VO2 Max Chart by Age and Sex (Apple Watch Cardio Fitness Levels)

By Jack Wallner. Last updated .

VO2 max is a cardio fitness measure, in mL/kg/min, that labs test from oxygen use during a maximal treadmill test. Lab-measured VO2 max falls with age and differs by sex: the median is about 48 mL/kg/min for men and 38 for women in their twenties, dropping to about 24 and 18 in their seventies. Apple Watch shows an estimate (14 to 65 mL/kg/min) and compares it with people of your age and sex. Apple flags a result as low when it is in the bottom fifth for your sex and decade of age, or below 18 (men) or 15 (women) from age 60.

What is the average VO2 max by age and sex?

The median falls from about 48 mL/kg/min for men and 38 for women in their twenties to about 24 and 18 in their seventies. These are percentiles of lab-measured VO2 max (mL/kg/min) from the Fitness Registry and the Importance of Exercise National Database (FRIEND). The 2015 reference standards are built from 7,783 maximal treadmill tests, with oxygen use measured directly, on adults aged 20 to 79 without known cardiovascular disease. Apple cites this same registry when it describes how Apple Watch judges a low result. Read your row by age, then find where your number lands between the columns. The 50th percentile means half of the tested group scored lower.

Men

Age10th25th50th (median)75th90th
20-2932.140.148.055.261.8
30-3930.235.942.449.256.5
40-4926.831.937.845.052.1
50-5922.827.132.639.745.6
60-6919.823.728.234.540.3
70-7917.120.424.430.436.6

Women

Age10th25th50th (median)75th90th
20-2923.930.537.644.751.3
30-3920.925.330.236.141.4
40-4918.822.126.732.438.4
50-5917.319.923.427.632.0
60-6914.617.220.023.827.0
70-7913.615.618.320.823.1

Source: Kaminsky, Arena and Myers, Mayo Clinic Proceedings, 2015 (treadmill, directly measured). Ages in years.

Two patterns stand out. First, VO2 max falls with age: the paper reports a decline of roughly 10 percent per decade, from a median of 48.0 (men) and 37.6 (women) in the twenties to 24.4 and 18.3 in the seventies. Second, the sex gap is large at every age, so a number that is high for a 45-year-old woman can be only average for a 45-year-old man. That is why any chart that ignores sex misleads.

How does Apple Watch use age and sex for VO2 max?

It compares your estimate with people of your age and sex, and judges a low result against the same FRIEND registry. Apple Watch estimates VO2 max, which Apple calls cardio fitness, from outdoor walk, run and hike workouts. Apple's support page says the supported range is 14 to 65 mL/kg/min, that the Health app can compare your level with others of your age and sex, and that classifications are available from age 20. The Health app shows its own level labels, but the support page does not list numeric cutoffs for them.

Apple does publish how it decides when a result is low. In its cardio fitness white paper, the low-fitness notification threshold for ages 20 to 59 is the lowest quintile (the bottom 20 percent) for your sex and decade of age in FRIEND. On the chart above, that sits between the 10th and 25th percentile columns. For ages 60 and over, Apple uses fixed values instead: 18 mL/kg/min for men and 15 for women.

How do you read the chart for your age?

Find your age row in the table for your sex, then see which percentile columns your number falls between.

Why might your watch not match the chart?

Your watch makes an estimate from heart rate, pace and motion on easier outdoor workouts, while the chart comes from lab treadmill tests taken to exhaustion. Apple's validation reports a mean error of 1.4 mL/kg/min with a standard deviation of 4.7, so an individual reading can sit several points away from a lab result. Apple lists specific causes of a wrong estimate:

Because of that spread, the trend over weeks matters more than any single reading. A reading that moves from one percentile band to the next is more informative than a one-point change.

How VO2 Max helps

VO2 Max & Cardio Fitness reads the cardio fitness estimate already stored in Apple Health, read-only, and shows it as a value with its date, a trend, widgets and an Apple Watch app. In VO2+ you can enter your age and a male or female reference, and the app compares your latest estimate with its own simplified age and sex curve. That curve runs from 41 (female) and 49 (male) at age 20 down to 24 and 30 at age 70, and the app labels you below, around, above or well above a typical range around it. It is a broad guide for setting a personal target, and it is not Apple's classification or the FRIEND percentiles above. Fitness age works the same way and is labeled an estimate in the app. Comparing apps? See the best VO2 max app for Apple Watch. Can't find your number? See where to find VO2 max on iPhone.

See your Apple Health VO2 max at a glance

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About VO2 Max & Cardio Fitness

Frequently asked questions

What is a good VO2 max by gender and age?

A good VO2 max is one above the median for your age and sex in the chart above. For example, the FRIEND median for men aged 40 to 49 is 37.8 mL/kg/min and for women aged 40 to 49 it is 26.7. A reading above the median is better than half of the tested group, and a reading near the 75th percentile is above average.

What VO2 max does Apple Watch consider low?

The lowest fifth for your sex and age before 60, then fixed values from 60. For ages 20 to 59, Apple's white paper sets the low threshold at the lowest quintile for your sex and age by decade in the FRIEND registry. For ages 60 and over it uses 18 mL/kg/min for men and 15 for women.

Is Apple Watch VO2 max accurate?

On average it is close, but single readings can be off by several points. Apple reports a mean error of 1.4 mL/kg/min with a standard deviation of 4.7 against a reference in its validation group. Wrong profile data, heart-rate medications you have not entered, and non-standard loads such as a heavy pack can make it worse.

Why is my Apple Watch VO2 max lower than the chart says it should be?

Because lab charts use maximal treadmill tests, while the watch estimates from outdoor walks, runs and hikes. Check that your age, sex and weight are correct in Health, and note that heat, caffeine, dehydration and altitude can push an estimate down.

Does this chart apply to under-20s or over-79s?

No. The FRIEND treadmill standards cover ages 20 to 79, and Apple provides classifications from age 20, so the chart should not be applied outside that range.

Sources

  1. Apple Support: Track your cardio fitness levels
  2. Apple: Using Apple Watch to Estimate Cardio Fitness with VO2 max (white paper, May 2021)
  3. Kaminsky, Arena, Myers. Reference Standards for Cardiorespiratory Fitness Measured With Cardiopulmonary Exercise Testing: Data From FRIEND. Mayo Clinic Proceedings, 2015

This page is general fitness information, not medical advice. VO2 max estimates and fitness age are approximations, and the app does not diagnose, treat, cure or prevent any condition. Talk to a clinician about your health.