Yes, but a great deal of the mortality risk (as opposed to sports fitness rating) measured by VO2 max is captured by Resting Heart Rate alone. VO2 max correlates with mortality risk better than RHR alone, likely because it also includes a component that measures excess adiposity, but not necessarily in a manner that is most consistent with best estimate of mortality risk. A metric such as (Maximal heart rate under exertion - Resting Heart Rate)/waist-to-height-ratio would quite possibly better approximate mortality risk.jacob wrote:This results in an extrapolation that is forced pretty far out of range. Consider that one's resting VO2 consumption-rate is 10--15 times below that of one's maximum rate (VO2max) and it becomes obvious how such estimates can easily get wildly off the mark.
https://heart.bmj.com/content/heartjnl/ ... 2.full.pdf
https://www.runnersworld.com/health-inj ... to-weight/DISCUSSION
In the present study of healthy middle-aged men, the main finding was that resting heart rate was a risk factor for mortality independent of physical fitness (VO2Max) and other major potential confounders.
Resting heart rate as a risk factor for mortality has received considerable attention in recent years. However, a concern has been whether elevated resting heart rate is merely a surrogate marker of poor physical fitness, which in turn is associated with
poor prognosis. A high level of physical fitness is a strong predictor of longevity11 and is associated with lower heart rate, as also demonstrated in the present study. Level of physical fitness-therefore plays a pivotal role in the study of resting heart rate.
In a study from the Paris Prospective Study, resting heart rate was predictive of mortality and especially sudden death after
adjusting for duration of exercise.24 However, the main body of studies use self-reported levels of physical activity22 25 or, in
some cases, include no information.26 In the current study, all subjects underwent a physical exercise test and estimation of
VO2Max as well as an assessment of leisure-time physical activity; we found that irrespective of level of physical fitness subjects
with high resting heart rates fare worse than subjects with lower heart rates. This suggests that a high resting heart rate is not a
mere marker of poor physical fitness but is an independent risk factor.
In other words, if you want to compare the cardiorespiratory fitness of a group of people, dividing by lean mass will give you the best measure of their actual oxygen-processing abilities, unconfounded by their size. Of course, DEXA scans aren't the most convenient thing in the world, but the researchers found the relationship still holds true if you use body impedance measurements (much more easily accessible) to estimate lean mass.