What percentile is a VO2 (maximal oxygen uptake) max of 36.4 in a 47-year-old male?

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VO2 Max Percentile for 47-Year-Old Male with Value of 36.4 mL/kg/min

A VO2 max of 36.4 mL/kg/min in a 47-year-old male falls approximately at the 40th-50th percentile, representing below-average to average cardiovascular fitness for this age group. 1

Age-Specific Reference Values

The American Heart Association provides normative data showing that men aged 40-49 years have a mean VO2 max of 40 ± 7.2 mL/kg/min (approximately 11 METs), with the range extending from approximately 33 mL/kg/min at the lower end to 47 mL/kg/min at the upper end of normal distribution. 1

  • Your value of 36.4 mL/kg/min falls below the mean for this age group but within one standard deviation, placing it in the lower-middle range of normal fitness. 1

  • For context, men aged 30-39 years average 42 ± 7.0 mL/kg/min (12 METs), while those aged 50-59 years average 36 ± 7.1 mL/kg/min (10 METs), demonstrating the progressive age-related decline in aerobic capacity. 1

Fitness Classification Context

Based on the FRIEND Registry reference equation, which analyzed 7,783 healthy individuals aged 20-79 years, a VO2 max of 36.4 mL/kg/min in a 47-year-old male represents approximately 85-90% of predicted maximum for age, weight, and sex. 2

  • The Swedish working population data (n=263,374) using submaximal testing showed mean estimated VO2 max values of 36.9 mL/kg/min for men using the Åstrand-test and 42.4 mL/kg/min using the Ekblom-Bak test, suggesting your value aligns with the lower end of the general working population. 3

  • For comparison, aerobically trained males in this age range typically demonstrate VO2 max values of 50-58 mL/kg/min, while elite endurance athletes can exceed 65-68 mL/kg/min. 1, 4

Clinical Interpretation

This value indicates fair cardiovascular fitness with substantial room for improvement through regular aerobic exercise. 1

  • The value is well above the clinical threshold of concern: cardiopulmonary exercise testing guidelines classify peak VO2 ≥20 mL/kg/min as Ventilatory Class I (best prognosis), and your value of 36.4 mL/kg/min falls comfortably in this category. 1

  • However, it falls short of the 42 mL/kg/min (12 METs) standard recommended as minimum acceptable fitness for occupations with high physical demands, such as firefighting. 1

  • Age, exercise level, and BMI are the primary determinants of VO2 max, with exercise level explaining approximately 8-10% of variance and BMI explaining 23-29% of variance in population studies. 3

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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