What other cardiorespiratory efficiency measure can be estimated by the ventilatory threshold?

Athletic Performance: How Fit Are You?

A VO2 max test is a maximal exercise test performed on a treadmill or bike while connected to a machine capable of analyzing your expired air. Your test provides data on how much oxygen you use as you exercise and determines the maximal oxygen you can consume during exercise. This is a gold-standard measurement of endurance.

Along with VO2 max, your ventilatory threshold is also measured from your expired air. We are able to use this information to further analyze your fitness level. This threshold is the exercise intensity that your muscles are fatiguing from lactic acid buildup and the intensity you cannot maintain for long. Essentially, this is just above the level at which you train. With training, your ventilatory threshold will increase and get closer to your VO2 max.

Other testing information useful for an athlete in training includes peak heart rate achieved.

Benefits of VO2 max testing:

• Accurate measurement of current fitness
• Ability to design a more effective training program
• Evaluation of effectiveness of training programs
• Prediction of maximal steady-state running speed or cycling wattage

Clinics and Care Specialty Services

Learn how you can prevent running injuries and optimize performance. 

Resting Metabolic Rate Analysis

A resting metabolic rate (RMR) test is a noninvasive, highly accurate way of determining daily calories needed to maintain your current body mass.

It can be challenging for active individuals to maintain or gain muscle, especially while training for an athletic competition.
Measuring RMR is a beneficial first step to determine how many calories you need to maintain your current weight and muscle mass or even gain muscle.

Staff members will be able to provide you with healthy nutritional guidelines for athletes and active individuals.

Body Composition Analysis: How Lean Are You?

You may benefit from a general analysis of your current percent body fat to indicate how lean you are due to muscle mass. Body weight alone is not an accurate way to determine your body composition. We use noninvasive techniques, including skinfold calipers, bioelectrical impedance analysis and tape measure circumferences, to determine your body fat percentage. 

Cost of Exercise Testing

Exercise testing is not covered by insurance. You can expect the following out-of-pocket expenses for testing. 

• VO2 max test: $100
• Resting metabolic rate test: $75
• Body composition analysis: $30
• Package for all three assessments: $175

While there are numerous methods for evaluating aerobic capacity, in most instances treadmill walking/running is appropriate for the majority of individuals. Normative data correlates time on the treadmill with aerobic fitness. V̇O2 is an index of the body’s efficiency at producing work. It is expressed in milliliters of oxygen consumed per minute, and adjusted for body weight in kilograms: ml/kg/min. There are many factors that can influence V̇O2max, e.g. heredity, training, age, gender, and body composition. Generally, V̇O2max declines with age (about 2% per year after age 30) and males typically have a greater oxygen consumption value than females. Nevertheless, the trend is that a higher V̇O2 max allows one to produce more energy, thereby performing more work. With this in mind, V̇O2 max is the "gold standard" measure of overall fitness.

Aerobic fitness is assessed by having the subject perform exercise at increased loads, for 12 to 15 minutes, while breathing into a mouthpiece which collects information on inspired and expired air. A treadmill, personal bike on a Computrainer, or a stationary bicycle are typically used. The test starts with an easy-moderate work load which is maintained for a 1-2 minutes. The load is increased gradually every 1-2 minutes until reaching the maximum level that the subject can tolerate and/or until physiological parameters such as heart rate, oxygen consumption, f... have hit a peak or plateau. This is done by increasing the cycling resistance or the speed and/or grade of the treadmill. The oxygen uptake, heart rate, speed and/or watts are measured at the ventilatory threshold and at maximal load, the latter would be the subject's V̇O2 max.

V̇O2 max values cannot be used in every day training, but follow-up V̇O2 tests can be used as a measure of progress. However, since heart rate, speed and/or power is typically measured during a V̇O2 max test, various heart rate, speed and/or power levels can be garnered from testing and then associated to appropriate training zones, which are then applied to everyday training. Other information such as V̇O2 economy (oxygen consumption values at a given heart rate or power output) can also be extracted from the data, compared to subsequent tests and against performance norms.

Training results in an increase in the efficiency of oxygen transport within the body. By lowering the resting heart rate (HR), and the HR at sub maximal loads, the heart pumps more blood with every heart beat. This, in addition to other physiological changes, increases the oxygen extraction capability. When an individual is tested before and after training while performing exercise at the same load, a lower HR is shown after training because more blood (thus, oxygen) is delivered in each heart beat. Such HR differences during exercise can be used to predict aerobic fitness.   The % of increase in V̇O2 max is dependent on many variables and differs considerably from individual to individual, ranging from 5-30%. In general, individuals who are the least fit see the largest changes and individuals who are highly fit see the smallest changes.

Significant amounts of research and public health data indicate that low aerobic fitness levels are correlated with an increased risk of premature death from many causes but in particular from cardiovascular disease. Accordingly, higher aerobic fitness levels are associated with numerous health benefits e.g. longer lifespan, better quality of life, reduced risks for stroke, heart disease, diabetes and cancer, improved mood and self-esteem, and improved sleep patterns. To improve or maintain cardiovascular health an individual must engage in cardiovascular exercise (run, walk, swim, bike, etc...) at least 3 times per week. Currently, however, public health data indicates that only 22-25% of Americans exercise regularly enough to achieve these positive health benefits.

V̇O2 max is also a predictor of performance, although its correlation to athletic success in endurance sports is only 30-40%, with other factors such as sustainable lactate threshold, motivation, training, etc... also playing a role. In general, however the higher a V̇O2 max the more potential for a successful performance in an aerobic endurance event.

What does ventilatory threshold tell us?

Does VO2 max measure cardiorespiratory fitness?

What is the ventilatory equivalent method?

What is ventilatory anaerobic threshold?