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Pulse and Path

The evidence scoreboard

VO2 max accuracy, device by device

One brand has been measured against a gas analyzer, twice. Everyone else publishes a number with nothing behind it, and that asymmetry is the finding.

By Stephen V.Published August 18, 2026
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The short answer

Only Apple Watch VO2 max has been validated against laboratory gas analysis in studies we could read. It underestimated by 6.07 mL/kg/min (MAPE 13.31%) in one and by 4.51 mL/kg/min (MAPE 15.79%, ICC 0.47) in another, with error rising to 21.47% in the fittest group. For current Garmin, COROS, Polar and Suunto watches, no validation exists that we could find.

Why this table is mostly Apple

Not because Apple is worse. Because Apple gets measured. Researchers pick the device that is easiest to recruit participants for, and in this category that is the Apple Watch — so the brand with the most published data is also the brand whose flaws are documented, while its competitors sit in a silence that reads, unfairly, as competence.

This site treats that silence as its own category rather than a pass. Under our evidence hierarchy, a device with an unflattering measurement can still outrank a device with nothing at all — which is why the Apple Watch Ultra 3 scores above several better-specified watches on the evidence column.

The pattern in the numbers

Both Apple validations point the same way: the estimate is systematically low, and the fitter you are, the lower it goes. In the 2024 study the least fit group saw the watch overshoot by nearly 4 mL/kg/min, while the fittest group saw it undershoot by 12 — the rough difference between a competent club runner and an elite one.

The mechanism is not mysterious. A watch infers aerobic capacity from the relationship between pace and heart rate, and at the top end that relationship stops discriminating: highly trained runners differ from each other in running economy and lactate handling, neither of which pace-and-heart-rate can see. That reading is ours, not a finding either paper states.

The threshold rows, and why they are here

Lactate threshold is not VO2 max, but it is the closest measured neighbor and it is estimated by the same class of model from the same inputs. The 2025 threshold study is the only peer-reviewed measurement of a current Garmin or COROS training estimate that we have found, and both watches overestimated pace by roughly a quarter.

One caveat the authors publish and we repeat: the device samples were unequal — 100 runners wore the Huawei, 23 the Garmin, 17 the COROS — and the Garmin protocol required an ECG chest strap while the other two used wrist sensing. Full detail is on our lactate threshold page.

What would actually count as evidence

A validation of a VO2 max estimate needs three things, and press releases usually have none of them: a laboratory reference (indirect calorimetry or a gas analyzer), a participant sample that spans fitness levels rather than clustering at one end, and published limits of agreement rather than a correlation coefficient. Correlation says two numbers move together; limits of agreement say how far apart they are on any given day, and that is what you need to know before quoting your VO2 max to anyone.

When a manufacturer publishes that, we will put it in this table with its name on it.

How to use the number you have

  • As a trend against itself. A consistent bias still tracks real change. If your estimate rises 3 points over a training block on the same watch, something real probably happened.
  • Never across brands. Two watches on the same wrist will disagree, and the disagreement tells you about the models, not about you.
  • Never as a figure to quote. Both Apple studies say plainly that the estimate is not adequate for decisions of that kind. If the actual value matters, get tested.

The record

What has actually been measured

Every row cites a numbered source below, or states outright that no validation study exists. There is no third state.
DeviceMetricWhat was actually measuredEvidence
Apple Watch (Series 5-9, SE 2, Ultra 2, watchOS 10+)VO2 max vs indirect calorimetryUnderestimated by 6.07 mL/kg/min on average; MAPE 13.31%; limits of agreement −6.11 to +18.26; authors concluded the estimates are not sufficiently accurate to inform clinical decision-making [1]Peer-reviewed validation
Apple Watch Series 7VO2 max vs portable gas analyzerLaboratory 45.88 vs watch 41.37 mL/kg/min, bias −4.51; MAPE 15.79%; intraclass correlation 0.47, which the authors describe as poor reliability [2]Peer-reviewed validation
Apple Watch Series 7 — fittest subgroup (n = 5)VO2 max vs portable gas analyzerLaboratory 54.70 vs watch 42.70 mL/kg/min; MAPE 21.47% — the error grows with fitness [2]Peer-reviewed validation
Apple Watch Series 7 — least fit subgroup (n = 3)VO2 max vs portable gas analyzerLaboratory 35.13 vs watch 38.93 mL/kg/min; MAPE 10.71% — here the watch OVERestimated [2]Peer-reviewed validation
Garmin Forerunner 230 and 245, fēnix 3, 6 and 7VO2 max and threshold estimationIncluded in a 2025 qualitative systematic review of 13 studies and 273 participants. The review reports no pooled error figure, and states that none of the studies tested the latest smartwatch models [3]Peer-reviewed validation
Polar V800VO2 max and threshold estimationAlso covered by the same 2025 systematic review, with the same limitation: undisclosed manufacturer algorithms prevent cross-device comparison [3]Peer-reviewed validation
Garmin Forerunner 265 / 265s (n = 23)Lactate threshold pace — the nearest measured neighbor to VO2 maxMean error 25.78%, overestimating; threshold test returned a usable result 65.2% of the time [4]Peer-reviewed validation
COROS PACE 3 (n = 17)Lactate threshold paceMean error 22.63%, overestimating; test success rate 47.1% [4]Peer-reviewed validation
Current Garmin, COROS, Polar and Suunto flagshipsVO2 maxNo validation of any current model's VO2 max estimate has been published that we could find, from any research groupNo validation study exists

Questions

Frequently asked

How accurate is VO2 max on a smartwatch?

