What percentile is a VO2 max (maximal oxygen uptake) of 53.8 for a 45-year-old male?

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From the Guidelines

A VO2 max of 53.8 ml/kg/min for a 45-year-old man places him approximately in the 90th to 95th percentile, which is considered excellent to superior cardiovascular fitness for his age. This means he has better aerobic capacity than about 90-95% of men his age. For context, the average VO2 max for men in their mid-40s typically falls around 35-40 ml/kg/min 1. This high VO2 max indicates exceptional oxygen utilization efficiency during exercise, suggesting well-developed cardiovascular and respiratory systems. Such a high aerobic capacity is usually achieved through consistent endurance training over time. Some key points to consider:

  • VO2 max is affected by age, gender, conditioning status, and the presence of disease or medications that influence its components 1
  • Aerobic capacity typically declines an average of 10% per decade in nonathletic subjects, mediated by a decrease in stroke volume, maximal heart rate, blood flow to skeletal muscle, and skeletal muscle function 1
  • This level of fitness is associated with reduced risk of cardiovascular disease, better metabolic health, and potentially increased longevity. To maintain this excellent fitness level, continuing regular aerobic exercise (like running, cycling, or swimming) for at least 150 minutes per week at moderate to high intensity would be recommended 1.

From the Research

VO2 Max Percentile for a 45-year-old Man

  • A VO2 max of 53.8 for a 45-year-old man can be evaluated based on available studies, although none directly provide percentile rankings for this specific age and VO2 max value.
  • According to the study 2, the average VO2 max for male runners was 53.81 ± 6.67 mL·min-1·kg-1, with an average age of 36.24 years.
  • Given that the subject in question is 45 years old, which is older than the average age in the study 2, a direct comparison may not be entirely accurate.
  • However, considering the average VO2 max value for male runners in the study 2 is very close to the subject's VO2 max, it can be inferred that a VO2 max of 53.8 may be around the average value for male endurance athletes, but the exact percentile for a 45-year-old man cannot be determined from the provided studies.
  • The studies 3, 4, 5, and 6 discuss the importance of VO2 max as a predictor of health and fitness but do not provide specific percentile rankings for different age groups.
  • Only the study 2 provides data on VO2 max values for a large population of male endurance athletes, but it does not include percentile rankings for specific age groups like 45-year-old men.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Survival of the fittest: VO2max, a key predictor of longevity?

Frontiers in bioscience (Landmark edition), 2018

Research

Self-reported physical activity compared with maximal oxygen uptake in adults.

European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 2007

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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