Peter Attia· MD
Compare this with the HR for having “above average” VO2 max (50th to 75th %-ile for sex/age) vs. having “low” VO2 max (<25th %-ile). Now compare this to the HR for having “elite” VO2 max to below average.
The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
Compare this with the HR for having “above average” VO2 max (50th to 75th %-ile for sex/age) vs. having “low” VO2 max (<25th %-ile). Now compare this to the HR for having “elite” VO2 max to below average.
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the other thing I think that argues in favor of sorry argues against the J curve is the v2x data that we just discussed correct which is an enormous cohort probably the largest cohort after the Copenhagen cohort and far more balanced in terms of the number of people in each group and has been repeated in other populations yeah and so so there you have to ask the question how is it that people in the top 2.3% of the population for v2 Max have the lowest mortality by a long shot if they're not training significantly
the relationship is monotonic and it does not Plateau so corre it's that's that's an important thing to to appreciate which is this is a more is better phenomenon
I share studies showing individuals with elite VO2 max had an 80% reduction in mortality risk compared to the lowest performers (they performed in the bottom 25% on the fitness test).
Elite athletes had an 80% decrease in mortality risk.
Meanwhile, elite-level athletes in the top 2.3% of VO2 max enjoy an 80% reduction in all-cause mortality compared to those at the low end
There's a really, I think, important paper that was published in JAMA in 2018 that showed there was an inverse relationship between VO2max and all-cause mortality with no apparent upper limit. And the elite performing athletes or the elite performers had a 80% reduction in all-cause mortality compared to the lowest performers with their VO2max.
there was a really important study published in Jama back in 2018 um that I just like to mention because it it kind of established that there was no upper limit to the mortality reduction of having a high cardiorespiratory Fitness
people that were in the elite group of VO2 max so this is we're talking like the top 2.1% those people had a 80% lower all cause mortality compared to people that were in the lower 20% or so V2 max