smart metric

VO₂ max

Table of contents

Your VO2 max is a wearable's estimate of how efficiently your body takes in and uses oxygen when you work hard. It sits among the most meaningful numbers a device reports, because aerobic capacity ties together the health of your heart, lungs, blood, and muscles. Watch the direction it moves over weeks and months rather than fixating on any single reading.

What to know

Detail

Units

mL of oxygen per kg per minute (mL/kg/min)

Direction

Higher reflects better cardiorespiratory fitness

Context

Healthy ranges fall with age and differ by sex

Wearable VO2 max is an estimate, not a lab test. Compare against your own trend and age-and-sex context rather than a single universal target.

What VO2 max measures

VO2 max represents maximal oxygen uptake: the greatest volume of oxygen your body can absorb and put to use during intense effort. A wearable does not measure this directly the way a lab does. Instead, it models the figure from your heart rate response relative to your running or walking pace, refining the estimate as you log more activity. Because it draws on heart, lung, circulatory, and muscular function all at once, VO2 max works as a single, integrated snapshot of aerobic fitness.

Why VO2 max matters

VO2 max is one of the strongest predictors of longevity that anyone can track. Large bodies of research link higher cardiorespiratory fitness to lower rates of cardiovascular disease and lower all-cause mortality, and the association holds across ages and sexes. In practical terms, a fitter aerobic engine means your body delivers and uses oxygen more efficiently during everyday effort and recovers more readily from stress. Because the metric reflects so many systems working together, a rising trend often signals broad improvements in endurance and metabolic health, while a sustained decline can be an early nudge to look at training, recovery, or overall well-being.

How to improve your VO2 max

Consistency does most of the work. A base of easy zone 2 sessions, where you can still hold a conversation, builds aerobic capacity over time. Layering in occasional higher-intensity intervals, when your body is ready for them, tends to push the number further. Regular movement across the week matters more than any single hard workout. This is general educational guidance, not medical advice; if you have symptoms such as chest pain or unusual breathlessness during exercise, seek evaluation before adding intensity.

VO2 max FAQ

What is a good VO2 max?

There is no universal target. Healthy ranges shift downward with age and differ between sexes, so compare your value to age-and-sex norms and, most usefully, to your own past readings.

Is a wearable VO2 max accurate?

It is a reasonable estimate rather than a precise measurement. The trend it shows over time is far more reliable than any single figure.

How long does it take to improve?

Meaningful gains usually appear over several weeks to a few months of consistent aerobic training, with individual results varying.

Read alongside Resting Heart Rate, Weekly Exercise, and Heart Rate Variability (HRV).

Sources

  • American Heart Association, guidance on cardiorespiratory fitness and aerobic exercise.

  • Peer-reviewed research on cardiorespiratory fitness and mortality (JAMA).

NOW ACCEPTING FOUNDING MEMBERS

See Your Own Numbers

Open Beta · Now Enrolling

OneTwenty tracks this marker and 100+ others through quarterly lab work, then turns the results into a plan you can act on.

NOW ACCEPTING FOUNDING MEMBERS

See Your Own Numbers

Open Beta · Now Enrolling

OneTwenty tracks this marker and 100+ others through quarterly lab work, then turns the results into a plan you can act on.

NOW ACCEPTING FOUNDING MEMBERS

See Your Own Numbers

Open Beta · Now Enrolling

OneTwenty tracks this marker and 100+ others through quarterly lab work, then turns the results into a plan you can act on.

NOW ACCEPTING FOUNDING MEMBERS

See Your Own Numbers

Open Beta · Now Enrolling

OneTwenty tracks this marker and 100+ others through quarterly lab work, then turns the results into a plan you can act on.

Frequently Asked Questions

Clarity before

you commit

Answers on setup, scale, and support to remove blockers.

What’s included in the membership?

Do you treat medical conditions?

Do you accept HSA and FSA?*

Do I have to take medications?

Is OneTwenty available in my state/country?

Is my health data secure? (HIPAA Standards)

What's included in my membership?

Why can't I use my insurance for these labs?

Y

ur

Data

Your

D

e

ices

Your

Longevity

OneTwenty

Live guidance for sleep, hormones, and weight powered by your wearables, smart devices and blood work

Important Details:

*Up to 165 lab data points per year. Exact number varies based on your baseline results and which biomarkers your physician retests each quarter.

**Due to state-specific lab draw requirements in New York and New Jersey, pricing reflects the higher cost of labs in these states.


Disclaimer:

OneTwenty is a health technology company. We are not a medical provider, laboratory, or pharmacy. We provide data and tools to help you make informed decisions about your own health and better understand your biological needs.

All clinical services, including lab testing, telehealth consultations, and prescription fulfillment, are provided exclusively by independent, licensed third parties.


OneTwenty facilitates secure communication between you and these providers. OneTwenty does not prescribe medications, provide diagnoses, or offer medical treatment. While we provide personalized insights and protocols, these are not a substitute for professional medical advice.

Always consult your primary care physician before making changes to your health regimen. OneTwenty does not replace your relationship with your physician.

Y

ur

Data

Your

D

e

ices

Your

Longevity

OneTwenty

Live guidance for sleep, hormones, and weight powered by your wearables, smart devices and blood work

Important Details:

*Up to 165 lab data points per year. Exact number varies based on your baseline results and which biomarkers your physician retests each quarter.

**Due to state-specific lab draw requirements in New York and New Jersey, testing is conducted twice per year instead of quarterly. Pricing reflects the higher cost of at-home phlebotomy in these states.


Disclaimer:

OneTwenty is a health technology company. We are not a medical provider, laboratory, or pharmacy. We provide data and tools to help you make informed decisions about your own health and better understand your biological needs.

All clinical services, including lab testing, telehealth consultations, and prescription fulfillment, are provided exclusively by independent, licensed third parties.


OneTwenty facilitates secure communication between you and these providers. OneTwenty does not prescribe medications, provide diagnoses, or offer medical treatment. While we provide personalized insights and protocols, these are not a substitute for professional medical advice.

Always consult your primary care physician before making changes to your health regimen. OneTwenty does not replace your relationship with your physician.

Y

ur

Data

Your

D

e

ices

Your

Longevity

OUTLIVE.

Live guidance for sleep, hormones, and weight powered by your wearables, smart devices and blood work

Important Details:

*Up to 165 lab data points per year. Exact number varies based on your baseline results and which biomarkers your physician retests each quarter.

**Due to state-specific lab draw requirements in New York and New Jersey, testing is conducted twice per year instead of quarterly. Pricing reflects the higher cost of at-home phlebotomy in these states.


Disclaimer:

OneTwenty is a health technology company. We are not a medical provider, laboratory, or pharmacy. We provide data and tools to help you make informed decisions about your own health and better understand your biological needs.

All clinical services, including lab testing, telehealth consultations, and prescription fulfillment, are provided exclusively by independent, licensed third parties.


OneTwenty facilitates secure communication between you and these providers. OneTwenty does not prescribe medications, provide diagnoses, or offer medical treatment. While we provide personalized insights and protocols, these are not a substitute for professional medical advice.

Always consult your primary care physician before making changes to your health regimen. OneTwenty does not replace your relationship with your physician.