Journals / Pamukkale Journal of Sport Sciences / 2026 / Volume: 17 Issue: 2

The Relationship Between Hemoglobin Levels in Blood and VO₂max in Indonesian Athletes: A Meta-Analysis Study

Syahrizal Islam(Department Physical Education, Faculty of Sports Science, Semarang State University)0009-0000-1868-3215
Muhamad Husein(Department of Sports Science, Faculty of Sports Science, Yogyakarta State University)0009-0001-8393-3417
Pages
—
Publication Date
2026-08-25
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Overall, these findings confirm that hemoglobin levels contribute significantly to athletes' VO₂max.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:VO₂max plays a vital role in supporting athletes' endurance during training and competition.
📊
Key Findings & Data:However, research on VO₂max in Indonesian athletes continues to yield mixed results.
💡
Conclusion & Impact:Overall, these findings confirm that hemoglobin levels contribute significantly to athletes' VO₂max.
🔬Design:Review
📍Scope:Comprehensive Sample
⚙️Variables:Hemoglobin Levels · Indonesian Athletes · Meta-Analysis

Abstract

VO₂max plays a vital role in supporting athletes' endurance during training and competition. However, research on VO₂max in Indonesian athletes continues to yield mixed results. Therefore, this study aims to examine the contribution of hemoglobin levels to VO₂max in Indonesian athletes using a meta-analysis. This study uses a meta-analysis approach following the PRISMA guidelines, with a literature search conducted using Harzing's Publish or Perish application on Google Scholar. The main keywords used were "hemoglobin level" AND "VO₂max", combined with Boolean operators. Data analysis included heterogeneity tests, effect size calculations, subgroup analyses, and publication bias tests, all conducted using JASP. The results of a meta-analysis of 17 studies showed a significant positive relationship between hemoglobin levels and VO₂max in athletes in Indonesia (effect size = .724; 95% CI: 0.499–0.949; p < .001), with a high level of heterogeneity (Q = 79.29; p < .05; I² = 82.4%). Subgroup analysis showed a significant effect in team sports (effect size = .772; p < .001), whereas no significant effect was observed in individual or mixed sports. The test for differences between groups of sport types also showed no significant difference (Qₘ(2) = .78; p = .677). In addition, Egger's test showed no indication of publication bias (p = .59). Overall, these findings confirm that hemoglobin levels contribute significantly to athletes' VO₂max. However, the magnitude of the effect may vary between sports, thereby confirming the physiological role of hemoglobin in supporting athletes' endurance capacity.

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Cite This Article

Islam, S., Husein, M. (2026). The Relationship Between Hemoglobin Levels in Blood and VO₂max in Indonesian Athletes: A Meta-Analysis Study. Pamukkale Journal of Sport Sciences, Volume: 17 Issue: 2. https://doi.org/10.54141/psbd.1776590

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References (99)

  1. Ahn, S., & Abbamonte, J. M. (2020). A new approach for handling missing correlation values for meta‐analytic structural equation modeling: Corboundary R package. Campbell Systematic Reviews, 16(1). https://doi.org/10.1002/cl2.1068
  2. Aini, T. R. N., Rahfiludin, M. Z., & Kartini, A. (2019). The Relationship between Body Fat Percentage and Hemoglobin Levels with VO₂Max Capacity of Badminton Athletes (A Study at the Badminton Student Activity Units of Semarang State University and Diponegoro University). Media Kesehatan Masyarakat Indonesia, 18(4), 1–4. https://doi.org/10.14710/mkmi.18.4.1-4
