Why VO2MAX testing is for everyone

Aaron Volkoff

Introduction

Most people do not grasp the simplicity and the benefits of VO2max testing for both performance and for general fitness. Mostly since the vast majority of people have no idea what VO2Max testing is or how to implement it into their exercise/training plan. Fortunately with some knowledge or a good coach, the data can be a turning point in a person’s plan.


Real World Measures

Below is a comparison of a 51 year old female that followed a 12 week training program. The athlete had been exercising regularly prior to the first test, but without a dedicated or organized plan. During the 12 weeks, the athlete followed a dedicated training plan that focused on increasing her lactate threshold along with the overall fitness level. I will continue to refer to the results of this program throughout the article. 


Aerobic Threshold (AeT)

During a VO2Max test there are two important points that are measured. One point is called the aerobic threshold (AeT). This is the point when a person starts to burn carbohydrates as the predominant fuel source which causes a person to use more oxygen and produce more carbon dioxide. Because of this, a person will begin to breathe more frequently and deeply. Below the AeT, a person is able to exercise hours with minimal or no fueling. 


Comparing test #1 to test #2 the athletes AeT shifted up 15 beats in only 12 weeks of training. This is marked as #1 in the above comparison chart. Being a competitive athlete, a heart rate of 98 is well below any level of competition or training she would perform. Even though a shift of 15 beats may not seem like a huge change, in terms of fueling and the perception of effort, it is pretty significant. 


For a general fitness client, the increase in AeT represents the body’s ability to better burn fat stores and decrease the reliance on stored or ingested sugars. 


Anaerobic Threshold (AT) / Lactate Threshold (LT)

While the aerobic threshold is important, the most important factor in terms of training and exercise is the anaerobic or lactate threshold. This is the point where the exercise intensity is greater than a person can easily handle. Anaerobic threshold (AT) or indirectly lactate threshold (LT) is where a person is exercising at an intensity higher than their body can produce energy aerobically. The consequence of this is a buildup of an acidic environment (lactic acid) in the muscles and blood stream. This build up decreases the body’s ability to maintain effort and quickly moves a person into the pain cave. This is why a person’s AT is often my priority when programming people. 


Comparing test #1 to Test #2 (point #2), there is a significant increase in her lactate threshold of 37 BPM. Raising the athletes LT will allow the athlete to compete at a faster pace for a longer period of time. 


For the general fitness client, an increase in AT/LT demonstrates a person’s ability to maintain moderately high intensity work for a sustained period of time. This will improve cardiovascular function, insulin sensitivity and increased ability to burn calories for the same perceived effort. 


Fitness Level & Heart Rate Recovery (HRR)

The VO2Max test results also will quantify a person’s fitness level. This is measured using two different methods. First is a person’s heart rate recovery (HRR). HRR is simply the difference between your post-workout and your pre-workout heart rate. For example, if a person started with a 100 BPM and finished with 200 BPM, the difference would be 100 BPM.  It  is well established that people with a recovery heart rate below 12 beats in the first minute (1) and less than a 50% decrease in the first two minutes have a low fitness level and increased chance of metabolic and cardiovascular diseases. Referring to #3 of the chart, the change in HRR was quite significant for both minute 1 and minute 2 during recovery. Her one minute recovery went from a 5% increase (+4 BPM) to 46% decrease (-48 BPM). Objectively speaking, her fitness level skyrocketed over the 12 week training block. 


While HRR is one method of measuring a person’s fitness level, it focuses more on cardiovascular disease risk, whereas VO2Max measures a person’s cardiovascular fitness and the ability to maintain a given exercise intensity. The lower the VO2 score, the slower you must go. Referring to #4 in the chart, the athlete increased their VO2 from 30.7 to 32.8 mL/(kg·min) or her fitness level increased from good to excellent. 


What is VO2Max?

VO2Max is a simple test, it just requires some sophisticated equipment and a person capable of interpreting the results. The athlete/client simply performs exercise of increasing intensity on the equipment of their choice. This is commonly done on a treadmill or bike, but can also be done on a rower or even in the pool. Heck, theoretically, you could even just do burpees. During the test the amount of oxygen used during a given level of effort is measured until the person is no longer able to consume any more oxygen. This is called the VO2Max. 


VO2Max is a very important measurement for fitness clients as well as athletes. There is a direct correlation to a person’s risk of cardiovascular disease and death. the most fit men and women had 43% and 53% lower risk for all-cause mortality, and 47% and 70% lower risk of CVD mortality, respectively (2).


The chart below provides the VO2Max ranges for different fitness levels.

