There’s also a walking version of this, Oura uses it to estimate vo2max

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Ok, got it, now where is the chart that says how long I’ll live?

Survival of the fittest? Peak oxygen uptake and all-cause mortality among older adults in Norway !

Conclusion

The Grim Reaper typically targets individuals with VO2peak levels <26.5 mL/kg/min/ and <22.2 mL/kg/min when chasing male and female souls aged 70–77 years, respectively, reflecting his penchant for limited CRF. These data underscore the importance of maintaining or enhancing CRF throughout life, providing clear targets for clinicians in assessing patient CRF levels.

Discussion

To our knowledge, this is the first study to quantify the VO2peak levels that older men and women should strive to reach to reduce risk of facing Death, which is of clear importance for public health. The main findings among men and women 70–77 years of age at baseline were that: 1) compared to having a VO2peak < 85 % of the sex-specific average, a VO2peak ≥ 85 % lowers the risk of being caught by Death by 66 % in men and by 59 % in women, with no additional risk-reduction among those

Paper:

https://www.sciencedirect.com/science/article/abs/pii/S0033062024001695

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Survival of the fittest Peak oxygen uptake and all-cause mortality among older adults in Norway.pdf (2.1 MB)

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How difficult is it to find genes that increase VO2Max and see how that affects longevity?

Despite being a strong predictor of mortality, VO2max is not causally associated with T2D or longevity.

https://academic.oup.com/jcem/advance-article-abstract/doi/10.1210/clinem/dgae393/7691583?redirectedFrom=fulltext

It makes sense to me that it affects quality of life though. I don’t have any evidence for that. I’m not sure what to search for?

VO2 Max and Genetics

We’ve known for a while—since studies on identical twins in the 1970s—that some individuals naturally have a higher VO2 max because of their genetics. Researchers have found that VO2 max is more similar within related families, both on its own and even after training.

More recently, scientists have identified almost 100 genes related to VO2 max, and specifically related to VO2 max trainability (your ability to improve cardiorespiratory fitness). One genetic variant (rs6552828) located in the ACSL1gene is predictive of a person’s ability to improve their VO2 max through exercise. Researchers continue to study if this gene is a factor in the success of elite athletes.

Source:

Related:

Genetic Connection between Aerobic Fitness and Disease Is Not What You’d Expect

Gene variations associated with greater VO2 max also linked to biomarker for kidney function, diabetes and heart inflammation

New research examines the complex relationship between gene variants, cardiorespiratory fitness and the development of chronic disease. The study is published ahead of print in Physiological Genomics. It was chosen as an APSselect article for October.

“We discovered that genotypes associated with higher VO2 max were associated with a higher risk of disease.”

Researchers examined data from the Trøndelag Health Study (HUNT). HUNT is a long-term analysis of the population of the Norwegian county of Trøndelag. HUNT includes both questionnaire responses and clinical data. Its data can also be linked to hospital disease classification codes from local hospitals.

The researchers built on a previously published first-of-its-kind genome-wide association study that looked at a subset of HUNT participants who also took part in tests of their maximum oxygen consumption while exercising (VO2 max). VO2 max is a common measure of aerobic fitness, with higher values indicating a lower disease risk.

https://www.physiology.org/detail/news/2023/10/18/genetic-connection-between-aerobic-fitness-and-disease-is-not-what-you-d-expect

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Thank you, RapAdmin for posting this article. This is such an important finding. A lot of health and longevity research is confounded by genetic variants and environmental factors. Exercise is a great example. You may have greater exercise capacity genetically, and also need that exercise more, because that greater exercise capacity is also genetically linked with more disease vulnerability. You then get a bunch of folks who exercise and they are healthy because it fixes their disease vulnerability, while folks who don’t exercise and have that disease vulnerability fall sick. You then conclude that exercising is healthy. It is, but it works best exactly in the folks who need it most. If I own a car (disease vulnerability), I will benefit from buying insurance (exercising) compared to someone with a car (disease vulnerability), but no car insurance (not exrecising). But if I don’t own a car, I won’t benefit from buying car insurance. That’s how you get all those centenarians and supercentenarians who don’t do focused exercise, or even have contempt for exercise (like the recent news about a healthy 110 year old man 1*) yet who live long and often healthy lives.