  3. Aksović, N., Bjelica, B., Milanović, F., Milanovic, L., & Jovanović, N. (2021). Development of explosive power in basketball players. Turkish Journal of Kinesiology, 7(1), 44–52. https://doi.org/10.31459/turkjkin.861920
  4. AlGhatrif, M., Morrell, C. H., Fleg, J. L., Chantler, P. D., Najjar, S. S., Becker, L. C., Ferrucci, L., Gerstenblith, G., & Lakatta, E. G. (2024). Longitudinal decline in peak V_ O2 with aging in a healthy population is associated with a reduction in peripheral oxygen utilization but not in cardiac output. American Journal of Physiology - Heart and Circulatory Physiology, 327(2), H509–H517. https://doi.org/10.1152/ajpheart.00665.2023
  5. Anggraeni, L., & Wirjatmadi, R. B. (2019). Haemoglobin Status, Smoking Habits And Cardiorespiratory Endurance (Vo2 Max) Among Basketball Student Activity Units. Media Gizi Indonesia, 14(1), 27. https://doi.org/10.20473/mgi.v14i1.27-34
  6. Arif, S. (2016). The Relationship between Hemoglobin (Hb) Levels and Physical Fitness in 18-Year-Old Male Football Team Players of Elfaza FC Surabaya. Jurnal Kesehatan Olahraga, 5(3), 25–32. https://doi.org/10.11343/JKO.14.2.25-32
  7. Astuti, R. W. (2019). Hematocrit and Hemoglobin Levels in Relation to Maximal Oxygen Consumption (VO₂max) in Adolescent Athletes. Medika Respati: Jurnal Ilmiah Kesehatan, 14(2), 151. https://doi.org/10.35842/mr.v14i2.250
  8. Baker, J. S., Quach, B., Jiao, J., Liang, W., & Gao, Y. (2020). Body Composition Matters When Designing and Prescribing HIIT Protocols to Individuals for Health Promotion. Physical Activity and Health, 4(1), 158–161. https://doi.org/10.5334/paah.68
  9. Bartoš, F., Wagenmakers, E.-J., & Viechtbauer, W. (2025). Meta-Analysis with JASP, Part I: Classical Approaches. ArXiv Preprint ArXiv:2509.09845. https://doi.org/https://doi.org/10.48550/arXiv.2509.09845
  10. Bassett, D. R., & Howley, E. T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. Medicine and Science in Sports and Exercise, 32(1), 70–84. https://doi.org/10.1097/00005768-200001000-00012
  11. Batubara, A. A., & Sinaga, R. N. (2021). The Relationship between Hemoglobin Levels and VO₂max in Long-Distance Runners at PPLM, Universitas Negeri Medan. Jurnal Kesehatan Dan Olahraga, 5(1), 34. https://doi.org/10.24114/ko.v5i1.30366
  12. Bekembetova, R., Konakbayev, B., & Мazhenov, S. (2024). Dynamics of maximum oxygen consumption under extreme physical exertion in ski racers. Теория И Методика Физической Культуры, 77(3), 65–72. https://doi.org/10.48114/2306-5540_2024_3_65
  13. Broxterman, R. M., Wagner, P. D., & Richardson, R. S. (2022). Impact of O2 Availability on Convective and Diffusive O2 Transport and Skeletal Muscle Intracellular PO2 at VO2max. The FASEB Journal, 36(S1). https://doi.org/10.1096/fasebj.2022.36.s1.r4742
  14. Cahalin, L., Landis, E., & Formiga, M. (2023). Hemoglobin, maximal heart rate and work capacity, as well as time to exhaustion are significantly improved with combined hypoxia and aerobic exercise training in healthy adults: a meta-analysis. European Journal of Preventive Cardiology, 30(Supplement_1). https://doi.org/10.1093/eurjpc/zwad125.127
  15. Caparros, T. (2025). Training Model for Extended Career Athletes: A Narrative Review. Sports Health, 17(1), 164–174. https://doi.org/10.1177/19417381241285870
  16. Carvalho de Moura, R., de Moura Costa, C., Pinheiro Ferreira, C., Lorena Soares Cavalcante Sousa, B., Caline dos Santos, L., da Silva Pinheiro, M., Luís Galan Ribeiro, S., Soares Almeida, S., Lima e Silva Pinho, J., Monge Lages, N., Flávia de Sousa, M., Alves Costa, I., Alexa Cardoso, G., Salvador Veras Silva, A., Alves Silva, A., Cruz dos Santos Leite, J., Machado Brito, F., Henrique Oliveira dos Santos, L., Lima Rodrigues, R., … Antonio Pereira dos Santos, M. (2025). Body composition and physical performance of mountain bike athletes. Scientific Reports, 15(1), 3329. https://doi.org/10.1038/s41598-025-88180-4
