1Division of Physiology, Department of Medicine, University of California, San Diego, 9500 Gilman Drive, MC 0623A, La Jolla, CA 92093-0623, USA. pdwagner@ucsd.edu
Maximal oxygen uptake (VO2max) reflects metabolic capacity or O2 supply. Its limiting factors shift, with cardiac output crucial at sea level and lung/muscle diffusion vital at higher altitudes.
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