VO₂max is not the whole story.
I’ve been showing this slide for the last 15 years.
Same athlete, 2 years apart.
VO₂max? Essentially unchanged.
Performance? From average to one of the best.
What changed was lactate!.
VO₂max reflects cardiorespiratory adaptations to exercise, the size of the engine: heart, lungs, and oxygen delivery.
Lactate reflects how efficiently that engine runs: mitochondrial function, cellular metabolism, substrate utilization, and metabolic flexibility.
At the same workload, markedly lower lactate indicates greater mitochondrial efficiency and improved lactate clearance capacity. In other words, better metabolism.
In elite sport, we’ve known for decades that VO₂max does not discriminate among top performers. Many athletes share similar VO₂max values, yet those with superior mitochondrial function are the ones who win. That difference is metabolic efficiency, and we assess it through lactate testing, not VO₂max testing.
Suddenly VO₂max is being crowned as the gold standard for longevity. But metabolic health is one of the main focuses of longevity. If that is the case, the most meaningful marker should also be metabolic and Lactate provides a more precise window into mitochondrial function. Furthermore, unlike VO₂max, Lactate allows us to individualize and prescribe exercise with accuracy, something we’ve been doing with athletes for decades
#lactate #metabolichealth #longevity
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Honoured to be attending the AUSactive Leaders’ Forum at Parliament House, Canberra, uniting industry leaders to champion movement, innovation, and health for all Australians.
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Seeking individuals aged 60-69 for a study using the VentriJect Seismofit to estimate fitness levels without strenuous exercise.
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*Approved by Southern Cross University Research Ethics (HREC) (2024/107)*.
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