The bottom line is that true longevity interventions must move in the direction of personalized medicine. Everyone is an individual, everyone has their own response to drugs, supplements, diet, exercise, lifestyle. Yes, there may be majorities or trends this way or that, with any response to interventions, but we remain unique individuals at the end of the day. An intervention X may work in 80%, 90%, 99% of the people, but someone must make up that remaining 20%, 10%, 1% and that may very well be you.

1* 110-year-old NJ man who lives on his own and drives daily offers tips on longevity

Some qoutes:

"He lives alone with no home aide or extra help, cooks simple food for himself, walks up and down his three-level house and drives “pretty good” daily with no issues.

He’s never had cancer, dementia or other major diseases and has no headaches or backaches.

But Dransfield, who was born in 1914, isn’t a health fanatic.

He smoked cigarettes for 20 years and worked his whole life from age 15 to his late 70s. He eats whatever he likes — including hamburgers, milk chocolate and Italian food, has an occasional beer, drinks coffee every day and is amused by people who run."

As, always, kids, it is better to be lucky than good.

That “not a health fanatic” guy has lived a longer life with smoking, beers, hamburgers, indifferent diet, no “exercise”, than likely (statistically) anyone reading this website will, who is a health fanatic and invests oodles of time, money and effort into diet, exercise, supplements, exotic drugs and exotic treatments.

So, should we keep doing what we’re doing? Yep, that’s what the statistics tell us, so we go with those 80% or whatever. Most of us can’t count on being the 1% or the 0.000000001%. At the same time, we must stay humble and acknowledge that it all comes down to your individual self, what is best for you, and the cards you were dealt.

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Seems its time to get out to do some cross-country skiing!

Hate that they just put “track and field running,” since that one category by itself almost spans the rest of the range here. I’m guessing there’s a large difference between the 100 and 200 m specialists vs the 10K guys.

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My VO2 max has a life of its own. Goes up and down (maybe within margin of error on Apple Watch) without any clear correlation to other activity. I do Norwegian HIITs 3 times a week, zone 2 cardio etc etc
Same with HRV. Very variable.
Im with Inside Tracker and their ‘pro tip’ today was to reduce creatine to increase VO2 max. Hadnt heard that. Have been taking 5g of Creatine for years.
Anyone noticed blunting of VO2 due to creatine?

I thought you liked working out.

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Hahaha - noooo! I do not like working out. The best part of the workout is the final set. And, knowing I do not have to go back for a whole day. Seriously!

That said - I do like the way I look, the anti-aging benefits and general strength and feeling healthy - so not going to the gym is really not an option. I also think the TRT definitely makes it easier.

I go religiously, 1 hour and 15 minutes - non-stop. But, I have been waiting for the day it kicks in that I look forward to it. Now going on 8 straight years of every other day not thinking that will happen.

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LOL, that me! I actually dislike exercising, but do it religiously, because I know it has health benefits. I always look forward to my days off from exercise, as it is only then that I feel fully alive - Wednesday, Saturday, Sunday, even though the off days are not 100% off, since I still do 45 minutes of brisk walking on those days.

And the best part of exercising is when it’s over, and I can take a shower. Too bad I don’t believe there’s ever going to be a pill that duplicates the effect of exercise 100%, because I’d be the biggest customer.

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The inestimable Dr. Greger comes through again, slashing away at sacred cows with no regard for the sanity of exercise worshippers like Peter Attia. Very hard to argue against the, at this point self-evident, conclusion that it’s the genes uber alles. And a good antidote to all the exercise fanatics of “the more the better”. My own view is that you obtain all health and longevity benefits from relatively modest exercise levels, levels that may seem shockingly low to exercise advocates. Doing more than that relatively low minimum might give some functional benefits, if, say, you simply enjoy challenging sports or recreational activities, but no further longevity benefits (though possible premature mortality benefits?). Doing a great deal more, well, you’re on your own there, in the club of those who are fans of extreme sports and activities and are willing to pay the price - to each their own.

Exercise as Medicine (Part 2)

I think Greger is dangerous and it is not helpful to listen to him at all even if he sometimes is correct.

For example, on calcium supplements he said that in the hundreds of mg calcium intake, bone loss was happening. He totally ignored the fact that the same graph showed a trend towards improvement in bone health at higher intake and didn’t mention this. The study also compares it with above 700 mg intake which he didn’t mention, instead made it sound like you’re safe above 400 mg.

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