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.

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THE SYSTEMS OF LOCOMOTION NEUROMUSCULAR & MUSCULOSKELETAL SYSTEMS Human movement is a complex feat of the human body that requires a seamless interplay of the neuromuscular and musculoskeletal systems. These systems not only enable locomotion—from walking to jumping—but also maintain posture, regulate body temperature, and protect internal organs. Understanding their structure, function, and integration is key to appreciating how we move, train, and adapt. This article will attempt to provide examples of how the nervous, muscular and skeletal systems work together whether it is to crush our next race and keep us upright. THE NEUROMUSCULAR SYSTEM: WIRING & CONTROL OF MOVEMENT Movement in the human body depends on the close connection between 3 key systems, nervous, skeletal and muscular. These systems can also be grouped by function as the neuromuscular system and the musculoskeletal system. The neuromuscular system acts as the control center for movement, linking the brain and spinal cord (the central nervous system ) with the muscles throughout the body. It takes our thoughts and intentions—like deciding to stand up, pick something up, or walk—and turns them into actual physical actions. The central nervous system (CNS) , made up of the brain and spinal cord, is responsible for processing information and deciding how the body should respond. The peripheral nervous system (PNS) is made up of nerves that branch out from the spinal cord and travel throughout the body. These nerves carry messages back and forth between the CNS and the muscles. When you want to move, the brain sends signals through motor neurons to muscle fibers. Each motor neuron , along with the muscle fibers it controls, is called a motor unit . Small motor units (with fewer muscle fibers) are used for precise tasks, such as writing or typing, while large motor units (with many fibers) are used for strong, powerful movements like lifting heavy objects. Movement actually begins at a specialized connection called the neuromuscular junction (NMJ) . This is where the motor neuron meets the muscle fiber. When a signal reaches the end of the neuron, it releases a chemical called acetylcholine , which crosses the small gap and binds to receptors on the muscle. This causes the muscle to contract and produce movement. Without this chemical communication, the muscle wouldn’t know when to move. To keep the body balanced, coordinated, and controlled during movement, the neuromuscular system also relies on proprioception . This is the body’s internal sense of position and motion. Specialized receptors in muscles, tendons, and joints constantly send feedback to the brain about where different parts of the body are and how they’re moving. For example, when you walk on uneven ground or catch a ball, proprioception helps you make quick, accurate adjustments without needing to think about every detail. It plays a vital role in maintaining balance, preventing injury, and allowing smooth, efficient motion. Together, the neuromuscular system makes it possible for the body to respond quickly, move accurately, and perform both simple and complex tasks. It works hand-in-hand with the musculoskeletal system to make all types of human movement possible—from everyday activities to athletic performance. THE MUSCULOSKELETAL SYSTEM: STRUCTURE & SUPPORT While the neuromuscular system controls movement, the musculoskeletal system provides the structure and power to carry it out. This system includes bones , joints , muscles , and various connective tissues that work together to support the body, protect internal organs, and enable movement. The human body has 206 bones that make up the skeletal system . These bones form the body’s framework, giving it shape and structure. They also act as levers that muscles pull on to create movement. Bones do more than just support the body—they protect vital organs like the brain, heart, and lungs. Where two bones meet, joints allow for flexibility and motion. Some joints, like those in the skull, don’t move at all, while others, like the shoulder or knee, allow a wide range of movement. Attached to these bones are the skeletal muscles , which are responsible for voluntary movement—meaning we can control them. These muscles appear striated (striped) under a microscope and are connected to bones by tough cords called tendons . When a skeletal muscle contracts , it pulls on the bone to create movement. These muscles also help maintain posture and allow us to hold our body upright against gravity. Tendons play a critical role by transmitting the force generated by the muscle directly to the bone. Other connective tissues within and around the muscle help organize muscle fibers, keep everything in place, and provide extra support during movement. These tissues help muscles work more efficiently and protect them from injury. Muscles usually work in pairs known as antagonistic pairs . When one muscle (the agonist ) contracts to move a joint, the opposite muscle (the antagonist ) must relax to allow the movement to happen. For example, when you bend your elbow, your biceps contract while your triceps relax. There are also