DavidM said:How does this inform ideas about limiting factors to VO2max ? i.e. which part of the CV system is 'over-engineered' regarding aerobic performance ? I think it's accepted that the lungs are not the limiting factor. I think its predominantly cardiac output which is the limiting factor, and it's proven by the EPO phenomenon - i.e. skeletal muscle, and its O2 supply system (capillarisation) can ALWAYS utilise more oxygen, and perform harder, whether this O2 is delivered by greater cardiac output, or by greater blood oxygen load (secondary to EPO use). If O2 diffusion/utilisation in the muscle were the limiting factor, then surely an increase in blood oxygen would not produce such a spectacular improvement in performance.
I'm not 100% on this, but I understand that development of capillaries occurs at the greatest rate at intensities approaching VO2max. That would suggest to me that this is also important - it makes sense, too, that all parts of the mechanism of oxygen delivery will affect the maximal uptake of oxygen. If this is the case, you are right that the heart is very important, as is haemoglobin and the oxygen carrying capacity of the blood. However, I think you are wrong to discount the effects of capillarisation and other adaptions in skeletal muscle. If you are trying to get something (oxygen) suspended in liquid (blood) into a small space (the muscular site), it seems there are four intuitive ways to improve that process. Firstly, you could increase the concentration of the suspension - eg EPO's effect. Interestingly, this does not seem to be a common adaption to normal training. Secondly, you could change the flow characteristics of the liquid, allowing more to be pushed through the vessels and capillaries more easily - this correlates with plasma expansion and the increased cardiac output seen therewith (it is not that the heart is stronger but that the flow characteristics of the blood changes). Thirdly, you could increase the force and amount with which you push the liquid - this correlates with an increase in strength of the heart and increase in stroke volume (which is related to plasma expansion). Finally, you can change the path through which the liquid flows and provide easier access to the sites - capillarisation.
I don't think you could easily say that one adaption is more important than another as all the variables you mention are trained together, and are correlated with increased VO2max.