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BMC Genomics · 2017

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Camilla J. Williams, Mark G. Williams, Nir Eynon, Kevin J. Ashton, Jonathan P. Little, Ulrik Wisloff, Jeff S. Coombes

Genes to predict VO₂max trainability: a systematic review

Springer Science and Business Media LLC. 18(S8). 831.

Study type
Systematic review
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Full text reviewed

Could a genetic test tell someone how much their aerobic fitness will improve with training? Researchers examined 35 articles covering 15 groups of participants and identified 97 genes proposed as possible predictors. Only a small subset of findings had been repeated across studies, and several commonly studied variants produced conflicting results. The paper presents these candidates as a basis for further research. It does not establish a reliable genetic tool for choosing an individual's exercise program or forecasting how much their maximal oxygen uptake will change.

Aerobic fitness depends on many interacting processes, so a single genetic variant is unlikely to explain a large share of adaptation. Some studies combined variants into prediction scores, but a score that fits one dataset needs testing in other people. Several papers reused data from the same research groups, meaning that the number of publications was larger than the number of independent participant samples.

How Does This Show Up in Real Life?

A report that links a gene to training response can sound more decisive than the underlying evidence. This paper gives a reason to ask whether the result was repeated, whether the study was large enough, and whether it distinguished true response differences from ordinary variation. Those questions matter before treating a genetic result as a reason to favor or avoid an activity. The authors explicitly describe exercise genomics as an early research field requiring more work before it can personalize training. Their findings mainly explain the complexity of adaptation; they do not provide practical recommendations based on a consumer DNA profile. A proposed biological pathway also remains different from a demonstrated benefit of using that information.

Many studies were small, lacked randomized comparison groups or used statistical thresholds vulnerable to chance findings. Participants were predominantly of European ancestry. Training programs and lifestyle measurements differed, while nutrition and other environmental influences were often incompletely controlled. The review did not establish whether predicted responses persist after training ends or reliably apply to a different program in the same person.

Why We Cite It

Alpekin can use this source when distinguishing an interesting biological association from a useful decision tool. It provides a clear example of the extra work needed between discovering a candidate marker and showing that acting on the marker improves an outcome, especially when commercial claims emphasize personalization.

The paper maps possibilities and substantial gaps. Its value is in setting expectations for evidence, rather than assigning people to fixed categories. Reliable prediction requires independent confirmation and practical validation beyond the associations gathered in these early studies.

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