Insights / 09 · Running · 13 min read

What determines how well we run?

Running performance is built from oxygen delivery, sustainable intensity, movement economy and the ability to preserve all three as fatigue develops. Training works when the demand is specific and the body can absorb it.

By Zacharias Razvi · Reviewed 30 September 2026

The short answer

A fast runner does more than possess a high VO₂max.

VO₂max sets an important aerobic ceiling. Performance also depends on how much of that ceiling can be sustained, how much energy a pace costs, and how well those qualities survive over time. Strength, technique, fuel, heat, terrain, shoes, confidence and training history shape the result.

Start with the task

Running is repeated force under a time limit.

Each step asks the body to produce and absorb force, reposition the limbs and maintain balance while energy demand continues. The heart and blood deliver oxygen. Muscle cells use oxygen and fuel to rebuild ATP, the molecule that powers contraction. The nervous system times the movement. Tendons store and return some elastic energy. None of these systems runs alone.

A five-kilometre race and an easy forty-minute run use the same body but ask different questions. The shorter race can be performed at a higher fraction of maximum capacity. A long run makes durability, fuel and heat management more important. Sprinting shifts the problem towards rapid force and coordination. Good training begins by naming the task.

Four determinants of distance-running performance
VO₂max
aerobic ceiling
×
Sustainable fraction
threshold
×
Running economy
energy cost
×
Durability
what remains

A conceptual model. The factors interact and cannot be multiplied into an exact personal prediction.

Essential terms

VO₂max

The highest measured rate at which oxygen is taken up and used during demanding exercise. VO₂ means oxygen consumption; “max” means the highest value reached under the test conditions.

Threshold

An intensity around which lactate, ventilation and other signs of physiological disturbance begin to change more rapidly. Different tests define it differently.

Running economy

The oxygen or energy cost of running at a given submaximal speed. Lower cost at the same pace usually means better economy.

Fractional utilisation

The fraction of VO₂max a runner can sustain. Two runners with the same ceiling can race differently if this fraction differs.

Durability

The ability to preserve physiology and performance as duration and accumulated fatigue increase.

Ground contact

The brief period when the foot is in contact with the ground and forces are transferred through the body.

VO₂max: the ceiling, not the complete house.

Oxygen follows a chain. It enters the lungs, crosses into blood, is pumped by the heart, reaches working muscle and is used inside mitochondria to support aerobic ATP production. If any part of the chain cannot meet demand, the maximal rate is constrained.

Cardiac output is the blood pumped each minute: heart rate multiplied by stroke volume, the amount ejected with each beat. The working muscles also need capillaries for exchange and mitochondria for oxygen use. Training can change central delivery and peripheral use. VO₂max therefore reflects an integrated system rather than “lung capacity”.

Air and lungs
→
Heart and blood
→
Capillaries
→
Muscle mitochondria

The oxygen pathway. Maximum use depends on delivery and extraction across the chain.

A higher VO₂max can increase the ceiling for endurance performance. It cannot tell us the speed that the athlete can hold, the cost of that speed or the point at which fatigue changes mechanics. That is why identical VO₂max values do not guarantee identical race times.

Threshold: how much of the ceiling can be used?

As pace rises, the body must turn over ATP faster. Lactate production and removal continue at all intensities, but above certain workloads blood lactate and ventilation begin to rise more sharply. Researchers use terms such as lactate threshold, ventilatory threshold and critical speed. These are related markers, not perfect synonyms.

The practical idea is simpler: a runner may be able to sustain a high fraction of maximum oxygen use before disturbance grows too quickly. Threshold training is work targeted around that transition. It should not be reduced to one universal heart-rate percentage because protocol, measurement and individual response differ.

What a threshold is: a useful boundary region for understanding sustainable intensity. What it is not: a switch that turns aerobic metabolism off and anaerobic metabolism on. Both contribute across the intensity spectrum.

Economy: the cost of a pace.

Running economy asks how much oxygen or energy is required at a chosen submaximal speed. Imagine two cars with the same fuel tank. One travels farther per litre. In running, better economy means that a familiar pace consumes a smaller share of available energy.

Economy reflects many variables: limb mechanics, tendon behaviour, muscle recruitment, stiffness, footwear, surface, gradient, fatigue and familiarity with the pace. There is no single ideal running form shared by everyone. A visible technique change is useful only if it improves the relevant outcome without creating a cost elsewhere.

Strength and plyometric training can improve economy in some runners. The proposed reasons include better force production, neuromuscular coordination and use of elastic energy. This does not mean every runner should lift maximally or jump immediately. The dose must fit training age, symptoms and the demands already present.

Evidence map · Blagrove and colleagues’ review

Fifty-eight studies, one complicated system.

