So what exactly is meant by the term VO2max? To be precise it is the maximum volume of oxygen that your muscles consume per minute and is therefore referred to as “aerobic power” since it is a measure of the rate at which oxygen is consumed.
VO2max is the best single indicator of a person’s aerobic fitness. Although a high VO2max alone is not enough to attain elite-level performances, it gains one access into the club. An endurance athlete simply cannot attain a high level of performance without a high VO2max.
It is especially important for the middle-distance events (800m to 3000m) that are run at or close to 100 per cent VO2max. So what determines VO2max?
Cardiac output and blood flow (central factors)
Cardiac output, the amount of blood pumped by the left ventricle of the heart per minute, is dependent on stroke volume and heart rate (HR). Stroke volume (SV), the amount of blood pumped by the left ventricle of the heart per beat, is determined by the return of blood back to the heart through the venous circulation (venous return), the heart’s ability to contract quickly and forcefully, the amount of pressure in the left ventricle (preload) and in the aorta (afterload), and the size of left ventricle. The larger the left ventricle, the more blood it can hold – and the more blood it can hold, the more it can pump.
Oxygen extraction and use by the muscles (peripheral factors)
How much oxygen that can be extracted and used by the muscles is dependent on mitochondrial and capillary volumes. The more capillaries that perfuse the muscle fibres, the shorter the diffusion distance for oxygen from the capillaries to the mitochondria (microscopic “energy factories” that contain the enzymes involved in aerobic metabolism). The number of enzymes is also important, since enzymes, through their effect on chemical reactions, control metabolism.
Oxygen extraction is reflected by the difference in the amount of oxygen going to the muscles through the arterial circulation and the amount coming out through the venous circulation (a-v O2 difference). The a-v O2 difference is determined by the convection of oxygen through the muscle capillaries and its diffusion from the capillaries to the mitochondria. A runner who can shift most of the blood from inactive tissues to the active muscles will have a large a-v O2 difference because the active muscles will extract more oxygen from the blood than the inactive tissues will.
Since the amount of oxygen in the arterial circulation is the same at rest as it is during a race (20ml of oxygen per 100ml of blood), any change in the a-v O2 difference is a result of a decrease in oxygen in the venous circulation, which means the muscles have extracted more oxygen. VO2 is equal to the product of the central and peripheral factors:
VO2 = SV x HR x (a-v O2 difference)
Since SV x HR equals cardiac output (CO), the equation can be written as:
VO2 = CO x (a-v O2 difference)
VO2max occurs when SV, HR (and therefore CO), and the a-v O2 difference are all at their maximum. While unfit people seem to be equally limited by central and peripheral factors (they lack both a high blood flow and abundant metabolic machinery), highly trained runners seem to be more centrally limited. Training appears to result in a shift of the limitation on the sliding scale – the more fit you become, the more you move away from a metabolic limitation to VO2max and the closer you move to an oxygen supply limitation.
Progressive monthly and annual increases in mileage will improve VO2max by increasing the muscles’ metabolic capacity. When you have achieved a high level of mileage (110-120km per week), the intensity of training becomes more important to increase the cardiac factors responsible for maximizing oxygen supply to the muscles.
How is VO2max measured?
The direct measurement of VO2max during a maximum exercise test provides the most accurate assessment of aerobic power. Measuring VO2max requires some sophisticated laboratory equipment, including oxygen and carbon dioxide gas analysers, an expiratory air-flow probe, an air mixing chamber, a dehumidifier, a vacuum pump and a data acquisition system. Some computerised systems contain all of these things in one unit.
VO2max can be measured either in litres of oxygen per minute (L/min) or in millilitres of oxygen per kilogram of bodyweight per minute (ml/kg/min). In order to compare athletes of different sizes, it is usually measured relative to bodyweight. The VO2max of elite male endurance athletes is over 70 ml/kg/min, while that of elite female endurance athletes is over 60 ml/kg/min. Men have a higher VO2max than women because they have a greater cardiac output to send more blood and oxygen to the muscles, more haemoglobin in their blood to transport oxygen, and more muscle mass to consume oxygen.
Humans’ VO2max is equal to that of the pig and the rat, about half that of the horse and the dog and only one-third that of the fox.
As high as the best runners’ VO2max values are, humans actually do not fare well against many other mammals in their ability to consume oxygen at a fast rate. Humans’ VO2max is equal to that of the pig and the rat, about half that of the horse and the dog and only one-third that of the fox. Among all animals, flying insects have the highest rate of oxygen consumption relative to their size. For example, the VO2 max of a hummingbird flapping its wings 80 beats per minute is 40 ml/gram/hour which, in human terms, is equivalent to 666 ml/kg/min! As if this were not impressive enough, the flight muscles of worker bees, flapping their wings 250 beats per minute, consume 6 ml/gram/min, equivalent to 6,000 ml/kg/min!
Improving VO2max
You can improve your VO2max with mileage and speed work. The former focuses on the peripheral variables related to oxygen extraction and use, like mitochondrial and capillary volumes and aerobic enzyme activity. The latter focuses on the central variables related to oxygen delivery, like stroke volume and cardiac output. The more trained you are, the more important the intensity of training becomes to improve VO2max. VO2max has been shown to plateau after three weeks of daily training.
So the training stimulus needs to increase about every three weeks to improve VO2max further. There doesn’t seem to be any further increase in VO2max with more than about 110-120kmper week, unless more intense training is added.
Research shows high-intensity training (95-100 per cent VO2max) is the optimal stimulus for improving VO2max. Long intervals (3-5min) are the most potent because you repeatedly sustain VO2max during the work periods. But short intervals (<1min) can also improve VO2max, as long as they are performed at a high intensity and with short, active recovery periods to keep VO2 elevated throughout the workout.
VO2max pace
Regardless of the duration of the work periods you choose, you should run them at the speed at which VO2max occurs, which is about 3000m race pace for trained runners. However, if you run 3000m in longer than about 10 minutes, your VO2max pace will be between mile and 3000m race pace. If using heart rate as a guide, you should come close to reaching your maximum heart rate by the end of each work period.
So if you want to perform at the highest level you can, train your VO2max. Not only will you set PBs, next time you run in the woods, you may even be able to outrun a dog – or even the honeybee!
» Dr Jason Karp PhD is a recognised speaker, writer, author and exercise physiologist