  17. Christou, G. A., Pagourelias, E. D., Deligiannis, A. P., & Kouidi, E. J. (2021). Exploring the Anthropometric, Cardiorespiratory, and Haematological Determinants of Marathon Performance. Frontiers in Physiology, 12. https://doi.org/10.3389/fphys.2021.693733
  18. Ciekot-Sołtysiak, M., Kusy, K., Podgórski, T., & Zieliñski, J. (2018). Training-induced annual changes in red blood cell profile in highly-trained endurance and speed-power athletes. Journal of Sports Medicine and Physical Fitness, 58(12), 1859–1866. https://doi.org/10.23736/S0022-4707.17.07819-7
  19. Cohen, J. (2013). Statistical Power Analysis for the Behavioral Sciences. In Statistical Power Analysis for the Behavioral Sciences. routledge. https://doi.org/10.4324/9780203771587
  20. Corona, L. P., Andrade, F. C. D., da Silva Alexandre, T., de Brito, T. R. P., Nunes, D. P., & de Oliveira Duarte, Y. A. (2022). Higher hemoglobin levels are associated with better physical performance among older adults without anemia: a longitudinal analysis. BMC Geriatrics, 22(1), 233. https://doi.org/10.1186/s12877-022-02937-4
  21. Curby, D., Ali, A., & Khudair, G. (2024). A Comparison of Some Important Biochemical Indicators According to Escalating Physical Effort till Fatigue for Elite Freestyle Wrestlers, 800m Runners, and 200m Freestyle Swimmers. Journal of Physical Education, 36(1), 190–171. https://doi.org/10.37359/JOPE.V36(1)2024.2065
  22. D’andrea, A. (2018). OBSOLETE: Physiological Adaptations of the Heart in Elite Athletes. In Reference Module in Biomedical Sciences. Elsevier. https://doi.org/10.1016/b978-0-12-801238-3.99712-5
  23. Diaz-Canestro, C., Siebenmann, C., & Montero, D. (2021). Blood Oxygen Carrying Capacity Determines Cardiorespiratory Fitness in Middle-Age and Older Women and Men. Medicine & Science in Sports & Exercise, 53(11), 2274–2282. https://doi.org/10.1249/MSS.0000000000002720
  24. Ferretti, G., Fagoni, N., Taboni, A., Vinetti, G., & di Prampero, P. E. (2022). A century of exercise physiology: key concepts on coupling respiratory oxygen flow to muscle energy demand during exercise. European Journal of Applied Physiology, 122(6), 1317–1365. https://doi.org/10.1007/s00421-022-04901-x
  25. Firmansyah, A., Prasetya, R. A., & Ardha, M. A. Al. (2021). Technical Review of The Role Physical Conditions in Football. JOSSAE: Journal of Sport Science and Education, 6(1), 87. https://doi.org/10.26740/jossae.v6n1.p87-93
  26. Franchini, E. (2023). Energy System Contributions during Olympic Combat Sports: A Narrative Review. Metabolites, 13(2), 297. https://doi.org/10.3390/metabo13020297
  27. Furian, M., Tannheimer, M., & Burtscher, M. (2022). Effects of Acute Exposure and Acclimatization to High-Altitude on Oxygen Saturation and Related Cardiorespiratory Fitness in Health and Disease. Journal of Clinical Medicine, 11(22), 6699. https://doi.org/10.3390/jcm11226699
  28. Grzebisz-Zatońska, N. (2024). The Relationship between Inflammatory Factors, Hemoglobin, and VO2 Max in Male Amateur Long-Distance Cross-Country Skiers in the Preparation Period. Journal of Clinical Medicine, 13(20), 6122. https://doi.org/10.3390/jcm13206122
  29. Gunawan, S., Millah, H., & Hartadji, R. H. (2017). The Relationship between Hemoglobin Levels and Respiratory Muscle Strength with VO₂max Capacity in UNSIL UNITED Football Players. Jurnal Siliwangi, 3(1), 173–178. https://doi.org/10.37058/jspendidikan.v3i1.187
