At Fluid Health and Fitness, we don’t guess with your fitness — we measure it.

When you schedule an Active Metabolic Rate (AMR) Assessment and Cardiopulmonary Screen, you’re not getting a surface-level test. You’re getting a scientific blueprint of how your body breathes, moves, and fuels itself under stress — critical information to build a stronger, more resilient you.

Here’s exactly what you can expect from start to finish.


Why We Test: The Right Data, the Right Way

 

An AMR assessment at Fluid captures critical physiological markers, including:

  • Heart Rate (HR): Cardiovascular load and recovery

  • Oxygen Uptake (VO₂): Aerobic engine capacity

  • Carbon Dioxide Production (VCO₂): Metabolic waste management

  • Ventilatory Equivalents (Ve/VO₂ and Ve/VCO₂): Breathing efficiency during exertion

  • Respiratory Exchange Ratio (RER): Fuel utilization balance (fat vs. carbohydrates)

  • Ventilation Volume (Ve): Total respiratory effort

  • Expired Oxygen and CO₂ (FeO₂ and FeCO₂): Gas exchange efficiency

These values show how:

  • Efficiently your body uses oxygen

  • Effectively your respiratory system supports performance

  • Well your cardiovascular system adapts to different intensities

It’s not just about how hard you work — it’s about how cleanly your system operates.


Why Fluid Uses Two-Minute Stages for Testing

 

We structure your AMR assessment using either one-minute or two-minute stages depending on your specific goals:

Stage Option Purpose
1-Minute Stages VO₂ ramp testing and peak effort analysis
2-Minute Stages Submaximal efficiency profiling and ventilatory threshold detection

Why two-minute stages matter for efficiency testing:

  • Steady-State Readings: Oxygen consumption (VO₂) and carbon dioxide production (VCO₂) stabilize only after 2–3 minutes at a consistent workload.

  • Accurate Ventilatory Measurements: Reliable Ve/VO₂ and Ve/VCO₂ ratios require steady-state breathing.

  • Real Metabolic Profiling: Short stages (<2 min) introduce noise and distort fat vs. carbohydrate substrate analysis (RER).

 

At Fluid, we prioritize scientific precision over speed — because understanding your physiology is too important to rush.

(References: Wasserman et al., 2012; Beaver et al., 1986; Meyer et al., 2005; Korr Technologies, 2020)


Step-by-Step: Your AMR Process at Fluid

 

1. Health History and Movement Screening

  • We review your full health history, training background, and any relevant orthopedic or cardiovascular concerns.

  • You complete a movement quality screen using the Kinotek 3D capture system.

2. AMR and Cardiopulmonary Testing

  • You’ll be fitted with a specialized respiratory mask connected to our metabolic analyzer.

  • Workload will progress gradually while we continuously collect data:

    • HR, VO₂, VCO₂, Ve/VO₂, Ve/VCO₂, RER, FeO₂, FeCO₂, and ventilation rates.

Our team monitors every step to ensure safe, valid, and actionable results.

3. Data Organization and Review

  • After your test, we consolidate and manually review your:

    • Metabolic data

    • Movement analysis

    • Health and performance history

  • We organize your results into a clear report summarizing your mechanical efficiency, cardiorespiratory fitness, and metabolic health.

 

4. Your Personalized Review Session

  • We walk you through exactly what your numbers mean — in plain language:

    • Efficiency of breathing

    • Substrate usage patterns

    • Cardiac and respiratory system efficiency

 

  • Based on your assessment, we recommend next steps aligned with your performance and health goals:

  • Core | 6 Movement Optimization Program (correct biomechanics and restore stability)
  • Protect and Restore (P&R) Program (build conditioning and resilience safely)

 

You’ll leave with a clear action plan based on real data — not guesswork.


What the AMR Values Reveal

 

Marker What It Shows Why It Matters
HR Cardiovascular stress and recovery Lower resting HR and quicker recovery = better endurance
VO₂ Maximal oxygen utilization Higher VO₂ supports better athletic output
VCO₂ Carbon dioxide clearance Efficient removal delays fatigue
Ve/VO₂ Breathing effort for oxygen intake Lower = better ventilatory efficiency
Ve/VCO₂ Breathing effort for CO₂ removal Lower = less respiratory strain
RER Fat vs. carbohydrate fuel usage Lower RER = better endurance through fat metabolism
Ve Total ventilation volume Efficient matching of breathing to workload
FeO₂ Oxygen extraction Lower FeO₂ = better muscle oxygenation
FeCO₂ CO₂ expulsion Higher FeCO₂ = better waste clearance under stress

Why VO₂ Peak Isn’t the Full Story

 

Many gyms and health systems brag about VO₂ peak numbers.
At Fluid, we know VO₂ peak is only one piece of a much bigger puzzle.

  • Ventilatory efficiency (Ve/VO₂, Ve/VCO₂) is critical for real-world stamina.

  • Fuel flexibility (RER) determines endurance — not just output.

  • Movement economy impacts how much energy you waste or save.

  • Heart rate recovery shows true cardiovascular health.

Without these factors aligned, even a “strong engine” runs inefficiently.

We measure everything that matters for performance, longevity, and resilience — not just the easy metrics.

Looking for additional reading?

Build the frame before the engine 

Physiology of heart rate zones

Cardio for Sports Performance


How to Prepare for Your AMR Assessment

 

1. The Day Before and Morning Of

  • Fast for at least 4 hours before your appointment.
    (Only water permitted.)

  • No caffeine the morning of the test.
    (No coffee, tea, energy drinks, or stimulants.)

  • No intense exercise for 48 hours before.
    (Light walking or stretching is acceptable.)

  • Take any necessary medications unless advised otherwise by your provider.

2. What to Bring

  • Comfortable athletic clothing (shorts, leggings, t-shirt, supportive shoes)

  • Any necessary inhalers or medical devices

  • Completed health history and intake forms (if sent prior)

3. During the Test

  • You’ll wear a respiratory mask connected to our analyzer.

  • You’ll complete either 1-minute or 2-minute stages based on your needs.

  • The workload increases gradually under full supervision.

Important:
This is a controlled, scientific assessment — not a competition.
Stay steady, stay relaxed, and trust the process.


After Your Assessment

You’ll receive:

  • Your Health History Summary

  • A detailed AMR and Cardiopulmonary Report

  • Your Kinotek Movement Analysis (if performed)

  • Your Personalized Action Plan tied to Core | 6 or the Protect and Restore (P&R) Program

Your program recommendations will match your specific needs — not a one-size-fits-all approach.


Final Thought

Testing at Fluid Health and Fitness isn’t about finding out how “fit” you are.
It’s about understanding how your body truly operates — so we can build it smarter, stronger, and more sustainably.

Thank you for trusting us to help you move better, breathe better, and perform better — for life.

We look forward to seeing you at your AMR appointment.