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The aim was to describe longitudinal trends in peak oxygen uptake (VO 2peak ) among 14- to 19-year-old adolescents in Norway, and to examine effects of sex, body mass index (BMI), and physical activity (PA) level on VO 2peak  during adolescence. Of 124 invited students from two lower secondary schools in Norway, 116 eighth-grade students (61 boys and 55 girls; 14 years old at baseline) volunteered to participate. The study has a longitudinal design with 6 yearly repeated measures of body height and mass, VO 2peak  and PA level. VO 2peak  allometrically scaled to body mass raised to the power of 0.67 was measured using a walking or running incremental test on a treadmill, whereas PA level was self-reported. Among 696 possible observations, 555 (79.7%) were valid. Multiple linear regression and linear mixed model analyses were used to examine the associations between age, sex, BMI, PA level and VO 2peak . VO 2peak  showed a non-linear pattern from age 14 to 19, with a distinct increase for boys peaking at age 17, while the results provide a flatter and more stable curve for girls. Sex, BMI and PA level together explained 43–71% of the variance in VO 2peak  at the different age levels. Sex and PA level contributed independently to explain a significant proportion of the variance in VO 2peak  at all measurement occasions, while BMI did not. Adjusted sex differences in VO 2peak  increased over time, from 26.5 ml·kg −0.67 ·min −1  at age 14 to 55.5 ml·kg −0.67 ·min −1  at age 19. The independent contribution from PA level to the variance in VO 2peak  increased from age 14 to 16 and then decreased. While PA level explained 32.5% of the total variance in VO 2peak  for 16-year-olds, this number was 14% in 19-year-olds. In conclusion, aerobic power showed a non-linear pattern during adolescence, peaking at age 17. Sex and PA level explained a large proportion of the variance in VO 2peak , each of them being an independent contributor to VO 2peak . Aerobic power is linked to improved health and seems to depend largely on sex and PA level in adolescents, emphasizing the importance of maintaining a sufficient PA level during adolescence.

Effect of Sex, Body Mass Index and Physical Activity Level on Peak Oxygen Uptake Among 14–19 Years Old Adolescents