  30. Hanief, Y. N. (2022). The Contribution of Physical Components to Petanque Performance: A Meta-Analysis Study. Dharmas Journal of Sport, 2(1), 08–17. https://doi.org/10.56667/djs.v2i1.626
  31. Haqiyah, A. (2018). Correlation between Nutritional Status (Body Mass Index and Hemoglobin) and Cardiovascular Endurance in Pencak Silat Athletes in Bekasi City. Motion: Jurnal Riset Physical Education, 6(2), 123–140. https://doi.org/10.33558/motion.v6i2.502
  32. Hariyanti, M. A., Rahayu, N. I., & Pitriani, P. (2020). The Relationship between Hemoglobin Levels and VO₂max in Male Softball Athletes. Jurnal Terapan Ilmu Keolahragaan, 5(1), 16–21. https://doi.org/10.17509/jtikor.v5i1.24191
  33. Hariyanti, M. A., Setiakarnawijaya, Y., Ihsani, S. I., Diyananda, D., & Yuliana, E. (2022). The Effect of Hemoglobin Levels and FEV₁ on VO₂max in Softball Athletes. Jurnal Segar, 11(1), 23–29. https://doi.org/10.21009/segar/1101.04
  34. Heinicke, K., Wolfarth, B., Winchenbach, P., Biermann, B., Schmid, A., Huber, G., Friedmann, B., & Schmidt, W. (2001). Blood volume and hemoglobin mass in elite athletes of different disciplines. International Journal of Sports Medicine, 22(7), 504–512. https://doi.org/10.1055/s-2001-17613
  35. Heinonen, I. (2025). Cardiac output limits maximal oxygen consumption, but what limits maximal cardiac output? Experimental Physiology, 110(5), 666–674. https://doi.org/10.1113/EP091594
  36. Hoppeler, H., & Weibel, E. R. (2000). Structural and functional limits for oxygen supply to to muscle. Acta Physiologica Scandinavica, 168(4), 445–456. https://doi.org/10.1046/j.1365-201X.2000.00696.x
  37. Husein, M. F. (2021). Difference of Vo2 Max Level between Football and Basketball Players. Developing a Global Pandemic Exit Strategy and Framework for Global Health Security, 44. https://doi.org/10.26911/ab.epidemiology.icph.08.2021.24
  38. Islam, S., Husein, M., Hasan, B., Muti, G. G., Muti, N. S., Lembang, M. T., Nubatonis, J. D., Kristiono, A. A., Taiar, R., & Salacup, V. L. D. (2025b). The Relationship between Mental Toughness and Anxiety in Athletes: A Meta-Analysis Study. JSES Journal of Sport and Exercise Science, 8(2), 161–177. https://doi.org/10.26740/jses.v8n2.p161-177
  39. Islam, S., Nasuka, N., & Junaidi, S. (2025a). Effect Of Aquatic Plyometric Training Methods And Body Reaction Speed On The Speed Of The Sickle Kick Of The Melati Silat School Sakti City Of Pekalongan. Journal of Physical Education and Sports, 14(2), 41–54. https://doi.org/10.15294/jpes.v14i2.23865
  40. Islam, S., Siagian, H., Muti, G. G., Atmaja, A. R. D., Rahman, A., & Wicaksono, G. B. (2025c). The impact of wearing compression garments on basketball players: a literature review. Multilateral: Jurnal Pendidikan Jasmani Dan Olahraga, 24(2), 238. https://doi.org/10.20527/multilateral.v24i2.22092
  41. Ivanov, I. (2022). Hemorheological Alterations and Physical Activity. Applied Sciences (Switzerland), 12(20), 10374. https://doi.org/10.3390/app122010374
  42. Ji, S., Keller, S., Zwingmann, L., & Wahl, P. (2022). Modeling lactate threshold in young squad athletes: influence of sex, maximal oxygen uptake, and cost of running. European Journal of Applied Physiology. https://doi.org/10.1007/s00421-022-05084-1
  43. Joanna Briggs Institute. (2017). JBI critical appraisal tools for use in JBI systematic reviews. https://jbi.global/critical-appraisal-tools
  44. Jun, H., Yoon, S.-H., Roh, M., Kim, S., Lee, J., Lee, J., Kwon, M., & Leem, J. (2021). Quality Assessment and Implications for Further Study of Acupotomy: Case Reports Using the Case Report Guidelines and the Joanna Briggs Institute Critical Appraisal Checklist. Journal of Acupuncture Research, 38(2), 122–133. https://doi.org/10.13045/jar.2021.00024
