My watch says my VO2max is 36.8 which would put me very strongly in the long term negative health effects bucket and well below average. Meanwhile Garmin claims it's 51 which would put me in the top 15% of my age group. It can't be both. They're just made up estimations, and following them blindly could be dangerous. What if someone's is going up even though they're not actually doing a healthy amount of exercise? Or someone's is going down or maintaining even though they are, causing them to fall into negative thought or behavioral patterns? Better to stick with some other data points