synergist muscles that assist the main movers and stabilizers that keep the body steady during movement. For example, the quadriceps are the primary knee extensors, but the adductors also help extend the knee, albeit, weakly. Beyond movement, the musculoskeletal system serves other important purposes. Muscles generate heat , which helps maintain the body’s core temperature—a process called thermoregulation . Bones also act as storage sites for important minerals like calcium and phosphorus. Inside certain bones, bone marrow produces blood cells, which are essential for oxygen transport, immunity, and clotting. The musculoskeletal system not only allows us to move but also keeps our body strong, supported, and functioning properly. Working closely with the neuromuscular system, it makes all forms of locomotion—from walking to sprinting—possible. THE MUSCULOSKELETAL SYSTEM INTEGRATION: HOW THE SYSTEMS WORK TOGETHER Movement happens through a constant, dynamic connection between the neuromuscular and musculoskeletal systems . These systems work together every time we perform even the smallest motion. It begins with initiation , when the brain sends a message through motor neurons to the appropriate skeletal muscles . This electrical signal travels from the central nervous system through the peripheral nerves to reach its target. Next comes execution . At the neuromuscular junction (NMJ) —the connection between a nerve and a muscle fiber— neurotransmitters like acetylcholine are released. These chemicals trigger the muscle fibers to contract , pulling on bones and creating movement at the joints . During movement, the body also relies on coordination and feedback . Specialized sensors in muscles, tendons, and joints send information back to the brain about body position and motion. This sense, called proprioception , helps the central nervous system (CNS) make quick adjustments to keep movements smooth, balanced, and accurate. With repeated use and training, both systems show adaptation . Muscles become stronger , bones become more dense , and the nervous system becomes better at recruiting the right muscles efficiently. This is how skill, strength, and control improve over time. A SPORT SPECIFIC EXAMPLE: THE SPEAR THROW A real life example of how the neuromuscular and musculoskeletal systems work together is the spear throw in a Spartan Race . For those that have done it, this obstacle is much more than simply throwing a brook handle at a target—it’s a test of accuracy, coordination, power, balance , timing , and mental acuity under stress all of which rely on the smooth integration of the mind body connection. It starts with initiation , as the athlete decides to throw. The brain quickly sends a signal through motor neurons to activate the muscles involved, including those in the shoulders, arms, core, and legs . These muscles prepare the body for the throw by generating tension and positioning the body correctly. Then comes the throw . At the neuromuscular junction , neurotransmitters like acetylcholine trigger the muscle fibers to contract in a coordinated sequence. The rotator cuff , deltoids , triceps , latissimus dorsi , and core muscles all work together to launch the spear. These contractions pull on bones, moving joints and creating a smooth, explosive throwing motion. The lower body , including the glutes and quadriceps , also plays a role, driving power from the ground up to support the upper body during the release. Throughout the movement, the athlete’s proprioceptive system —sensors in muscles and joints—sends constant feedback to the brain. This feedback helps the body adjust mid-throw for balance, aim , and timing . For example, if the arm angle is off or the step is too short, the brain can make split-second corrections. With repetition and training , the body adapts. The nervous system becomes better at coordinating muscle groups, the muscles involved become stronger and more explosive, and movement becomes more efficient and accurate . This is why experienced athletes are often able to make the spear throw look easier—even under fatigue. In high-stress settings like a Spartan Race, this blend of mental focus, precise motor control, muscular strength, and joint mobility shows how the neuromuscular and musculoskeletal systems must perform in unison for successful athletic performance.[1][4][9]. THE SPEAR THROW STEP BY STEP Visual Recognition (Afferent Pathway): Motor Planning and Command. Signal Transmission to Muscles (Efferent Pathway): Muscle Activation and Movement Execution: Feedback and Adjustment: THE COST OF INACTIVITY: WHAT HAPPENS WHEN WE DON’T MOVE While the neuromuscular and musculoskeletal systems are designed for movement, inactivity can cause these systems to weaken and break down over time. A sedentary lifestyle—especially one that involves long hours of sitting—can have serious effects on the body’s ability to move efficiently, stay balanced, and remain strong. When we sit for long periods, especially without breaks, the muscles of the core, hips, and lower body begin to weaken. Over time, this leads to poor posture, tight hip flexors, and imbalances between muscle groups. As these muscles weaken, they stop providing proper support for the spine and pelvis, increasing