  45. Junaidi, J. (2018). Relationship of Hemoglobin Concentration and Lung Vital Capacity With Maximal Aerobic Capacity (Vo2 Max) At Indonesian National Athletes. Jipes - Journal of Indonesian Physical Education and Sport, 4(1), 65–73. https://doi.org/10.21009/jipes.041.06
  46. Kaur, D., Gill, G. S., Singh, J., Karmakar, D., Elayaraja, M., Yashpal, Prasad, S., Setiawan, E., Gogoi, H., & Govindasamy, K. (2024). Comparative analysis of selected variables in the haematological profiling of elite medalists, non­medalists, and non­sports individuals. Fizjoterapia Polska, 2024(3), 190–196. https://doi.org/10.56984/8ZG020AQYC
  47. Kusnadi, N., Millah, H., & Islami, G. M. (2021). The Relationship between Hemoglobin Levels and Body Fat Percentage with Cardiovascular Endurance. Multilateral: Jurnal Pendidikan Jasmani Dan Olahraga, 20(2), 169. https://doi.org/10.20527/multilateral.v20i2.10603
  48. Lestari, N., Susilawati, I., & Sumaeni, S. (2024). The Relationship between Pulmonary Vital Capacity and Hemoglobin Levels with VO₂max in Football Athletes: A Correlational Study at Ani Soccer, Mataram. Gelora: Jurnal Pendidikan Olahraga Dan Kesehatan IKIP Mataram, 11(2), 100. https://doi.org/10.33394/gjpok.v11i2.13135
  49. Listianasari, Y. (2020). Iron Intake, Hemoglobin Levels, and VO₂max in Football Athletes in Sleman Regency, Yogyakarta. Nutriology: Jurnal Pangan,Gizi,Kesehatan, 1(2), 35–41. https://doi.org/10.30812/nutriology.v1i2.843
  50. Lochbaum, M., Sherburn, M., Sisneros, C., Cooper, S., Lane, A. M., & Terry, P. C. (2022). Revisiting the Self-Confidence and Sport Performance Relationship: A Systematic Review with Meta-Analysis. International Journal of Environmental Research and Public Health, 19(11), 6381. https://doi.org/10.3390/ijerph19116381
  51. Lundby, C., Mazza, O., Nielsen, J., Haubro, M., Kvorning, T., Ørtenblad, N., & Gejl, K. D. (2024). Eight weeks of heavy strength training increases hemoglobin mass and V_ O2peak in well-trained to elite female and male rowers. Journal of Applied Physiology, 136(1), 1–12. https://doi.org/10.1152/japplphysiol.00587.2023
  52. Mairbäurl, H. (2013). Red blood cells in sports: effects of exercise and training on oxygen supply by red blood cells. Frontiers in Physiology, 4. https://doi.org/10.3389/fphys.2013.00332
  53. Mappanyukki, A. A., Husnul, D., Akkase, A., & Sultan, A. (2024). The Relationship Between Hemoglobin Levels andCardiovascular Endurance in OTW Bola FC Futsal Club. Jurnal Ilara, 15(3), 186–191. https://doi.org/10.43391/JI.v6a2.473
  54. Mastalerz, A., Johne, M., Mróz, A., Bojarczuk, A., Stastny, P., Petr, M., Kolinger, D., Pisz, A., Vostatkova, P., & Maculewicz, E. (2024). Changes of Anaerobic Power and Lactate Concentration following Intense Glycolytic Efforts in Elite and Sub-Elite 400-meter Sprinters. Journal of Human Kinetics, 91, 165–174. https://doi.org/10.5114/jhk/186074
  55. Modesti, A., Militello, R., Tanturli, A., Santi, A., Gulisano, M., Petri, C., Pengue, L., Pellegrino, A., Modesti, P. A., & Luti, S. (2025). Molecular, Physical, and Technical Performance Response After a Competitive Match in Male Professional Soccer Players. Antioxidants, 14(1), 73. https://doi.org/10.3390/antiox14010073
  56. Monsalve Guevara, V., Montalva-Valenzuela, F., Andrades-Ramírez, O., Narrea Vargas, J. J., Flores, I., & Castillo-Paredes, A. (2024). Soccer and creatine, a systematic review. Retos, 51, 763–770. https://doi.org/10.47197/RETOS.V51.97367
  57. Mudwi, A., & Wu, Z. (2024). Evaluating Exercise Training Effects on VO2max: A Systematic Review of Protocol Efficacy and Measurement Variability. Inquiry@Queen’s Undergraduate Research Conference Proceedings, 18(2). https://doi.org/10.24908/iqurcp18039
