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'''V̇O2 max''' is a measure of the maximum volume of oxygen that an individual can use during intense or maximal exercise. It is measured in milliliters per kilogram per minute (mL/(kg·min)). The term is derived from 'V̇' denoting volume per unit of time, 'O2' for oxygen, and 'max' for maximum. As an essential indicator of cardiovascular fitness and aerobic endurance, it is often used in both clinical and athletic contexts to evaluate an individual's functional capacity and to guide training regimes.
== VO2 max ==
 
[[File:Ergospirometry_laboratory.jpg|thumb|right|Ergospirometry laboratory setup for VO2 max testing]]
[[File:Gas_exchange_during_max_test.jpg|thumb|right|Gas exchange analysis during a VO2 max test]]
 
'''VO2 max''' (also maximal oxygen consumption, maximal oxygen uptake, or maximal aerobic capacity) is the maximum rate of oxygen consumption measured during incremental exercise; that is, exercise of increasing intensity. The name is derived from three abbreviations: "V" for volume, "O2" for oxygen, and "max" for maximum. VO2 max is expressed either as an absolute rate in liters of oxygen per minute (L/min) or as a relative rate in milliliters of oxygen per kilogram of body mass per minute (mL/kg/min).
 
== Physiology ==
 
VO2 max is an important determinant of endurance capacity during prolonged exercise. It is influenced by both genetic and environmental factors. The measurement of VO2 max is generally considered the best indicator of cardiovascular fitness and aerobic endurance. During exercise, oxygen is used to produce energy in the form of adenosine triphosphate (ATP) through aerobic metabolism. The higher the VO2 max, the more oxygen the body can utilize, and the more energy can be produced.
 
== Measurement ==
== Measurement ==
The measurement of V̇O2 max is typically performed in a controlled laboratory setting, using either a treadmill or a stationary cycle ergometer. The subject undergoes incremental or progressively more difficult exercise, while their oxygen consumption is measured, usually through indirect calorimetry.
 
== Relation to Cardiovascular Performance ==
VO2 max is typically measured using a [[treadmill]] or [[cycle ergometer]] in a laboratory setting. The test involves increasing exercise intensity until exhaustion while measuring ventilation, oxygen, and carbon dioxide concentration of the inhaled and exhaled air. This is often done using a [[metabolic cart]] in a process known as [[ergospirometry]].
V̇O2 max is recognized as an important indicator of cardiorespiratory fitness, providing a quantitative value of endurance fitness for comparison of individual training effects and between individuals. A higher V̇O2 max indicates a greater capacity for aerobic respiration and is associated with better endurance performance.
 
* '''Comparison Across Populations:''' Elite athletes, particularly those in endurance sports such as long-distance running, cycling, or cross-country skiing, can achieve remarkably high V̇O2 max values, often exceeding 80 mL/(kg·min). Certain animal species adapted for endurance, such as Alaskan huskies, can even reach values over 200 mL/(kg·min).
== Factors affecting VO2 max ==
== Clinical Importance ==
 
In 2016, the [[American Heart Association]] (AHA) published a scientific statement recommending that cardiorespiratory fitness (CRF), quantifiable as V̇O2 max, be regularly assessed and used as a clinical vital sign. This recommendation was based on substantial evidence that lower fitness levels are associated with high risk of cardiovascular disease, all-cause mortality, and mortality rates from various types of cancers.
Several factors can affect VO2 max, including age, sex, training status, and altitude. Generally, VO2 max decreases with age and is higher in males than in females. Endurance training can significantly increase VO2 max, while living at high altitudes can also enhance it due to increased red blood cell production.
* '''Risk Assessment:''' Lower V̇O2 max values are associated with a higher risk of cardiovascular disease and all-cause mortality, making it a valuable tool for risk stratification.
 
* '''Exercise Prescription:''' V̇O2 max values can be used to guide exercise prescription, ensuring that individuals train at appropriate intensities for their current fitness levels.
== Importance in sports ==
* '''Physical Activity Counseling:''' Regular assessment of V̇O2 max can help motivate individuals to remain physically active, as improvements in V̇O2 max are associated with increased physical activity and fitness.
 
== See Also ==
VO2 max is a key performance indicator in endurance sports such as [[marathon]] running, [[cycling]], and [[cross-country skiing]]. Athletes with higher VO2 max values are often able to sustain higher intensities of exercise for longer periods.
* [[Cardiorespiratory fitness]]
 
* [[Exercise physiology]]
== Related pages ==
 
* [[Aerobic exercise]]
* [[Aerobic exercise]]
* [[Anaerobic exercise]]
* [[Cardiovascular fitness]]
* [[Metabolic equivalent]]
== References ==
== References ==
<references />
 
* Bassett, D. R., & Howley, E. T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. ''Medicine and Science in Sports and Exercise'', 32(1), 70-84.
* Levine, B. D. (2008). VO2 max: what do we know, and what do we still need to know? ''The Journal of Physiology'', 586(1), 25-34.
 
[[Category:Exercise physiology]]
[[Category:Exercise physiology]]
[[Category:Cardiology]]
[[Category:Sports science]]
[[Category:Sports science]]
[[Category:Respiratory physiology]]
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Latest revision as of 20:55, 9 February 2025

VO2 max[edit]

Ergospirometry laboratory setup for VO2 max testing
Gas exchange analysis during a VO2 max test

VO2 max (also maximal oxygen consumption, maximal oxygen uptake, or maximal aerobic capacity) is the maximum rate of oxygen consumption measured during incremental exercise; that is, exercise of increasing intensity. The name is derived from three abbreviations: "V" for volume, "O2" for oxygen, and "max" for maximum. VO2 max is expressed either as an absolute rate in liters of oxygen per minute (L/min) or as a relative rate in milliliters of oxygen per kilogram of body mass per minute (mL/kg/min).

Physiology[edit]

VO2 max is an important determinant of endurance capacity during prolonged exercise. It is influenced by both genetic and environmental factors. The measurement of VO2 max is generally considered the best indicator of cardiovascular fitness and aerobic endurance. During exercise, oxygen is used to produce energy in the form of adenosine triphosphate (ATP) through aerobic metabolism. The higher the VO2 max, the more oxygen the body can utilize, and the more energy can be produced.

Measurement[edit]

VO2 max is typically measured using a treadmill or cycle ergometer in a laboratory setting. The test involves increasing exercise intensity until exhaustion while measuring ventilation, oxygen, and carbon dioxide concentration of the inhaled and exhaled air. This is often done using a metabolic cart in a process known as ergospirometry.

Factors affecting VO2 max[edit]

Several factors can affect VO2 max, including age, sex, training status, and altitude. Generally, VO2 max decreases with age and is higher in males than in females. Endurance training can significantly increase VO2 max, while living at high altitudes can also enhance it due to increased red blood cell production.

Importance in sports[edit]

VO2 max is a key performance indicator in endurance sports such as marathon running, cycling, and cross-country skiing. Athletes with higher VO2 max values are often able to sustain higher intensities of exercise for longer periods.

Related pages[edit]

References[edit]

  • Bassett, D. R., & Howley, E. T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. Medicine and Science in Sports and Exercise, 32(1), 70-84.
  • Levine, B. D. (2008). VO2 max: what do we know, and what do we still need to know? The Journal of Physiology, 586(1), 25-34.