Glossary
Definitions of terms used on this site. References for sourced definitions are listed at the end of the page.
Visual guide
Read mL / kg / min in three parts
mL
Volume of oxygen
kg
Per kilogram of body mass
min
Per minute
VO₂Max is the maximum rate at which you can use oxygen, expressed in this unit.
- VO₂Max (maximal oxygen uptake)
- The maximum amount of oxygen the body can take in per minute during exercise. Expressed per kilogram of body weight in mL/kg/min, it is a measure of cardiorespiratory fitness. See “What is VO₂Max?” for more. Related page
- VO₂peak (peak oxygen uptake)
- The highest oxygen uptake observed during the exercise test actually performed. Like the strict maximum (VO₂Max), it is considered a strong predictor of mortality and disease incidence (Japan’s MHLW, 2023).
- Cardiorespiratory fitness
- The ability to sustain exercise. MHLW uses peak oxygen uptake per kilogram of body weight (VO₂peak/kg) as an indicator.
- METs (metabolic equivalents)
- A unit of physical activity intensity. Fitness values or reference values expressed in METs can be multiplied by 3.5 to convert to oxygen uptake (mL/kg/min). Converting an activity’s MET value does not give an individual’s peak oxygen uptake. One study describes a 1-MET difference in fitness as equivalent to about 1 km/h in running speed (Kodama et al., 2009).
- Reference values (Japan’s MHLW, 2023)
- Cardiorespiratory fitness levels expected to reduce risks of lifestyle-related and other diseases and associated mortality, provided by sex and age. They do not determine an individual’s health or future disease. See the age-based reference tables. Related page
- Maximum heart rate
- The highest heart rate reached during exercise. Direct measurement is the most reliable way to determine it, but equations can estimate it from age. This site uses 208 − 0.7 × age (Tanaka et al., 2001).
- Resting heart rate
- Heart rate when resting calmly. An equation estimates VO₂Max using the ratio of maximum to resting heart rate (Uth et al., 2004). Related page
- Moderate and vigorous intensity
- MHLW recommends moderate-to-vigorous exercise to improve cardiorespiratory fitness. To balance safety and benefit, it gives guidance of about 50–75% of peak oxygen uptake, or a perceived effort of “somewhat hard.” This range is not a boundary separating moderate from vigorous intensity.
- Perceived exertion
- Exercise intensity described by how it feels to the person, such as “easy,” “somewhat hard” or “hard.” People taking medication that affects heart rate use this as a guide instead of heart rate (MHLW, 2023, INFORMATION 4).
- HIIT (high-intensity interval training)
- Repeated bouts of near-maximal exercise alternating with rest or light exercise. This is distinguished from sprint interval training (SIT), which uses brief all-out efforts above the exercise intensity that elicits VO₂Max (MacInnis & Gibala, 2017). Related page
- Interval walking
- Walking that alternates three minutes of brisk walking with three minutes of slow walking. In a five-month study of men and women averaging 63 years old, fitness improved more than with continuous moderate-intensity walking. Individual results are not guaranteed (Nemoto et al., 2007). Related page
- Randomized controlled trial (RCT)
- A study that randomly allocates participants to groups, like drawing lots, to compare the effects of different approaches. It is suited to investigating cause and effect.
- Cohort study
- A study that follows many people over years to investigate associations between a characteristic, such as VO₂Max, and subsequent disease or death. It finds associations rather than proving causation. Related page
- Meta-analysis
- A method that statistically combines results from multiple studies addressing the same question into a single estimate.
- Estimate
- A value calculated by an equation or device rather than measured directly. Smartwatch VO₂Max values and this site’s tool results are estimates, with errors for individual users. They are not diagnoses. Related page
Visual guide
Different studies answer different questions
Randomized controlled trial
Assign at random → compare methods
Investigates effects, such as those of exercise.
Cohort study
Measure characteristics → follow up
Investigates associations between characteristics such as fitness and health.
Meta-analysis
Multiple studies → combine findings
Also check the designs of the included studies.
Your next step
Turn understanding into your next step
If you do not exercise regularly, begin with light exercise for a short time. See the steps for a manageable start.
See how to start exercisingSources
- Japan's Ministry of Health, Labour and Welfare: Physical Activity and Exercise Guide for Health Promotion 2023, INFORMATION 6, Cardiorespiratory fitness (peak oxygen uptake). (in Japanese; title translated) https://www.mhlw.go.jp/content/001195874.pdf
- Japan's Ministry of Health, Labour and Welfare: Physical Activity and Exercise Guide for Health Promotion 2023, INFORMATION 4, Points for safe physical activity and exercise. (in Japanese; title translated) https://www.mhlw.go.jp/content/001195872.pdf
- Kodama S, Saito K, Tanaka S, et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. JAMA. 2009;301(19):2024-2035. https://doi.org/10.1001/jama.2009.681
- Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153-156. https://doi.org/10.1016/S0735-1097(00)01054-8
- Uth N, Sørensen H, Overgaard K, Pedersen PK. Estimation of VO2max from the ratio between HRmax and HRrest – the Heart Rate Ratio Method. Eur J Appl Physiol. 2004;91(1):111-115. https://doi.org/10.1007/s00421-003-0988-y
- MacInnis MJ, Gibala MJ. Physiological adaptations to interval training and the role of exercise intensity. J Physiol. 2017;595(9):2915-2930. https://doi.org/10.1113/JP273196
- Nemoto K, Gen-no H, Masuki S, Okazaki K, Nose H. Effects of high-intensity interval walking training on physical fitness and blood pressure in middle-aged and older people. Mayo Clin Proc. 2007;82(7):803-811. https://doi.org/10.4065/82.7.803
No specialist review; sources providedContent last checked: Editorial policy