  58. Napierkowski, K., Richardson, K. A., Torres, R., Ismaeel, A., Lowry, C., Beeson, C., Koutakis, P., & Forsse, J. S. (2022). A Comparative Analysis On Aerobically- And Anaerobically-trained Individuals’ Skeletal Muscle Oxygen Saturation. Medicine & Science in Sports & Exercise, 54(9S), 192–192. https://doi.org/10.1249/01.mss.0000877468.53565.0e
  59. Ningrum, S., & Ratna, D. C. (2024). The Relationship between Hemoglobin Levels and Body Composition with Cardiovascular Endurance in Hockey Athletes at Puslatkab Probolinggo. JURNAL ANGGARA: Jurnal Pendidikan Olahraga, Kesehatan, Rekreasi Dan Terapannya, 1(3), 120–130. https://doi.org/10.63987/anggara.v1i3.123
  60. Nubatonis, J. D., Sulistiyono, S., Husein, M., Septianto, I., Runesi, S., Zakiah, D. M. N., Dewantara, J., Azrina, J., Islam, S., & Salacup, V. L. D. (2024). Optimizing Arm Muscle Endurance in Pencak Silat Athletes: Insights from a Literature Review. Tanjungpura Journal of Coaching Research, 2(3), 131–141. https://doi.org/10.26418/tajor.v2i3.80838
  61. Nur Istiqomah, I. P., Kristiyanto, A., & Ardyanto, T. (2022). The Correlation between Hemoglobin Levels and Physical Fitness in Teenage Taekwondo Athletes. International Journal of Human and Health Sciences (IJHHS), 6(2), 204. https://doi.org/10.31344/ijhhs.v6i2.447
  62. Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Systematic Reviews, 10(1), 89. https://doi.org/10.1136/bmj.n71
  63. Paprancová, A., Šimonek, J., Paška, L., & Krčmár, M. (2024). Impact of small-sided games and running-based high-intensity interval training on physical performance in female football players. Journal of Physical Education and Sport, 24(1), 113–122.
  64. Pasa, W. N., Bahar, A., Mayasari, N. R., Dini, C. Y., Pratama, S. A., & Wahjuni, E. S. (2024). The Relationship between Iron Intake and Hemoglobin Levels with VO₂max in Female Basketball and Volleyball Athletes at UNESA. Jurnal Gizi Kerja Dan Produktivitas, 5(1), 174. https://doi.org/10.62870/jgkp.v5i1.25002
  65. Pasaribu, A. M. N., Candra, J., Kamsurya, R., Zainur, Nurkadri, & Laksana, A. A. N. P. (2021). The relationship of motor skills with performance: Meta-analysis study. Journal Sport Area, 6(3), 315–324. https://doi.org/10.25299/sportarea.2021.vol6(3).6647
  66. Podlogar, T., Leo, P., & Spragg, J. (2022). Using V̇o2max as a marker of training status in athletes-can we do better? Journal of Applied Physiology (Bethesda, Md.: 1985), 133(1), 144–147. https://doi.org/10.1152/japplphysiol.00723.2021
  67. Prima, A., & Setiakarnawijaya, Y. (2018). Korelasi Kadar Hemoglobin Dengan Kapasitas Aerobik Maksimal Atlet Sepakbola Adolesen. Jurnal Sosioteknologi, 17(2), 220. https://doi.org/10.5614/sostek.itbj.2018.17.2.4
  68. Radjen, S., Radjen, G., Životić-Vanović, M., Radaković, S., Vasiljević, N., & Stojanović, D. (2011). Effect of iron supplementation on maximal oxygen uptake in female athletes. Vojnosanitetski Pregled, 68(2), 130–135. https://doi.org/10.2298/VSP1102130R
  69. Reinebo, G., Alfonsson, S., Jansson-Fröjmark, M., Rozental, A., & Lundgren, T. (2024). Effects of Psychological Interventions to Enhance Athletic Performance: A Systematic Review and Meta-Analysis. Sports Medicine, 54(2), 347–373. https://doi.org/10.1007/s40279-023-01931-z
  70. Rista Utami, F., & Amani, P. (2023). Correlation Between Hemoglobin Level And Functional Capacity In Young Adult Population. Biomedical Journal of Indonesia, 9(1), 19–22. https://doi.org/10.32539/bji.v9i1.160
  71. Saghiv, M. S., & Sagiv, M. S. (2020). Oxygen Uptake and Anaerobic Performances. In Basic Exercise Physiology (pp. 149–205). Springer. https://doi.org/10.1007/978-3-030-48806-2_3
  72. San-Millán, I., Stefanoni, D., Martinez, J. L., Hansen, K. C., D’Alessandro, A., & Nemkov, T. (2020). Metabolomics of Endurance Capacity in World Tour Professional Cyclists. Frontiers in Physiology, 11. https://doi.org/10.3389/fphys.2020.00578