By Aaron Volkoff March 31, 2026
THE BIOLOGY OF ADAPTATION Why the body only gets better after it is stressed, recovered, and repeated
By Aaron Volkoff March 3, 2026
The Biology of Recovery: What Actually Heals Between Workouts (Neuroendocrine, Immune, Sleep, Mitochondria) Introduction: Training Is The Stress, Recovery Is The Adaptation Most people think muscle grows in the weight room. It does not. It is broken down in the weight room. The work you do in the weight room, on the track, or in practice is a controlled stress that temporarily makes you weaker, not stronger. During and immediately after a hard session, you have more tissue damage, more inflammation, more fatigue, and less performance than when you started. The real magic happens in the hours and days between workouts. That window between sessions is when the body decides whether to adapt, stay the same, or start to break down. To understand what actually heals between workouts, we have to zoom out from just the muscle and look at the systems that mediate recovery. The neuroendocrine system determines which hormones are released and when. The immune system cleans up damaged tissue and directs repair. Sleep provides the environment where these signals can operate at full power. Mitochondria, the “powerhouses” of the cell, supply the energy and quality control needed for long-term adaptation. Key point: A training program is not just sets and reps. It is a conversation between stress and recovery. The outcome of that conversation—growth or burnout—depends on how well these systems work together between workouts. What Training Does To The Body: Controlled Damage And Disruption Whether you are lifting heavy, sprinting, or doing long intervals, hard training creates similar categories of disruption: Mechanical stress Metabolic stress Neural and hormonal stress Mechanical stress refers to the micro-tears and structural strain on muscle fibers, tendons, and connective tissue. Strength training in particular produces damage within muscle. This is what leads to delayed onset muscle soreness (DOMS) 24–72 hours after a tough session and is part of the normal remodeling process when managed correctly. Metabolic stress comes from the buildup of byproducts such as hydrogen ions, carbon dioxide, and other waste molecules created when muscles burn through ATP during exercise. High-intensity work increases reliance on anaerobic pathways, producing more metabolic byproducts that must be cleared by the liver, kidneys, lungs, and skin. Neural and hormonal stress shows up through activation of the sympathetic nervous system (the “fight or flight” branch) and the release of stress hormones like epinephrine and cortisol. These signals are useful during exercise, helping mobilize fuel and increase heart rate, but they represent a short-term disruption in homeostasis. At the moment, all of this is necessary. Your body is supposed to be out of balance during a hard session. Recovery is the process of bringing the system back toward balance—and, if you provide enough resources and not too much stress, to a slightly higher level of capacity than before. The Neuroendocrine System: Turning Stress Into Growth The neuroendocrine system—the combined action of the nervous and endocrine systems—is the control center that translates training into hormonal signals. Acute Response: Fight, Fuel, And Focus During a hard workout, the sympathetic nervous system ramps up. Neurons release neurotransmitters like norepinephrine at nerve endings, while the adrenal glands release epinephrine and cortisol into the bloodstream. Epinephrine and norepinephrine increase heart rate, blood pressure, and energy availability. Cortisol helps mobilize glucose and fatty acids, making energy available to working muscles. These stress hormones are not “bad.” In the acute setting, they are essential for performance. The problem arises when the stress signal never shuts off. That is where recovery comes in. Transition To Recovery: Shifting From Breakdown To Rebuilding After the workout, if you stop moving, refuel, and allow the body to down-regulate, the neuroendocrine system begins to shift gears. Sympathetic activity decreases, parasympathetic (“rest and digest”) activity increases. Cortisol levels gradually fall back toward baseline instead of staying elevated all day. Anabolic hormones such as growth hormone (GH), testosterone, and insulin start to play a larger role, particularly after sleep and feeding. Growth hormone, released in pulses from the pituitary gland, supports tissue repair, fat metabolism, and collagen synthesis. Insulin and IGF-1, especially after a mixed meal with protein and carbohydrates, help move amino acids and glucose into muscle cells, where they can be used for protein synthesis and glycogen restoration. On a molecular level, pathways like mTOR become more active when energy and amino acids are available. mTOR drives muscle protein synthesis and growth, while pathways like AMPK, activated more during energy stress, support mitochondrial adaptations and fuel utilization. Key point: You cannot separate “hormones” from “recovery.” The pattern of hormones before, during, and especially after training determines whether the body gets a “break down more” or a “build back stronger” message. The Immune System: Cleanup Crew And Construction Team When you lift heavy, sprint, or play a high-intensity game, you are not just fatiguing muscles—you are creating micro-injuries throughout the tissue. The immune system is responsible for cleaning up that damage and coordinating repair. Inflammation: Not The Villain After tissue is stressed, immune cells move into the area and create a localized inflammatory response. This includes swelling, increased blood flow, and the release of signaling molecules called cytokines. Inflammation has two key roles in recovery: Removing damaged cells and debris. Signaling satellite cells and other repair mechanisms to start rebuilding. This is why some soreness and stiffness after a new or hard training block is normal. It is evidence that your immune system is doing its job. Problems arise when the “repair project” never finishes—either because the stress keeps coming with no break, or because other systems (nutrition, sleep, neuroendocrine) are not providing the resources to complete the job. When Recovery Goes Wrong: Chronic Inflammation If training volume is too high, rest is