VO2max Test:
Your Best Indicator for Longevity
Determine your fitness level with our endurance test—the most precise measure of your longevity: VO2max.
What VO2max Reveals About Your Performance and Health
The way your heart, lungs, and muscles work together under physical stress significantly impacts your life expectancy and health span. That's why VO2max is considered the most accurate indicator in longevity research.
VO2max measures your maximum oxygen consumption—how much oxygen your body can utilize during exertion. The result is measured in milliliters of oxygen per kilogram of body weight per minute (ml/kg/min). The higher your VO2max, the better your endurance, cardiovascular fitness, and, in combination with other factors, your life expectancy.
What makes the results of VO2max particularly valuable is their ability to provide a comprehensive view of your body's overall health. VO2max shows your current performance level, offers valuable insights for optimizing your endurance training, and can indicate potential heart and lung limitations. We use this information to monitor your performance, design personalized training programs, and implement preventive measures for conditions affecting the heart, lungs, or muscles.
Longevity Check: Vo2max
The AYUN Longevity Check-up takes approximately 5 hours – experience the VO2max test as part of it in just 45 minutes.
VO2max
Throughout Your Life
The accompanying graph shows the VO2max levels required for various everyday activities. It also shows how the VO2max value naturally declines with age, making once-simple tasks progressively more challenging. For instance, while moderate jogging for an hour might feel easy at age 30, it becomes more demanding by your mid-50s.
With the Cardiopulmonary Exercise Test (CPET), we can determine your VO2max and identify ways to improve it, helping you maintain ease in sports and daily activities as you age.
The orange line in the chart shows the typical average decline of VO2max over time. The dashed turquoise line reflects what we aim to achieve with AYUN: enabling you to enjoy activities like hiking, gardening, or playing with your grandchildren—even into your 90s.
What Metrics Are Assessed in a VO2max Test?
VO2max
This represents the maximum amount of oxygen your body can utilize during intense physical activity. A high VO2max correlates with reduced cardiovascular risk, greater endurance, and improved longevity and quality of life.
Maximum Heart Rate (HRmax)
Your maximum heart rate (HRmax) is the highest heart rate achieved during the CPET. While it doesn't directly measure your fitness level, it helps determine training zones for your endurance workouts.ccc
Heart Rate at Ventilatory Threshold 1 (VT1)
This indicates when your body begins shifting from aerobic metabolism to a mix of aerobic and anaerobic metabolism—essentially when it starts relying less on oxygen for energy. Improving VT1 reflects enhanced aerobic capacity, better mitochondrial efficiency, and increased recovery and performance capabilities.
Heart Rate at Ventilatory Threshold 2 (VT2)
This shows when lactate accumulates faster than your body can clear it, leading to rapid fatigue. Improving your VT2 heart rate means you can perform more intense activities before relying heavily on anaerobic metabolism, indicating better aerobic capacity and higher performance levels.
Heart Rate at FatMax (Maximum Fat Burn)
This identifies the heart rate at which your body uses the maximum percentage of fat for energy. Training at this heart rate can effectively promote fat loss. Regular training improves your mitochondrial efficiency, enabling faster fat-to-energy conversion.
What to Expect During
Your CPET VO2max Assessment
Choose the Longevity Check
That Suits You
Essential
Our Longevity Check Essential evaluates your blood values, body composition, and physical performance, offering deep insights into your personal health and fitness. The VO2max test is included in this package.
Complete
In addition to blood values, body composition, and performance, our Longevity Check Complete assesses your DNA risks and blood sugar levels. This helps us identify your individual genetic risk factors and determine your optimal nutrition strategy.
Extended
Our most comprehensive package, the Longevity Check Extended, includes all AYUN tests, such as determining your biological age and heart rate variability. This allows us to uncover your unique stress triggers and relaxation factors.
Frequently Asked Questions
Longevity Check-ups
At what age do you recommend the Longevity Check-up?
In general, a Longevity Check-up is recommended for anyone over the age of 25. The earlier you know what your individual health risks are, the longer you can benefit from small adjustments. But it is never too late to take charge of your health and optimize it in a targeted way, i.e. even at an advanced age, there is still a lot of potential for optimization.
