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Siim Land@siimlandX

Health stats of the healthiest 1% of the population: - VO2 max ≥60 men, ≥50 women - Pullups ≥20 men, ≥5 women - Resting heart rate ≤45 bpm

what it claims

Achieve specific health markers (high VO2 max, low resting heart rate, low body fat percentage, low markers of inflammation and blood glucose) to place yourself among the healthiest 1% of the population.

mixed

The creator proposes a list of highly ambitious physiological and metabolic targets.

noli's read

The creator proposes a list of highly ambitious physiological and metabolic targets. Scientific literature confirms that high levels of VO2 max, low basal blood glucose and insulin (HOMA-IR), as well as minimal systemic inflammation (hsCRP) are powerful predictors of increased longevity and reduced risk of chronic diseases (meta-analyses, observational evidence). However, labeling these thresholds as the 'top 1%' conflates optimal health with elite athletic performance. For example, a body fat percentage ≤10% for men or a resting heart rate ≤45 bpm are often characteristic of highly trained endurance athletes and are not necessary for excellent health in the average citizen. Furthermore, optimal values (particularly for insulin or CRP) are more characteristic of a preventive functional medicine approach than standard clinical thresholds, which are often more permissive. The advice is therefore a mix of well-supported health markers and athletic targets that may be excessive or unattainable for a large portion of the population.

the sources

  1. 1Mandsager K, Harb S, Cremer P, Phelan D, Nissen SE, Jaber W 2018

Claimed by Siim Land. Noli grades the claim, never the person.

Decoded by Noli · July 18, 2026 · the original post

What the graded evidence says

Evidence
B

Linked to, not proven to cause.

Effect
all-cause mortality by cardiorespiratory fitness (treadmill METs) — elite vs low fitness adjusted HR 0.20 (95% CI 0.16-0.24); mortality inversely proportional to fitness with no upper limit of benefit; n=122,007
Measured on
adults referred for exercise treadmill testing (single large health system)

What’s uncertain

The fitness-mortality link is observational and drawn from patients referred for treadmill testing, so it shows strong association, not proof of cause. Dramatic comparisons (e.g. 'more dangerous than smoking') are rhetorical, not precise.

Siim Land in the Register50 claims graded · solidity 79/100See their record →

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