inadequate, or lifestyle stress is stacked on top of exercise stress, the immune system can remain in a chronically activated state. Instead of short-term, targeted inflammation around specific tissues, you start to see more systemic inflammation and elevated stress hormones. This chronic, low-grade inflammatory state is associated with: Slower tissue repair More frequent illnesses Joint and tendon pain that never quite resolves Reduced mitochondrial function over time Mitochondrial dysfunction and chronic inflammation often feed each other. Damaged mitochondria can leak signals that trigger immune pathways, while ongoing inflammation can further damage mitochondria. Key point: The immune system is not just about fighting colds. It is the construction crew that rebuilds your tissue between workouts. For that crew to work, it needs time off from constant demolition. Mitochondria: Powering The Repair Process Every aspect of recovery—building new proteins, pumping ions to restore membrane potentials, running immune responses, even consolidating memories during sleep—requires energy. That energy comes in the form of ATP, and mitochondria are where most of that ATP is made. Mitochondria Do More Than Make Energy Mitochondria are organelles found in almost every cell except red blood cells. Their primary role is to convert the energy from food into ATP through processes like glycolysis, the Krebs cycle, and the electron transport chain. Beyond ATP production, mitochondria: Help regulate calcium levels in cells Influence cell death and survival Produce heat Participate in hormone synthesis, including stress and sex hormones. Because of these roles, mitochondrial health directly affects how quickly you recover, how much fatigue you experience, and how well your body adapts over time. Repairing The Powerhouses: Mitophagy And Biogenesis Hard training and normal metabolism generate reactive oxygen species (ROS), which can damage mitochondrial structures over time. The body has a quality control system called mitophagy—essentially mitochondrial recycling—that identifies and removes damaged mitochondria so new, more efficient ones can be formed. Certain conditions make this quality control and rebuilding process more effective: Regular exercise, especially aerobic and interval work, signals the body to create more and better mitochondria. Periods of energy stress, like fasting or simply not over-eating, can stimulate mitophagy. Adequate sleep allows mitochondria to repair oxidative damage and restore function. On the other hand, chronic overnutrition, poor sleep, and a sedentary lifestyle slow mitophagy and allow damaged mitochondria to accumulate, leading to less efficient energy production and more fatigue. Key point: You do not just recover muscles between workouts—you also recover mitochondria. Training provides the stimulus to improve them, and recovery provides the conditions to actually do the work. Sleep: The Master Recovery Environment If training is the spark and hormones and mitochondria are the tools, sleep is the workshop where almost all of the heavy repair work happens. Quality sleep is one of the most powerful, and most underrated, performance enhancers available. What Happens During Sleep? During deep non-REM sleep, several key processes related to recovery take place: Growth hormone pulses: GH release peaks shortly after you fall asleep and during early deep sleep cycles. This hormone supports protein synthesis, tissue repair, and fat metabolism. Neuroendocrine reset: Cortisol tends to be lower at night, then slowly rises toward morning. When sleep is disrupted or cut short, cortisol patterns shift, which can impair recovery, mood, and glucose regulation. Immune recalibration: Sleep helps the immune system coordinate inflammatory and anti-inflammatory responses. Poor sleep is associated with higher baseline inflammation and increased illness risk. Mitochondrial repair: Deep sleep provides a low-stress environment where mitochondria can repair oxidative damage and restore their ability to produce ATP effectively. Sleep restriction has been shown to reduce mitochondrial respiration in muscle, which directly translates to reduced performance and recovery capacity. In simple terms, sleep is when your body runs its software updates, takes out the cellular trash, and rebuilds hardware. If you consistently cut that process short, you will eventually pay for it in the form of slower recovery, stalled progress, and higher risk of injury or illness. Sleep And The Athlete “Recovery Budget” For athletes and active individuals, sleep is part of the recovery budget alongside nutrition, hydration, and rest days. If an athlete increases training load but does not increase sleep—or worse, reduces sleep—something has to give. Usually, that “something” is performance, immune resilience, or mental health. Key point: You can think of each night of sleep as a recovery session. Missing or shortening those sessions is the same as skipping rehab or treatment—you may not notice it immediately, but over weeks and months it changes the trajectory of your progress. Putting It All Together: How Systems Cooperate Recovery is not one system working in isolation. It is a coordinated effort: Training creates mechanical, metabolic, and neural stress. The neuroendocrine system responds acutely with stress hormones, then, if given the chance, shifts toward anabolic and repair-supporting hormones. The immune system cleans damaged tissue and initiates rebuilding. Mitochondria provide the energy and adapt to future demands by improving their number and function. Sleep ties it together by providing the environment for hormonal pulses, immune coordination, and mitochondrial repair. When these systems are in balance—with appropriate training stress, adequate sleep, supportive nutrition, and reasonable life stress—the result is positive adaptation: more strength, better endurance, improved resilience. When they are out of balance—too much stress, not enough recovery—the same systems that should help you adapt instead drive fatigue, illness, and plateau. Key point: What actually heals you between workouts is not a single supplement, tool, or gadget. It is the coordinated work of your neuroendocrine system, immune system, mitochondria, and sleep. Training is the signal. Recovery determines how well you can listen to it.
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