  73. Santisteban, K. J., Lovering, A. T., Halliwill, J. R., & Minson, C. T. (2022). Sex Differences in VO2max and the Impact on Endurance-Exercise Performance. International Journal of Environmental Research and Public Health, 19(9), 4946. https://doi.org/10.3390/ijerph19094946
  74. Serin, E., & Ziyagil, M. A. (2021). Comparison of Physical Characteristics, Speed, Agility, Muscular Endurance, Aerobic Power and Recovery Abilities Between Female Volleyball and Basketball Players. International Journal of Life Science and Pharma Research, 11, 144–149. https://doi.org/10.22376/ijpbs/ijlpr/SP14/jan/2021.1-3836
  75. Sil, A. (2024). Oxygen Dissociation Curve: Reviewing the Physiology and Influencing Factors. Asian Journal of Research in Infectious Diseases, 15(12), 164–168. https://doi.org/10.9734/ajrid/2024/v15i12411
  76. Srivastava, S., Tamrakar, S., Nallathambi, N., Vrindavanam, S. A., Prasad, R., & Kothari, R. (2024). Assessment of Maximal Oxygen Uptake (VO2 Max) in Athletes and Nonathletes Assessed in Sports Physiology Laboratory. Cureus. https://doi.org/10.7759/cureus.61124
  77. Steele, J., Fisher, J. P., Smith, D., Schoenfeld, B. J., Yang, Y., & Nakagawa, S. (2023). Meta-analysis of variation in sport and exercise science: Examples of application within resistance training research. Journal of Sports Sciences, 41(17), 1617–1634. https://doi.org/10.1080/02640414.2023.2286748
  78. Systematic reviews of etiology and risk: Chapter 7. (2020). In JBI Manual for Evidence Synthesis. JBI. https://doi.org/10.46658/jbimes-20-08
  79. Tønnessen, E., Svendsen, I. S., Rønnestad, B. R., Hisdal, J., Haugen, T. A., & Seiler, S. (2015). The Annual Training Periodization of 8 World Champions in Orienteering. International Journal of Sports Physiology and Performance, 10(1), 29–38. https://doi.org/10.1123/ijspp.2014-0005
  80. Tortu, E., Ouergui, I., Ulupinar, S., Özbay, S., Gençoǧlu, C., & Ardigò, L. P. (2024). The contribution of energy systems during 30-second lower body Wingate anaerobic test in combat sports athletes: Intermittent versus single forms and gender comparison. PLoS ONE, 19(5 May), e0303888. https://doi.org/10.1371/journal.pone.0303888
  81. Trinschek, J., Zieliński, J., Zarębska, E. A., & Kusy, K. (2023). Male and female athletes matched for maximum oxygen uptake per skeletal muscle mass: equal but still different. Journal of Sports Medicine and Physical Fitness, 63(1), 95–103. https://doi.org/10.23736/S0022-4707.22.13605-4
  82. Vasconcelos, B. B., Protzen, G. V., Galliano, L. M., Kirk, C., & Del Vecchio, F. B. (2020). Effects of High-Intensity Interval Training in Combat Sports: A Systematic Review with Meta-Analysis. Journal of Strength and Conditioning Research, 34(3), 888–900. https://doi.org/10.1519/JSC.0000000000003255
  83. Vigh-Larsen, J. F., Junge, N., Cialdella-Kam, L., Tomás, R., Young, L., Krustrup, P., Mohr, M., & Nybo, L. (2024). Testing in Intermittent Sports - Importance for Training and Performance Optimization in Adult Athletes. Medicine and Science in Sports and Exercise, 56(8), 1505–1537. https://doi.org/10.1249/MSS.0000000000003442
  84. Wang, J., Ji, Y., Zhou, L., Xiang, Y., Heinonen, I., & Zhang, P. (2019). A new method to improve running economy and maximal aerobic power in athletes: Endurance training with periodic carbon monoxide inhalation. Frontiers in Physiology, 10(JUN). https://doi.org/10.3389/fphys.2019.00701
  85. Wati, I. D. P. (2021). Are hemoglobin and volume oxygen maximum (vo2max) relevant each other? Journal Sport Area, 6(2), 193–200. https://doi.org/10.25299/sportarea.2021.vol6(2).6248
