PFLPhysiological Fitness Landscape

Biomarkers · Functional Fitness

Cardiorespiratory Fitness (VO2 Max)

Higher values carry lower risk. Not measured in our NHANES panel; the curve is synthesised from the published association.

Hazard ratio relative to the curve's reference value, as synthesised from the published association.

Published hazard ratio0.49top vs bottom third (95% CI 0.42–0.57) · Cleveland Clinic Exercise Treadmill Cohort

Where people sit

Population percentiles (mL/kg/min) by sex and age band. Cycle or source as recorded in the catalogue.

SexAge5th25thMedian75th95thnCycle / source
All20-3929.036.042.048.057.51,8001999-2004
All40-5924.030.035.041.050.01,7001999-2004
All60+19.024.028.533.542.01,0001999-2004
Allall23.031.037.044.054.54,5001999-2004
Menall28.036.042.048.558.52,2001999-2004
Womenall22.028.032.537.846.02,3001999-2004

What studies found when this marker was changed

Effects on the biomarker reported in the cited studies. They describe what happened in those populations, not a recommendation for anyone. See all catalogued interventions.

TypeInterventionReported effectEvidenceSource
clinicalSevere chronic obstructive pulmonary disease (COPD) or HFrEF-40% to -70% impairment (VO2 max < 14 mL/kg/min)clinical guidelineMancini DM, et al. Circulation. 1991;83:778-786.
exerciseHigh-intensity interval training (HIIT) and high-volume polarized Zone 2 endurance cardioIncreases VO2 Max by 4-8 mL/kg/min (15-25%)RCTNational Center for Health Statistics. National Health and Nutrition Examination…
exerciseHigh-Intensity Interval Training (HIIT 4x4 min @ 90% HRmax)+4 to +8 mL/kg/min (+12% to +22%) VO2 max increasemeta-analysisMilanovic Z, et al. Sports Med. 2015;45:1469-1481.
exerciseHigh-volume polarized aerobic base training (Zone 2 endurance)+3 to +7 mL/kg/min increase; enhanced mitochondrial densityrctStoggl T, et al. Front Physiol. 2014;5:33.
lifestyleSedentary lifestyle and continuous physical inactivity-10% per decade baseline decline (accelerates with inactivity)prospective cohortMandsager K, et al. JAMA Netw Open. 2018;1:e183605.
nutraceuticalDietary inorganic nitrate / Beetroot juice supplementation+1 to +3 mL/kg/min acute increase in peak power / exercise economymeta-analysisJones AM. Sports Med. 2014;44:S35-S45.