxygen intake and carbon dioxide output. Although more expensive, this method provides the most accurate results and can help tailor your training program. 

Tables taken from Tanita (Tanita Europe BV, 2020). 


VO2 max and cardiovascular health  

VO2 max is more than just a performance metric; it’s also a powerful indicator of cardiovascular health. Research shows that individuals with higher VO2 max levels have a lower risk of developing chronic diseases such as heart disease, diabetes, and are also linked to lower mortality rates, as it reflects the efficiency of your heart and circulatory system (Kodama et al., 2009). 

For example, a higher VO2 max often correlates with a stronger heart muscle, better circulation, and improved lung capacity. These factors work together to enhance your body’s ability to deliver oxygen-rich blood to working muscles, even during intense physical activity. In short, improving VO2 max doesn’t just make you a better athlete; it contributes to a longer and healthier life. 

Ways to Improve VO2 Max 

Improving your VO2 max involves both training and lifestyle modifications. Here are some proven methods: 

1. High-Intensity Interval Training (HIIT) 

HIIT involves alternating between short bursts of intense exercise and periods of rest or low-intensity activity. For example, sprinting for 30 seconds followed by 1-2 minutes of walking. This type of training challenges your cardiovascular system and stimulates adaptations that increase VO2 max (Wen et al., 2019) 

2. Endurance Training 

Long, steady-state cardio exercises such as running, cycling, or swimming can improve your aerobic capacity over time. Aim for 3-5 sessions per week at a moderate intensity 5/10 relative effort (Gormley et al., 2008) 

3. Cross-Training 

Incorporating different forms of exercise can challenge your body in new ways and prevent plateaus. For example, alternating between cycling and swimming can target different muscle groups and improve overall oxygen efficiency. Yoga has also been shown to significantly improve heart rate fitness of middle-aged sedentary women after completing a 6 month moderate intensity Hatha yoga programme (Boraczyński et al., 2020). Check out our blog on yoga 

4. Consistency and Progression 

Gradually increasing the intensity and duration of your workouts ensures continuous improvement. Over time, your body adapts to handle more stress, leading to a higher VO2 max. 

5. Strength Training 

Although VO2 max is primarily a measure of aerobic fitness, strength training can support cardiovascular health by improving muscle efficiency and endurance (Ramos-Campo et al., 2021) 

Nutrition and VO2 Max 

Proper nutrition plays a critical role in optimising VO2 max. Here’s how: 

  • Carbohydrates: As the primary fuel for high-intensity exercise, carbohydrates are essential for maintaining energy levels during training. 

  • Iron: Iron is vital for oxygen transport in the blood. Foods like spinach, red meat, and lentils can help maintain healthy iron levels. 

  • Hydration: Dehydration can impair cardiovascular performance, so drink plenty of water before, during, and after exercise. 

  • Antioxidants: Foods rich in antioxidants (e.g., berries, nuts, and leafy greens) can reduce oxidative stress and improve recovery. 

A Meal Shake like Whole Supp provides all the above in one handy shake. 

VO2 max is a critical measure of your aerobic fitness and cardiovascular health, offering valuable insights into your overall well-being. By understanding and improving your VO2 max through targeted training, proper nutrition, and consistent effort, you can enhance your physical performance and reduce the risk of chronic diseases. Whether you’re an elite athlete or a fitness enthusiast, focusing on VO2 max can help you unlock new levels of health and vitality. 

References 

Boraczyński, M. T., Boraczyński, T. W., Wójcik, Z., Gajewski, J., & Laskin, J. J. (2020). The effects of a 6-month moderate-intensity Hatha yoga-based training program on health-related fitness in middle-aged sedentary women: a randomised controlled study. The Journal of Sports Medicine and Physical Fitness, 60(8), 1148–1158. 10.23736/S0022-4707.20.10549-8 

Cooper, K. H. (1968). A Means of Assessing Maximal Oxygen Intake: Correlation Between Field and Treadmill Testing. JAMA : The Journal of the American Medical Association, 203(3), 201–204. 10.1001/jama.1968.03140030033008 

Gormley, S. E., Swain, D. P., High, R., Spina, R. J., Dowling, E. A., Kotipalli, U. S., & Gandrakota, R. (2008). Effect of intensity of aerobic training on VO2max. Medicine and Science in Sports and Exercise, 40(7), 1336–1343. 10.1249/MSS.0b013e31816c4839 

Kodama, S., Saito, K., Tanaka, S., Maki, M., Yachi, Y., Asumi, M., Sugawara, A., Totsuka, K., Shimano, H., Ohashi, Y., Yamada, N., & Sone, H. (2009). Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. Jama, 301(19), 2024–2035. 10.1001/jama.2009.681 

Ramos-Campo, D. J., Andreu Caravaca, L., Martínez-Rodríguez, A., & Rubio-Arias, J. Á. (2021). Effects of Resistance Circuit-Based Training on Body Composition, Strength and Cardiorespiratory Fitness: A Systematic Review and Meta-Analysis. Biology, 10(5), 377. doi: 10.3390/biology10050377. 10.3390/biology10050377 

Tanita Europe BV. (2020). Improving your Vo2 Max: definition, tables & norms | Tanita.eu. [online] Available at: https://tanita.eu/blog/could-improving-your-vo2-max-be-the-secret-of-success. 

Wen, D., Utesch, T., Wu, J., Robertson, S., Liu, J., Hu, G., & Chen, H. (2019). Effects of different protocols of high intensity interval training for VO(2)max improvements in adults: A meta-analysis of randomised controlled trials. Journal of Science and Medicine in Sport, 22(8), 941–947. 10.1016/j.jsams.2019.01.013 

Feb 28, 2025• Posted by Darren O’Reilly

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