Exploring the physiological limits of aging: a case study of the male 50-km world record in the 80+ age category
Year: 2026
Type: article
Study design: Case Report
Abstract: Aging is associated with declines in cardiorespiratory fitness and endurance performance, but this association is usually confounded by age-related declines in physical activity levels. For this reason, world-class master athletes serve as exceptional models for elucidating the limits of endurance performance in old age. Purpose To examine the physiological responses to exercise and performance characteristics of an 81-year-old male runner who, in 2025, set a new world record in the 50-km race (4h47m39s, 10.5 km h -1 ) in the 80+ category. Methods Two weeks after the world record, maximal O 2 uptake ( V ˙ O 2max ), fractional utilization of V ˙ O 2max (lactate threshold [LT]), maximal fat oxidation (MFO) and running economy (RE) were assessed through incremental running tests. Limiting factors to V ˙ O 2peak were assessed during incremental cycling exercise by gas exchange, peak cardiac output (Q̇ peak ), and peak fractional O 2 extraction of the vastus lateralis (VL) muscle. In vivo VL muscle oxidative capacity and relative resistance to O 2 diffusion were estimated using near-infrared spectroscopy (NIRS) during repeated transient arterial occlusions in well-oxygenated (k HIGH ) and low O 2 availability (k LOW ) conditions. Results V ˙ O 2max was 52.8 mL kg -1 ·min -1 , achieved at 13.2 km h -1 . LT was attained at 10.5 km h -1 . MFO was 0.55 g·min -1 occurring at 84% of V ˙ O 2max and RE was 237.5 mL kg -1 ·km -1 . Cycling V ˙ O 2peak was 2.510 L min -1 (42.6 mL kg -1 ·min -1 ), Q̇ peak was 15.3 L min -1 , and arterial-venous O 2 difference was 16.4 mL dl -1 , comparable to fractional O 2 extraction around 75% obtained by NIRS. k HIGH was 4.67 min -1 and k LOW was 4.59 min -1 , suggesting high oxidative and muscle O 2 diffusing capacity. Conclusion The exceptional endurance performance of this master athlete was attributed to his well-preserved V ˙ O 2max (to our knowledge the highest recorded in octogenarians, equivalent to the 70th percentile for healthy males aged 20–30 years) and a high fractional utilization of V ˙ O 2max , together with a great ability to oxidize fats. Analyses on the limiting factors to V ˙ O 2max
Source: Frontiers in Physiology
Authors: A. M. Pilotto, E. Higueras-Liébana, M. Ansaldo, I. Baltasar-Fernandez, M. Neri, L. Giusti, Á. Buendía-Romero, P. L. Valenzuela, J. Alcazar, F. Lauretani, R. Re, A. Botter, M. V. Franchi, I. Ara, S. Porcelli
Institutions: University of Pavia, Universidad de Alcalá, Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red, Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable, University of Castilla-La Mancha, University of Parma, Ospedale di Parma, National Research Council, Politecnico di Milano, Politecnico di Torino, University of Padua, Policlinico San Matteo Fondazione
Language: English
Subfield: Complementary and alternative medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
Awards: G103507813, G1105844351, G1175115578, G1855990336, G1971518768, G1971932983, G2262748287, G2309174360, G2601397997, G2660406951, G290725032, G300979063, G3480869486, G3483221719, G3518538256, G3653110168, G3681454997, G3936716597, G4042783231, G423104186, G425668148, G430777504, G491712853, G5080475149, G5195188938, G5209569390, G5421974903, G5635532810, G6218905885, G6376430298, G6842396276, G7084143925, G7805626310, G7863371703, G79796556, G8497050386, G8506530257, G8888022036, G99296377
OpenAlex ID: W7122759814