As part of a prospective randomized trial of the effect of regular exercise in older men, factors determining the magnitude of VO2max increase observed with endurance training were examined in 88 elderly (age 62.9 +/- 3.0 (SD) yr) males. VO2max before and after training was recorded as the highest VO2 observed during two incremental treadmill tests. One year of thrice weekly training sessions increased VO2max (12%, p < 0.05) in the training group relative to baseline and to a control group (n = 100). The association between the post-training VO2max (VO2max, T2) and the following explanatory variables was assessed using multiple regression analysis: the initial VO2max (VO2max, T1); the reason for stopping the initial treadmill test: leisure time activity during the year previous to the study: the training intensity (speed of walking or running, pulse rate during training, and percentage of heart rate reserve); pulmonary function (forced expiratory volume in 1 s); adiposity (skinfold thickness at 8 sites) and frequency of training. VO2max T1, speed of walking or running during training, reason for stopping the treadmill test, and skinfold thickness were significantly related to post-training VO2max. The intensity and frequency of the training stimulus explained over 10% of the variance in the training effect. Subjects whose test was halted because of fatigue increased VO2max more than those whose test was discontinued for medical or other reasons, even when speed of running was held constant. Previous activity had only a weak effect on training response. The total variance explained by these independent variables was 62%.

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