the risk of back pain and joint issues. The neuromuscular system also becomes less responsive, as the brain receives fewer signals from underused muscles and joints. This leads to slower reaction times and reduced coordination. Poor balance is another consequence of inactivity. Without regular movement and challenge to the body’s proprioceptive system (its ability to sense body position and make corrections), our stability declines. This is especially dangerous with aging, where poor balance and weakened muscles increase the risk of falls and injuries. Balance and coordination rely heavily on the nervous system’s ability to process sensory feedback and adjust muscle activation in real time—skills that can fade without regular use. In addition, the musculoskeletal system depends on strength training and weight-bearing activity to stay healthy. When muscles aren’t regularly challenged, they shrink (a process called atrophy), and bones begin to lose density. This makes them more fragile and increases the risk of conditions like osteoporosis. Without resistance training, the body fails to maintain the mechanical stress needed to stimulate bone growth and repair. As a result, both muscle and bone strength decline, making everyday movements harder and increasing the chance of injury. In short, regular movement is essential for keeping the neuromuscular and musculoskeletal systems strong and responsive. Without it, the body loses the very abilities it was built for—movement, strength, balance, and resilience. THE SYSTEMS OF LOCOMOTION: CONCLUSION Human movement is made possible by the combined efforts of the neuromuscular and musculoskeletal systems. The neuromuscular system acts as the body’s control center, translating brain signals into muscle contractions via motor neurons and neuromuscular junctions. It also uses proprioception—our sense of body position and motion—to maintain balance and coordination. The musculoskeletal system , made up of bones, joints, muscles, tendons, and connective tissues, provides the structure, power, and leverage needed for movement, posture, and protection of internal organs. These systems are deeply integrated: brain signals travel through nerves to activate muscles, which then contract and pull on bones to create movement. Feedback from joints and muscles allows the nervous system to fine-tune motion in real time. Repeated use and training lead to physical and neurological adaptations such as improved strength, coordination, and efficiency. A sport-specific example—the Spartan Race spear throw —demonstrates how mental focus, motor planning, muscle activation, and proprioception all come together for powerful, accurate movement. In contrast, inactivity weakens both systems. Prolonged sitting or sedentary habits lead to muscle atrophy, reduced bone density, poor posture, and diminished proprioception, increasing the risk of injury and loss of balance, especially with age.  Understanding how these systems work together emphasizes the importance of regular, varied movement to maintain strength, coordination, and overall health. SOURCES: [1] https://www.spartan.com/blogs/unbreakable-training/spartan-spear-throw [2] https://www.youtube.com/watch?v=2g3HoH84HZg [3] https://www.reddit.com/r/spartanrace/comments/8oeax9/spear_throwing_tips/ [4] https://race.spartan.com/en/life/training/four-tips-to-smash-the-spear-throw [5] https://www.youtube.com/watch?v=LFlClc4uwd8 [6] http://www.joewalker.co.uk/javelin_biomechanics.pdf [7] https://www.youtube.com/watch?v=PQ6f-ROeexI [8] https://coachesinsider.com/track-x-country/dynamics-in-javelin-throwing/ [9] https://uk.spartan.com/en/life/training/four-tips-to-smash-the-spear-throw [10] https://pubmed.ncbi.nlm.nih.gov/15763675/
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The human body is a fascinating machine, composed of trillions of cells, hundreds of organs, and nearly a dozen organ systems, all working together in a magical dance to keep you upright and moving. Organ systems are groups of organs that interact to provide the body’s primary functions. For example the digestive system includes not only the stomach and intestines but other organs such as the liver, gallbladder and pancreas which are also part of the endocrine system. Each of these systems is highly complex, and the interactions between them are even more intricate. The interactions between systems become even more complex when we move beyond the normal range of functioning. Whether due to exercise, illness, or poor lifestyle choices, the body engages in remarkable processes just to keep us going. This process of returning the body to a normal state is referred to as homeostasis. The human body consists of eleven primary organ systems, each with specific roles that contribute to our survival and well-being. These systems include the integumentary, muscular, skeletal, cardiovascular, respiratory, nervous, digestive, urinary, endocrine, lymphatic, reproductive, and integumentary systems. Oftentimes, for teaching purposes we present these systems as discrete. Such as the muscular or the skeletal systems. While this does make sense for teaching purposes, it is not the way the body’s organ systems interact.
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