The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
There's cardiac output, so that's heart rate and stroke volume.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
Then there's the oxygen carrying capacity of the blood, namely hemoglobin.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
And then there's the muscle's ability to extract this.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
But as I said a moment ago, it's the cardiac output that is the main driver here, and it is the one we are most sensitive to in reduction.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
So again, what drives cardiac output?
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
primarily is stroke volume, how much blood comes out of the heart with each pump, and heart rate.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
And of course, when you're at a VO2 max effort, you're getting to maximum heart rate.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
So somewhere between 70% and 85% of the variability in VO2 max is accounted for just by this one variable.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
In the show notes, we'll include a whole bunch more detail on this if anybody kind of wants to nerd out on this stuff.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
I love this stuff, but I don't want to spend any more time on it right here.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
So as I kind of alluded to, it's very tempting to, and I want to apologize if I've ever created the impression or oversimplified this, and it's possible that I have.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
Zone two is what you do exclusively to build your base and high intensity workouts is the only thing you do to build your peak.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
As I said, these systems work together.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
And if all you did was zone two, you would absolutely get a wider base.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
You would also raise your peak.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
Similarly, if you did higher intensity training, you would increase your peak, but you would also widen your base a little bit.
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
The key, as we'll get into in the nuance, is what is the optimized way to utilize time around different volume and intensity requirements?
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
So how much total work can you do?
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
How much cardiorespiratory fitness training can you do?
The Peter Attia Drive
#379 - AMA #79: A guide to cardiorespiratory training at any fitness level to improve healthspan, lifespan, and long-term independence
That's probably the single biggest determinant.