Age-related declines in maximal aerobic capacity in regularly exercising vs. sedentary women: a meta-analysis

Abstract

Fitzgerald, Margaret D., Hirofumi Tanaka, Zung V. Tran, and Douglas R. Seals. Age-related declines in maximal aerobic capacity in regularly exercising vs. sedentary women: a meta-analysis. J. Appl. Physiol. 83(1): 160–165, 1997.—Our purpose was to determine the relationship between habitual aerobic exercise status and the rate of decline in maximal aerobic capacity across the adult age range in women. A meta-analytic approach was used in which mean maximal oxygen consumption (V˙o 2 max) values from female subject groups (ages 18–89 yr) were obtained from the published literature. A total of 239 subject groups from 109 studies involving 4,884 subjects met the inclusion criteria and were arbitrarily separated into sedentary (groups = 107; subjects = 2,256), active (groups = 69; subjects = 1,717), and endurance-trained (groups = 63; subjects = 911) populations.V˙o 2 max averaged 29.7 ± 7.8, 38.7 ± 9.2, and 52.0 ± 10.5 ml ⋅ kg−1 ⋅ min−1, respectively, and was inversely related to age within each population ( r = −0.82 to −0.87, all P < 0.0001). The rate of decline inV˙o 2 max with increasing subject group age was lowest in sedentary women (−3.5 ml ⋅ kg−1 ⋅ min−1⋅ decade−1), greater in active women (−4.4 ml ⋅ kg−1 ⋅ min−1⋅ decade−1), and greatest in endurance-trained women (−6.2 ml ⋅ kg−1 ⋅ min−1 ⋅ decade−1) (all P < 0.001 vs. each other). When expressed as percent decrease from mean levels at age ∼25 yr, the rates of decline inV˙o 2 max were similar in the three populations (−10.0 to −10.9%/decade). There was no obvious relationship between aerobic exercise status and the rate of decline in maximal heart rate with age. The results of this cross-sectional study support the hypothesis that, in contrast to the prevailing view, the rate of decline in maximal aerobic capacity with age is greater, not smaller, in endurance-trained vs. sedentary women. The greater rate of decline inV˙o 2 max in endurance-trained populations may be related to their higher values as young adults (baseline effect) and/or to greater age-related reductions in exercise volume; however, it does not appear to be related to a greater rate of decline in maximal heart rate with age.