On the only published validations we could read, both of Apple Watches: underestimated by 6.07 mL/kg/min with 13.31% mean error in one study, and by 4.51 mL/kg/min with 15.79% error and poor reliability (ICC 0.47) in another. Error rose to 21.47% in the fittest participants.

Is Garmin's VO2 max more accurate than Apple's?

Unknown, and it would be dishonest to guess. No validation of a current Garmin VO2 max estimate has been published that we could find. Older Garmin models appear in a 2025 qualitative systematic review, which reports no pooled error figure and notes that none of its included studies tested current watches.

Why does my VO2 max seem too low?

Because that is the documented direction of the error, and it gets worse the fitter you are. In the fitness-stratified results, the fittest group's laboratory value was 54.70 mL/kg/min against a watch estimate of 42.70. If you train seriously, expect the number on your wrist to understate you.

Does a chest strap improve VO2 max estimates?

It improves the input, which is the most useful thing you can do without a laboratory. The model runs on heart rate and pace, and wrist heart rate is the weakest link in that chain during hard efforts — see our upgrade path for exactly this problem. No study we have read isolates the size of that improvement.

Show your working

Sources

Every one of these was read in full before it was cited. Where we could not access a paper, we do not quote its numbers.

  1. [1]Peer-reviewed validation2025
    Lambe, O’Grady, Baldwin & Doherty, “Investigating the accuracy of Apple Watch VO2 max measurements: A validation study”, PLOS ONE 20(5):e0323741

    DOI 10.1371/journal.pone.0323741. 28 analyzed participants across Apple Watch Series 5-9, SE 2 and Ultra 2 on watchOS 10+, against indirect calorimetry (COSMED Quark CPET, modified Åstrand treadmill protocol). Authors’ stated limits: the sample skewed strongly toward high cardiorespiratory fitness, watch estimates were generated uncontrolled, and only one estimate per participant was collected.

  2. [2]Peer-reviewed validation2024
    Caserman, Yum, Göbel, Reif & Matura, “Assessing the Accuracy of Smartwatch-Based Estimation of Maximum Oxygen Uptake Using the Apple Watch Series 7: Validation Study”, JMIR Biomedical Engineering 9:e59459

    DOI 10.2196/59459. n = 19 (12 male, 7 female, mean age 28.4), Apple Watch Series 7 against a VO2 Master portable gas analyzer on a graded cycle ergometer test. Authors’ stated limits: the sample was 19 rather than the 30 planned, testing was submaximal, no blood lactate was taken, and the watch figure came from a single outdoor session where Apple’s own validation used an average of 441 days of data.

  3. [3]Peer-reviewed validation2025
    Železnik Mežan, “Accuracy of wearables for determining the maximal oxygen uptake and lactate threshold: a qualitative systematic review”, Frontiers in Sports and Active Living 7:1707991

    DOI 10.3389/fspor.2025.1707991. 13 studies, 273 participants (181 men, 92 women), covering Garmin Forerunner 230 and 245, fēnix 3, 6 and 7, Polar V800, Apple Watch Series 7, foot-worn IMUs including Stryd, and chest-worn GNSS. Authors’ stated limits: screened and extracted by a single reviewer, small per-study samples, none of the studies tested the latest smartwatch models, undisclosed algorithms prevent cross-device comparison, and the pooled population skewed to 18-30 year olds.

  4. [4]Peer-reviewed validation2025
    Lu, Cui, Zhu, Wu, Xing, Pan & Shen, “Validity of smartwatch-derived estimates of lactate threshold heart rate and pace compared to graded exercise testing”, Frontiers in Physiology 16:1621996

    DOI 10.3389/fphys.2025.1621996. 100 healthy recreational runners (61 male, 39 female, 28.0 ± 9.6 years) against a treadmill graded exercise test with fingertip blood lactate (Biosen C-line), threshold determined by the modified Dmax method. Device counts were unequal: Huawei GT Runner n = 100, Garmin Forerunner 265/265s n = 23, COROS PACE 3 n = 17. Authors’ stated limits: unbalanced samples, indoor reference against outdoor watch tests, day-to-day threshold variability, and different heart-rate acquisition between devices — the Garmin protocol required an ECG chest strap while the other two used wrist PPG — plus undisclosed manufacturer algorithms.

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