V02
Max: Questions & Answers
By
Ted Lambrinides, PhD.
Presented
at the 2000 NCES Health & Fitness Symposium
Chicago, Illinois October 28, 2000
What is
the definition of V02 max?
The maximal rate at which oxygen
can be consumed per minute.
What
are the controlling factors of V02 max?
The term central command refers to a motor signal
developed within the brain. The central command theory of cardiovascular
control argues that the initial cardiovascular changes at the beginning of
exercise are due to centrally generated cardiovascular motor signals, which
set the general pattern of the cardiovascular response. However, it is
commonly believed that cardiovascular activity can be and is modified by
muscle chemoreceptors, muscle mechanoreceptors, and pressure-sensitive
receptors (baroreceptors) located within the carotid arteries and the aortic
arch. Muscle
chemoreceptors are sensitive to increases in muscle metabolites (e.g.
potassium, lactic
acid, etc.) and send messages to higher brain centers to “fine-tune” the
cardiovascular
responses to exercise. This is called peripheral feedback.
In a recent research study by Hagberg and
associates, older endurance trained athletes had greater V02 max than their
sedentary peers, and this difference was associated with significantly
expanded intravascular volumes in these athletes (particularly plasma and
total blood volume). The improvement in cardiovascular parameters in these
endurance trained men during peak exercise correlated significantly with the
expanded intravascular volumes. The fact that the high V02 max is associated
with an increased plasma volume emphasizes the point that many of the gains
expected from training can develop quite rapidly through a change in fluid
balance, rather than through structural changes. This was pointed out by
Holmgren in a 1967 paper, distinguishing between regulatory and dimensional
aspects of training.
How important is specificity of exercise with regard to the controlling
factors?
Very! Saltin had subjects train one leg on a bicycle
ergometer while the other served as an untrained control. Maximal oxygen
intake and muscle enzyme levels were only improved in the trained leg. The
heart rate response during exercise was lower than pretest values when the
trained leg was exercised, but not when the untrained leg was tested. Saltin
attributed the differences in the heart rate response to small nerve endings
located in the skeletal muscle fibers. The nerves somehow sense the metabolic
environment within the muscle and influence the heart rate response via
connections to the cardiac control center in the brain. The slower heart rate
with the trained leg provides more filling time for the heart and allows a
greater end diastolic and stroke volume. Thus, it appears that some
cardiovascular effects of training are subject to some degree of control from
events in the muscles. This study indicates that the controlling mechanisms
for such changes are to a large extent influenced by the skeletal muscles
themselves.
Magel and his associates studied the V02 max
improvements with swim training (1hr/day, 3 days/wk, for 10 wk). Subjects
performed maximal treadmill running and tethered swimming tests both before
and after training. The swimming V02 max increased by 11.2% following the 10
week swim training period. However, the running V02 max increased by only 1.5%, not a statistically significant change from the pre-training value.
If the treadmill alone had been used for testing, the researchers would have
concluded that swim training had no influence on cardiorespiratory endurance
capacity.
“The use of the training heart rate and emphasis on cardiovascular
effects of training has diverted attention from the true target of training,
skeletal muscle. Training is specific to the muscle fibers used in an
activity. Training does not transfer well from one activity to another”.
Dr. Brian J. Sharkey, New
Dimensions in Aerobic Fitness
To accurately measure endurance improvement, athletes should be tested
while they are engaged in an activity similar to the sport or activity in
which they usually participate. For most athletes, V02 max values are
substantially higher during their sport-specific activity.
How much of an influence does genetics have upon V02 max?
Maximal oxygen consumption levels depend on genetic limits. This should
not be taken to mean that each individual has an exact V02 max that cannot be
exceeded. Both genetic and environmental factors influence V02 max values. The
genetic factors probably establish the boundaries for the athlete, but
endurance training can push V02 max to the upper limit of these boundaries.
Intraclass
Correlations From Twin Studies of Aerobic Performance
Source |
Test |
MZ |
DZ |
|
Klissouras |
VO2
max/kg |
0.91 |
0.44 |
|
Klissouras
et al. |
VO2
max/kg |
0.95 |
0.36 |
|
Komi
et al. |
PWC
205/kg |
0.83 |
0.43 |
|
Engstrom
and Fischbein |
PWC
max/kg |
0.74 |
0.53 |
|
Bouchard
et al. |
PWC15o/kg |
0.60 |
0.41 |
|
Bouchard
et al. |
V02
max/kg |
0.71 |
0.51 |
|
Fagard
et al. |
V02
max/kg |
0.77 |
0.04 |
|
Maes
et al. |
V02
max/kg |
0.85 |
0.56 |
|
Sundet
et al. |
V02
max/kg |
0.62 |
0.29 |
How much can V02 max be improved?
