The physiological benchmarkS of VOPs (Very Old Person) has been lifted by an Irish athlete recently. The 92 year old person has been examined with state of the art physiological measurements to better demonstrate the training efforts and health outcomes of the VOP. In fact the cardiovascular fitness is comparable to a much younger person without much exercise. In differentiation to a sedentary lifestyle the VOP has a daily 40 minutes rowing routine plus 2-3 times resistance training, meaning weights. 20 years without injury made him indoor rowing champion repeatedly. Physiological benchmarks have been extended due to the surprising late onset of the training only at 73 years of age. Starting late with physical exercise allows to reap enormous benefits as well. For physiological fitness it is not only “use it or lose it” but “use it and extend it”. Almost irrespective of age the novel findings suggest a cardiovascular plasticity that was believed to be impossible. The descriptive account in “The Journal of Applied Physiology” allows no causal inference. Many cardiologists would probably even advise against such high intensity training without careful medical examination before, during and after some months. From a statistical or epidemiological point of view this statistical outlier will likely lead to adjustments of algorithmic potentials of human performance in older age. Handle with care, I would suggest. Working against resistance regularly remains an interesting perspective for an aging person and aging societies.