  86. Webb, K. L., Gorman, E. K., Morkeberg, O. H., Klassen, S. A., Regimbal, R. J., Wiggins, C. C., Joyner, M. J., Hammer, S. M., & Senefeld, J. W. (2023). The relationship between hemoglobin and V O2max: A systematic review andmetaanalysis. In PLoS ONE (Vol. 18, Issue 10 October). https://doi.org/10.1371/journal.pone.0292835
  87. Wiecha, S., Kasiak, P. S., Szwed, P., Kowalski, T., Cieśliński, I., Postuła, M., & Klusiewicz, A. (2023). VO2max prediction based on submaximal cardiorespiratory relationships and body composition in male runners and cyclists: a population study. ELife, 12. https://doi.org/10.7554/eLife.86291
  88. Wulandari, D. A., Kaidah, S., & Huldani, H. (2022). Literature Review: Hubungan Kadar Hemoglobin dengan Nilai VO2 Maks pada Atlet. Homeostasis, 5(2), 461. https://doi.org/10.20527/ht.v5i2.6297
  89. Zhang, M., Xu, S., Chen, Y., Lin, Y., Ding, H., & Zhang, Y. (2022). Recognition of affective prosody in autism spectrum conditions: A systematic review and meta-analysis. Autism, 26(4), 798–813. https://doi.org/10.1177/1362361321995725
  90. Astuti, R. W. (2019). Hematocrit and Hemoglobin Levels in Relation to Maximal Oxygen Consumption (VO₂max) in Adolescent Athletes. Medika Respati: Jurnal Ilmiah Kesehatan, 14(2), 151. https://doi.org/10.35842/mr.v14i2.250
  91. Firmansyah, A., Prasetya, R. A., & Ardha, M. A. Al. (2021). Technical Review of The Role Physical Conditions in Football. JOSSAE: Journal of Sport Science and Education, 6(1), 87. https://doi.org/10.26740/jossae.v6n1.p87-93
  92. Islam, S., Siagian, H., Muti, G. G., Atmaja, A. R. D., Rahman, A., & Wicaksono, G. B. (2025c). The impact of wearing compression garments on basketball players: a literature review. Multilateral: Jurnal Pendidikan Jasmani Dan Olahraga, 24(2), 238. https://doi.org/10.20527/multilateral.v24i2.22092
  93. Kusnadi, N., Millah, H., & Islami, G. M. (2021). The Relationship between Hemoglobin Levels and Body Fat Percentage with Cardiovascular Endurance. Multilateral: Jurnal Pendidikan Jasmani Dan Olahraga, 20(2), 169. https://doi.org/10.20527/multilateral.v20i2.10603
  94. Lestari, N., Susilawati, I., & Sumaeni, S. (2024). The Relationship between Pulmonary Vital Capacity and Hemoglobin Levels with VO₂max in Football Athletes: A Correlational Study at Ani Soccer, Mataram. Gelora: Jurnal Pendidikan Olahraga Dan Kesehatan IKIP Mataram, 11(2), 100. https://doi.org/10.33394/gjpok.v11i2.13135
  95. Listianasari, Y. (2020). Iron Intake, Hemoglobin Levels, and VO₂max in Football Athletes in Sleman Regency, Yogyakarta. Nutriology: Jurnal Pangan,Gizi,Kesehatan, 1(2), 35–41. https://doi.org/10.30812/nutriology.v1i2.843
  96. Mastalerz, A., Johne, M., Mróz, A., Bojarczuk, A., Stastny, P., Petr, M., Kolinger, D., Pisz, A., Vostatkova, P., & Maculewicz, E. (2024). Changes of Anaerobic Power and Lactate Concentration following Intense Glycolytic Efforts in Elite and Sub-Elite 400-meter Sprinters. Journal of Human Kinetics, 91, 165–174. https://doi.org/10.5114/jhk/186074
  97. Ningrum, S., & Ratna, D. C. (2024). The Relationship between Hemoglobin Levels and Body Composition with Cardiovascular Endurance in Hockey Athletes at Puslatkab Probolinggo. JURNAL ANGGARA: Jurnal Pendidikan Olahraga, Kesehatan, Rekreasi Dan Terapannya, 1(3), 120–130. https://doi.org/10.63987/anggara.v1i3.123
  98. Podlogar, T., Leo, P., & Spragg, J. (2022). Using V̇o2max as a marker of training status in athletes-can we do better? Journal of Applied Physiology (Bethesda, Md.: 1985), 133(1), 144–147. https://doi.org/10.1152/japplphysiol.00723.2021
  99. Systematic reviews of etiology and risk: Chapter 7. (2020). In JBI Manual for Evidence Synthesis. JBI. https://doi.org/10.46658/jbimes-20-08