For years, researchers have found wide variations in improvement in V02
max with training. In one study, men and women endurance trained for 9 to 12
months. Improvement in V02 max ranged from 0% to 43%, even though all the
subjects completed exactly the same training program.
Bouchard has now clearly established that the response to a training
program is genetically determined. Ten pairs of identical twins completed a 20
week endurance training program. Improvements varied from 0% to nearly 40%.
These results, and those from other studies, indicate that there will be
responders (large improvement) and non-responders (little or no improvement)
among groups of people who experience identical training programs.
Costill and Wilmore suggest that in fully mature athletes, the highest
attainable V02 max is reached within 8 to 18 months of heavy endurance
training, indicating that each athlete has a finite attainable level of oxygen
consumption. However, endurance performance continues to improve with
continued training for many additional years. Factors contributing to this
continued endurance performance are lactate threshold and economy of movement.
Can V02 max predict performance?
It appears that the V02 max may predict performance “when a
heterogeneous group of athletes with quite different athletic abilities is
studied, but “it is a relatively poor predictor when athletes of similar
ability are evaluated”.
Can anaerobic training improve V02 max?
Researchers at McMaster University examined the effect of sprint training
on a bicycle ergometer. The subjects progressed from 4-30 second interval
sprints to 10-30 second interval sprints during the seven-week study. The
researchers found that intense sprint interval training increases glycolytic
and oxidative muscle enzyme activity, peak power output, and oxygen
consumption. The authors noted that training at an intensity that exceeds V02
max may be a more important component than the volume of training to stimulate
an increase in muscle oxidative potential.
What are the cardiovascular benefits of high intensity resistance
exercise?
High intensity resistance training has been shown to produce minimal
changes in V02 max as measured on a treadmill. The conclusions drawn from such
studies are erroneous. The specific V02 changes produced from high intensity
resistance exercise over several months of training have no be studied.
High intensity resistance training has produced dramatic increases in
endurance performance in both normal and cardiac populations. Hickson found
small increases in V02 max but large increases in time to exhaustion on both a
cycle ergometer and a treadmill. Explanations for such outcomes are 1)
Increased strength. As each motor unit becomes stronger with resistance
training, fewer motor units would be needed at a given submaximal workload,
thus creating a greater motor unit reserve. 2) Increase lactate threshold.
Researchers at the University of Maryland found that high intensity resistance
training increased endurance time by rising the lactate threshold of the
subjects in their study.
Some of the additional cardiovascular benefits seen in some but not all
studies are as follows:
· Improvements in blood lipid profiles in individuals with abnormal levels at the start of the study.
·
Decreases in blood pressure in individuals with borderline to
high blood pressure at the start of the study.
·
Decreases in blood pressure in other activities after
engaging in a resistance training program.
What is the
association between V02 max and health?
In general, physically active individuals have higher V02 values than
sedentary individuals. As a result, they typically have lower mortality rates.
An individual with a genetically high V02 max who smokes and leads a sedentary
lifestyle is at high risk. There are numerous risk factors for cardiovascular
disease: elevated cholesterol, high blood pressure, smoking, genetics, obesity,
diet, homocysteine levels, elevated levels of C-reactive protein, clotting
factors, and physical activity. The physiological benefits of resistance
exercise are numerous and as such should enable one to stay in the low risk
category provided their other risk factors are in recommended ranges.
Improvements in V02 max should not be the main focus of an exercise
program. In fact the American College of Sports Medicine states “It is now
clear that lower levels of physical activity may reduce the risk of certain
chronic degenerative diseases and yet may not be of sufficient quantity or
quality to improve V02 max”.
Key Terms:
Preload:
The
degree of stretch of the muscle when it begins to contract. For cardiac
contraction, the preload is considered to be the volume of blood in the
ventricle at the end of diastole, that is, the end-diastolic volume. However,
sometimes this preload is expressed as the end-diastolic pressure that fills the
ventricle.
Afterload:
The
load against which the muscle exerts its contractile force. The afterload of the
ventricle is the pressure in the arteries leading from the ventricles.
Reactive Hyperemia: When the blood supply to a tissue is blocked for a few
seconds to several hours and then is unblocked, the flow through the tissue
usually increases to about five time normal; the increased flow will continue
for a few seconds if the block has lasted a few seconds and sometimes for as
long as many hours if the blood flow has been stopped for an hour or more.
Active
Hyperemia:
When any tissue becomes highly active, such as a muscle during exercise, the
rate of blood flow through the tissue increases. The increase in local
metabolism causes the cells to devour the tissue fluid nutrients extremely
rapidly and also to release large quantities of vasodilator substances. The
result obviously would be to dilate the local blood vessels, and therefore, to
increase local blood flow. In this way, the active tissue will receive the
additional nutrients required to sustain its new level of function.