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VO₂MaxUnderstand, measure and improve your cardiorespiratory fitness

Glossary

Definitions of terms used on this site. References for sourced definitions are listed at the end of the page.

Visual guide

Read mL / kg / min in three parts

mL

Volume of oxygen

kg

Per kilogram of body mass

min

Per minute

VO₂Max is the maximum rate at which you can use oxygen, expressed in this unit.

This unit describes the volume of oxygen per kilogram of body mass per minute. It is not heart rate or the volume of air you breathe.
VO₂Max (maximal oxygen uptake)
The maximum amount of oxygen the body can take in per minute during exercise. Expressed per kilogram of body weight in mL/kg/min, it is a measure of cardiorespiratory fitness. See “What is VO₂Max?” for more. Related page
VO₂peak (peak oxygen uptake)
The highest oxygen uptake observed during the exercise test actually performed. Like the strict maximum (VO₂Max), it is considered a strong predictor of mortality and disease incidence (Japan’s MHLW, 2023).
Cardiorespiratory fitness
The ability to sustain exercise. MHLW uses peak oxygen uptake per kilogram of body weight (VO₂peak/kg) as an indicator.
METs (metabolic equivalents)
A unit of physical activity intensity. Fitness values or reference values expressed in METs can be multiplied by 3.5 to convert to oxygen uptake (mL/kg/min). Converting an activity’s MET value does not give an individual’s peak oxygen uptake. One study describes a 1-MET difference in fitness as equivalent to about 1 km/h in running speed (Kodama et al., 2009).
Reference values (Japan’s MHLW, 2023)
Cardiorespiratory fitness levels expected to reduce risks of lifestyle-related and other diseases and associated mortality, provided by sex and age. They do not determine an individual’s health or future disease. See the age-based reference tables. Related page
Maximum heart rate
The highest heart rate reached during exercise. Direct measurement is the most reliable way to determine it, but equations can estimate it from age. This site uses 208 − 0.7 × age (Tanaka et al., 2001).
Resting heart rate
Heart rate when resting calmly. An equation estimates VO₂Max using the ratio of maximum to resting heart rate (Uth et al., 2004). Related page
Moderate and vigorous intensity
MHLW recommends moderate-to-vigorous exercise to improve cardiorespiratory fitness. To balance safety and benefit, it gives guidance of about 50–75% of peak oxygen uptake, or a perceived effort of “somewhat hard.” This range is not a boundary separating moderate from vigorous intensity.
Perceived exertion
Exercise intensity described by how it feels to the person, such as “easy,” “somewhat hard” or “hard.” People taking medication that affects heart rate use this as a guide instead of heart rate (MHLW, 2023, INFORMATION 4).
HIIT (high-intensity interval training)
Repeated bouts of near-maximal exercise alternating with rest or light exercise. This is distinguished from sprint interval training (SIT), which uses brief all-out efforts above the exercise intensity that elicits VO₂Max (MacInnis & Gibala, 2017). Related page
Interval walking
Walking that alternates three minutes of brisk walking with three minutes of slow walking. In a five-month study of men and women averaging 63 years old, fitness improved more than with continuous moderate-intensity walking. Individual results are not guaranteed (Nemoto et al., 2007). Related page
Randomized controlled trial (RCT)
A study that randomly allocates participants to groups, like drawing lots, to compare the effects of different approaches. It is suited to investigating cause and effect.
Cohort study
A study that follows many people over years to investigate associations between a characteristic, such as VO₂Max, and subsequent disease or death. It finds associations rather than proving causation. Related page
Meta-analysis
A method that statistically combines results from multiple studies addressing the same question into a single estimate.
Estimate
A value calculated by an equation or device rather than measured directly. Smartwatch VO₂Max values and this site’s tool results are estimates, with errors for individual users. They are not diagnoses. Related page

Visual guide

Different studies answer different questions

Randomized controlled trial

Assign at random → compare methods
Investigates effects, such as those of exercise.

Cohort study

Measure characteristics → follow up
Investigates associations between characteristics such as fitness and health.

Meta-analysis

Multiple studies → combine findings
Also check the designs of the included studies.

A simplified view of study designs. Read each finding alongside its participants, duration, comparison methods and limitations.

Your next step

Turn understanding into your next step

If you do not exercise regularly, begin with light exercise for a short time. See the steps for a manageable start.

See how to start exercising

Sources

  1. Japan's Ministry of Health, Labour and Welfare: Physical Activity and Exercise Guide for Health Promotion 2023, INFORMATION 6, Cardiorespiratory fitness (peak oxygen uptake). (in Japanese; title translated) https://www.mhlw.go.jp/content/001195874.pdf
  2. Japan's Ministry of Health, Labour and Welfare: Physical Activity and Exercise Guide for Health Promotion 2023, INFORMATION 4, Points for safe physical activity and exercise. (in Japanese; title translated) https://www.mhlw.go.jp/content/001195872.pdf
  3. Kodama S, Saito K, Tanaka S, et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. JAMA. 2009;301(19):2024-2035. https://doi.org/10.1001/jama.2009.681
  4. Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153-156. https://doi.org/10.1016/S0735-1097(00)01054-8
  5. Uth N, Sørensen H, Overgaard K, Pedersen PK. Estimation of VO2max from the ratio between HRmax and HRrest – the Heart Rate Ratio Method. Eur J Appl Physiol. 2004;91(1):111-115. https://doi.org/10.1007/s00421-003-0988-y
  6. MacInnis MJ, Gibala MJ. Physiological adaptations to interval training and the role of exercise intensity. J Physiol. 2017;595(9):2915-2930. https://doi.org/10.1113/JP273196
  7. Nemoto K, Gen-no H, Masuki S, Okazaki K, Nose H. Effects of high-intensity interval walking training on physical fitness and blood pressure in middle-aged and older people. Mayo Clin Proc. 2007;82(7):803-811. https://doi.org/10.4065/82.7.803

No specialist review; sources providedContent last checked: Editorial policy