<P> Cardiorespiratory fitness (CRF) refers to the ability of the circulatory and respiratory systems to supply oxygen to skeletal muscles during sustained physical activity . The primary measure of CRF is VO max . In 2016, the American Heart Association published an official scientific statement advocating that CRF be categorized as a clinical vital sign and should be routinely assessed as part of clinical practice . </P> <P> Regular exercise makes these systems more efficient by enlarging the heart muscle, enabling more blood to be pumped with each stroke, and increasing the number of small arteries in trained skeletal muscles, which supply more blood to working muscles . Exercise improves not just the respiratory system but the heart by increasing the amount of oxygen that is inhaled and distributed to body tissue . A 2005 Cochrane review demonstrated that physical activity interventions are effective for increasing cardiovascular fitness . </P>

A description of cardio-respiratory endurance as it relates to fitness