Question

What is VO2 max and can you improve it?

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VO2 max is the maximum rate at which your body can take in, transport and use oxygen during intense exercise, expressed in millilitres of oxygen per kilogram of body weight per minute (ml/kg/min). It is the standard measure of aerobic capacity.

Why it matters. Aerobic energy production requires oxygen, so the rate at which you can deliver and use it sets a ceiling on sustained effort. It is also one of the stronger predictors of all-cause mortality in the research literature — stronger than many conventional risk factors — which is why it attracts interest beyond sport.

What limits it. In most people the constraint is central: the heart's ability to pump oxygenated blood, primarily stroke volume. Peripheral factors — capillary density, mitochondrial content, haemoglobin — contribute, but cardiac output is generally the bottleneck.

Typical values: untrained adults commonly sit around 30–40 ml/kg/min, recreationally trained people 45–55, and elite endurance athletes above 70, with the highest recorded values in cross-country skiers and cyclists exceeding 85.

Can you improve it? Yes, substantially — with limits.

Untrained people can typically improve 15–20% or more within a few months of consistent training. Gains are largest from the lowest starting point.

Trained people improve far less, and highly trained athletes may be close to their ceiling, at which point performance improves through efficiency and lactate threshold rather than VO2 max.

Genetics sets the range. Heritability estimates for baseline VO2 max and for trainability are both substantial. Some people respond strongly to identical training and others barely — a well-documented phenomenon, and not a matter of effort.

What training works. Both high-intensity intervals near maximal effort and high volumes of lower-intensity work raise it; most endurance programmes combine them, with the majority of time at low intensity.

Age reduces it roughly 1% a year from the thirties, though training substantially slows the decline.

Watch estimates from smartwatches are approximations, useful for tracking trends rather than absolute accuracy.

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