How long does a Longevity Check-up take?
A Longevity Check-up lasts about 4-5 hours depending on the package chosen. It starts with a 30-45 minute anamnesis interview with one of our doctors, followed by an ECG, blood draw, and Dexa scan. You'll then have a brief snack break before completing the 1.5 hour session with our sports scientist. Afterwards, wearables such as the HRV monitor and the CGM are attached and set up.
What do I need to bring for my Longevity Check-up?
You should arrive fasted (empty stomach, water allowed) and bring your sports clothes for the sports and endurance test. Showers and towels are available.
How long does it take to get the results of my check-up?
This depends on the Longevity Check-up you have chosen. The time between the test and receiving your results depends on external laboratories and the time our team of doctors, nutritionists and sports scientists need to evaluate your results. The indicative time is as follows:
- Essential Longevity Check-up: 1-2 weeks
- Complete Longevity Check-up: 4-5 weeks (due to the DNA risk analysis)
- Extended Longevity Check-up: 4-5 weeks (due to the DNA risk analysis and DNA aging clock)
Do I have to come to your clinic to discuss my results?
The discussion of the results usually takes place at our clinic. If you prefer, the conversation can also take place via video conference.
The same applies to the nutrition counseling, which can take place either on-site or via video conference.
What makes you different from other check-ups?
Our focus is not just on identifying diseases at an early stage, but rather on understanding individual predispositions and determining what each individual needs to stay healthy in the long term. We don't look at individual values, but combine all the results into a holistic picture. We collect scientifically validated parameters for Longevity and combine them into a personalized, preventative Longevity Report.
Who performs the Longevity Check-ups?
We are a medical institution, so all check-ups are performed by trained and medically educated personnel. We employ doctors, medical assistants and sports scientists in our clinic.
What is the difference between the Essential Longevity Check-up and the Complete Longevity Check-up?
All our check-ups focus on longevity. The Essential Longevity Check-up contains what we consider to be absolutely necessary for a Longevity Check-up and is suitable for people who want to get a first impression or as a follow-up check-up if you already know your genetic risks.
The Complete Longevity Check-up includes, in addition to further blood values, such as homocysteine, the DNA risk analysis, which we recommend to do once in a lifetime. The DNA risk analysis helps us to make even more targeted recommendations. We only test for those changes for which we know how we can influence them well and specifically.
In addition, continuous blood sugar monitoring for 10 days is included, with accompanying nutritional counseling for evaluation and interpretation. The blood sugar response to different foods can vary greatly from person to person, which is why these measurements can be used to provide even more targeted nutritional recommendations.
What is the difference between the Complete and Extended Longevity Check-up?
The first difference is the number of laboratory values analyzed. The Complete Longevity Check-up includes 64 laboratory values and the Extended Longevity Check-up 69 laboratory values. In addition, the Extended Longevity Check-up also includes a stress measurement (both during the day and at night) and a DNA aging clock to determine your biological age.
How are the findings evaluated?
Our team of doctors, nutritionists and sports scientists analyze the findings holistically, prioritize and make appropriate recommendations.
We compare the results with comparative values from your age and gender group. Our goal is for our customers to perform significantly better than the average, because the average person develops chronic diseases over the course of their life that significantly affect their quality of life.
Others
Everyone knows what is healthy: exercise, nutrition and sleep. What else do you offer?
That's right, healthy eating, regular exercise and enough sleep are the cornerstones of longevity. General recommendations are certainly suitable for the masses, but when it comes to looking at the individual, many individualized recommendations can be made depending on the individual disposition constellation. Our goal is to achieve the greatest possible health effect for the individual with the least possible effort. To do that, much more precise recommendations are useful and possible.
Can I bring my child with me?
Our services are only available to persons of legal age. However, you are welcome to bring a child with you as a companion. No childcare service is available.
Do you also offer payment by installments?
We're working on standardizing installment payment options in our checkout process. In the meantime, if you'd like to use an installment plan, feel free to give us a call, and we'll find a solution together.