Are Apple Watch cardio fitness readings reliable?

Having just updated to iOS 14.3 and watchOS 7.2, I saw the stuff about being able to check your cardio fitness levels in the Health app. I've had my series 4 watch for more than a year now, but the first cardio fitness data point I can see was recorded just 4 months ago. And in those 4 months, I’ve gone from being above average to low, with no data points in between. Nothing has changed in that time – since I got the watch I’ve been doing the same bike workouts at the same pace, and I feel the same; heart rate data has been stable. So I don’t understand why I don’t have any estimated VO2 max data points until a year after I bought the watch, and why the readings are all over the place. Anyone else had this issue?


I should say that I don’t use Apple’s Workout app – all my bike rides are logged with Strava.


Thanks.

Apple Watch Series 4, watchOS 7

Posted on Dec 15, 2020 3:19 AM

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Posted on Apr 18, 2021 2:02 PM

As the originator of this thread, I can state that I've now solved my problem, although some might say I've cheated. My solution? Don't tell your iPhone that you're taking medication. It turns out that the reason my VO2 max reading fell off a cliff at some point was that I told my phone that I take one of the drugs that the Health app considers capable of affecting your heart rate. I am, in fact, on the lowest possible dose and I have been for years; most people would have been moved on to a higher dose quite early.


I suspected that entering the drug into the Health app some months ago might have triggered my low readings, so I eventually I tried deleting the drug. The very next VO2 max reading soared – suddenly, I was back into average territory. My fitness is not great, but I never expected it to be. I think I deserve to be average, not low.


One other thing I've noticed is that because I never used to log my walks with the Activity app, my Watch would try to do a VO2 max estimate once a week using any plausible walking data it could find. Because we've mostly been in lockdown, my walks have tended to involve going to and from neighbourhood shops, sometimes with a mask on and lugging groceries. In the past few weeks I've deliberately logged a few half-hour brisk walks without a mask and without carrying anything heavy, and my numbers are inching up all the time, as if the Watch is changing its opinion.


What I have I learned? Sharing your medication with your phone could lead to a huge VO2 max hit, even though your phone has no idea what dose you're on. And even if the VO2 max values are meant to be an estimate, they are crude because the algorithm might opportunistically scrape any activity data it can find, without knowing whether that was affected by carrying heavy gear or a gale-force head wind. Maybe Apple needs to add a setting such that only activities logged through the Activity app can generate VO2 max readings.


PS: I'll be happiest if and when Apple finally adds cycling to the list of activities that can generate VO2 max values, because cycling is 90% of my exercise. It ought to be possible to enter the weight of your bike and gear into the Activity app for a more refined estimate.

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23 replies

Jan 13, 2021 2:28 AM in response to RichardLim

To accurately measure your VO2 max, you must wear a face

mask. This is the only way to know for sure how much oxygen is

going in and out of your lungs.

Since Apple Watch is worn on your wrist, not your face, this is out

of the question. So instead, Apple Watch provides a “predicted

VO2 max” metric. This is an estimate based on changes in your

heart rate during exercise.


Are VO2 max predictions accurate?

The relationship between heart rate and VO2 max is not precise,

and it varies from one individual to another. So Apple’s predicted

VO2 max may not be very accurate. The estimate is also

dependent upon your Apple Watch’s heart rate sensor. And while

that’s pretty good, it is not infallible.


Why is there no VO2 max data in the Health app?

If you can’t find any VO2 max readings in the Health app, that is

probably because you have not yet logged the right kind of

workouts with your watch. Only three workout types can produce

an estimated VO2 max on Apple Watch: Outdoor Walk,Outdoor

Run and hiking.

VO2 max relates to maximal exertion. So you’ll need to log a

pretty intensive workout to generate a reading. And you’ll need to

sustain it for at least 20 minutes.

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Are Apple Watch cardio fitness readings reliable?

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