58

studies considered in a narrative review

3+

major physiological determinants

1

performance emerging from their interaction

The review organised research on distance-running performance around VO₂max, fractional utilisation, running economy and other interacting determinants. Its value lies in assembling mechanisms that are often discussed separately.

A narrative review is not the same as a meta-analysis. It interprets and connects a body of literature but does not necessarily pool all results into one weighted effect estimate. Differences in athlete level, sex, race distance, testing protocol and environment limit simple conclusions.

The larger lesson is robust: no single laboratory value fully describes distance running. Tests become more useful when they answer a defined question and are read alongside training history and actual performance.

Durability: what remains after the easy first hour?

A runner can look economical and controlled when fresh, then require more oxygen or effort to hold the same speed later. Durability describes resistance to this deterioration. It brings time into the model.

Long-duration performance can be altered by glycogen availability, hydration, heat, muscle damage, pacing and neuromuscular fatigue. Glycogen is stored carbohydrate in muscle and liver. It supports higher rates of energy turnover; when availability falls, the same pace may feel more demanding. Heat adds another demand because blood flow helps both working muscle and temperature regulation.

Durability is specific. A well-trained 5 km runner may still need gradual exposure to the mechanical and nutritional demands of a marathon. A long run is therefore not merely a slower interval session. It teaches the body and the athlete to organise work across time.

Training gives different signals.

Type Primary question Common role Easy running Can the body accumulate aerobic work at a recoverable cost? Volume, skill repetition, peripheral adaptation and recovery between hard days. Threshold work Can a high but controlled fraction of capacity be sustained? Sustainable speed, pacing and tolerance near a boundary region. Intervals Can oxygen use and speed be driven close to a high ceiling? VO₂-related stimulus, speed and economy at demanding paces. Long running Can quality be preserved as duration increases? Durability, fuel practice and event-specific confidence. Strength work Can more force be produced and controlled? Force capacity, tissue loading and possible economy support.

These categories overlap. An easy run can become hard in heat or after poor recovery. A short interval session can create modest total load. The name of a session does not determine the dose; pace, duration, terrain, rest, footwear and the athlete’s state all contribute.

Load and capacity must meet gradually.

Training load is the demand created by the session and the wider week. Capacity is the ability to tolerate and perform that demand. Both are multidimensional. Ten kilometres on flat ground is not the same as ten kilometres downhill, fast, in heat or after a long break.

Current capacity
+
A recoverable running dose
→
Recovery and adaptation
→
Capacity for a little more

Progress is rarely linear. Symptoms, sleep, work, travel and illness can change the amount that fits.

Running-related pain is not proof that one structure has been “worn out”, and pain intensity is not a precise picture of tissue damage. Location, onset, change, swelling, function, previous injury and the response to load matter. Sharp trauma, inability to bear weight, progressive neurological symptoms, chest pain or unexplained severe symptoms require appropriate assessment.

A practical reading of the week

What was the intention?

Easy volume, threshold, speed, long-duration practice or recovery? Name the quality before judging the session.

What did it cost?

Record effort, symptoms and recovery alongside distance and pace. External work and internal response are different data.

What happens next?

A good session fits the next important session. Progress requires enough recovery to repeat useful work.

Four common misunderstandings.

“A higher VO₂max always means a faster runner.”

It raises an important ceiling. Economy, threshold, durability, tactics and environment decide how the ceiling is expressed.

“Good runners should make every run hard.”

Hard work provides a strong signal and a large recovery cost. Easier work allows more volume and practice. The right distribution depends on the runner and goal.

“One running form is correct.”

Technique can be assessed and changed for a reason. Visible symmetry or a fashionable foot strike is not automatically more economical or safer.

“Pain means stop forever or push through.”

Both answers ignore context. Adjust the demand, monitor the response and seek assessment when the pattern or severity warrants it.

Keep these four ideas

Ceiling.

VO₂max reflects maximum integrated oxygen use.

Fraction.

Threshold-related qualities influence how much can be sustained.

Cost.

Economy describes energy required at a given pace.

Time.

Durability describes what remains as fatigue accumulates.

Sources & references

Evidence used in this article.

01 · Blagrove et al. · International Journal of Environmental Research and Public Health · 2020

Narrative review of physiological and biomechanical determinants of distance-running performance, drawing on 58 studies. PubMed

02 · Joyner & Coyle · Journal of Physiology · 2008

Classic integrative review of maximal oxygen uptake, sustainable fraction and running economy in endurance champions. PubMed

03 · Casado et al. · Sports Medicine · 2022

Analysis of key aerobic performance parameters in well-trained male distance runners. PubMed

04 · Balsalobre-Fernández et al. · Journal of Strength and Conditioning Research · 2016

Systematic review and meta-analysis of strength training and running economy in highly trained runners. PubMed

Educational information, not individual treatment advice. Zacharias Razvi is a final-semester physiotherapy student and is not yet an authorised physiotherapist.