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Lessons from history for VO2 max and the VO2 plateau, part 1, 1920 – 1961: original concepts were based on discontinuous exercise protocols
Journal article   Open access   Peer reviewed

Lessons from history for VO2 max and the VO2 plateau, part 1, 1920 – 1961: original concepts were based on discontinuous exercise protocols

Robert A Robergs, Bridgette O'Malley, Sam Torrens, Craig McNulty, Praneel Titheradge, Julien S. Baker, Todd A. Astorino, Simon Green and Marek Nalos
Frontiers in Physiology, Vol.16, pp.1-16
2025
PMID: 41425163
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Published VersionCC BY V4.0 Open Access

Abstract

cycling dogma incremental exercise oxygen consumption research methodology running
Purpose: The maximal rate of oxygen uptake (VO2max) has an early history (1920–1961) based on discontinuous incremental exercise protocols. Regardless, debate continues on many sub-topics and methodologies involved in this measure. There could be lessons to learn about the relevance, or not, of content within the accumulating knowledge of this topic if there is a detailed account of the research of this time-period. Methods: Manuscript references were retrieved from PubMed and Google Scholar for the targeted topics and time-period. Results: In 1923 and 1924, Hill proposed that during discontinuous incremental exercise bouts, there is eventually a levelling in VO2 despite increasing exercise intensity or sustained effort. Subsequent researchers in the 1950’s described this ‘levelling in ‘VO2’ observation as a plateau, which functioned to verify VO2max. However, when critiquing the data from studies with valid methodology, evidence of a VO2 plateau at or near VO2max was only seen in a subset of participants in 1924 (2 of 7), with added evidence in 1959 (2 of 4) and 1961 (4 of 5). Collectively, 50% of the subjects were unable to attain a VO2 plateau response at VO2max. Conclusion: Despite major limitations to the published research and data interpretations prior to 1961, such work led to the incorrect (not evidence-based) expectation that all participants should demonstrate a VO2 plateau at or near VO2max. The inter-connectedness of VO2max and the VO2 plateau concepts thereby became engrained into the pre-1970s, and perhaps later, epistemology of exercise physiology.

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