Metabolic Testing Validation:
PNOĒ’s Clinically Proven Accuracy

PNOĒ delivers clinical-grade metabolic testing through a validated metabolic testing device trusted by healthcare providers, fitness professionals, and researchers worldwide. Backed by peer-reviewed studies, PNOĒ offers scientifically proven metabolic testing outside the lab — helping you personalize care, optimize performance, and improve long-term health outcomes using breath-based metrics.

Lab Validation:
Accuracy You Can Trust

In a tightly controlled breath analysis validation study, researchers compared the PNOĒ portable metabolic analyzer to the gold-standard COSMED Quark CPET system. Results showed near-perfect agreement across all major metrics: VO2, VCO2, RQ, and ventilation. PNOĒ achieved correlation coefficients of r ≈ 0.98 and test-retest reliability around ICC ≈ 0.98 — confirming its clinical precision.
This level of metabolic testing validation makes PNOĒ the first portable system to rival lab-grade analyzers from rest to max exertion.

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PNOĒ's validated metabolic testing device in action

In a tightly controlled breath analysis validation study, researchers compared the PNOĒ portable metabolic analyzer to the gold-standard COSMED Quark CPET system. Results showed near-perfect agreement across all major metrics: VO2, VCO2, RQ, and ventilation. PNOĒ achieved correlation coefficients of r ≈ 0.98 and test-retest reliability around ICC ≈ 0.98 — confirming its clinical precision.

This level of metabolic testing validation makes PNOĒ the first portable system to rival lab-grade analyzers from rest to max exertion.



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PNOĒ’s clinical value was demonstrated in a study involving cancer patients on JAK inhibitors. Researchers tracked resting metabolic rate (RMR) using PNOĒ and identified unique shifts in energy expenditure linked to treatment phases. These findings helped explain unintended weight changes—insights not available through bloodwork alone.
This study contributes to the growing body of metabolic testing validation confirming PNOĒ’s clinical accuracy. By enabling point-of-care breath analysis validation, PNOĒ opens a new frontier in treatment monitoring.

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PNOĒ vs COSMED lab comparison for metabolic testing validation

Clinical Use: Applying Metabolic Testing in Medical Settings

PNOĒ’s clinical value was demonstrated in a study involving cancer patients on JAK inhibitors. Researchers tracked resting metabolic rate (RMR) using PNOĒ and identified unique shifts in energy expenditure linked to treatment phases. These findings helped explain unintended weight changes—insights not available through bloodwork alone.
This study contributes to the growing body of metabolic testing validation confirming PNOĒ’s clinical accuracy. By enabling point-of-care breath analysis validation, PNOĒ opens a new frontier in treatment monitoring.

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Fitness Testing: Real-Time Performance in Dynamic Settings

In a high-intensity functional training (HIFT) study, PNOĒ tracked every breath across a 35-minute session. Participants burned ~528 kcal, peaked at 172 bpm, and hit a MET score of 12.2 — proving that PNOĒ can capture real-time demands in active workouts, not just labs.
This data validates the use of PNOĒ in dynamic, group-based fitness — turning real-world workouts into quantifiable metabolic insights.

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Real-time metabolic testing validation during high-intensity training
In a high-intensity functional training (HIFT) study, PNOĒ tracked every breath across a 35-minute session. Participants burned ~528 kcal, peaked at 172 bpm, and hit a MET score of 12.2 — proving that PNOĒ can capture real-time demands in active workouts, not just labs.
This data validates the use of PNOĒ in dynamic, group-based fitness — turning real-world workouts into quantifiable metabolic insights.

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PNOĒ’s versatility was proven in a study on electric skateboarding, revealing an average burn of 12.5 kcal/min and MET score of 10.5 — higher than snowboarding. Quad activation hit 140% MVC during turns, confirming intense muscular demand.
This research confirms the metabolic testing validation of PNOĒ across unconventional and emerging sports.

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Breath-based metabolic testing validation in action sports

Breath Testing Beyond
the Gym

PNOĒ’s versatility was proven in a study on electric skateboarding, revealing an average burn of 12.5 kcal/min and MET score of 10.5 — higher than snowboarding. Quad activation hit 140% MVC during turns, confirming intense muscular demand.
This research confirms the metabolic testing validation of PNOĒ across unconventional and emerging sports.

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Threshold Testing in Elite Endurance Sports

PNOĒ was used to cross-validate Stryd’s 9/3-minute field test with lab-grade VO2 Max data in elite runners. Results showed the critical power threshold aligned with the respiratory compensation point (~89% of VO₂max), affirming the use of breath-based thresholds in performance coaching.
This level of validated metabolic testing helps athletes and coaches fine-tune training prescriptions with unmatched precision.

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VO2 Max threshold validation using PNOĒ metabolic testing data
PNOĒ was used to cross-validate Stryd’s 9/3-minute field test with lab-grade VO2 Max data in elite runners. Results showed the critical power threshold aligned with the respiratory compensation point (~89% of VO₂max), affirming the use of breath-based thresholds in performance coaching.
This level of validated metabolic testing helps athletes and coaches fine-tune training prescriptions with unmatched precision.

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In 2025, researchers built a two-phase gas exchange model using PNOĒ data from overweight cyclists. The model predicted O2 and CO2 exchange with 84–89% accuracy, enabling real-time adjustments to training intensity.
It marks a move from static programming to responsive, data-driven training powered by PNOĒ’s breath analysis, backed by independent metabolic testing validation

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Adaptive coaching powered by validated metabolic testing insights

Smart Coaching:
Adaptive Training via Gas Exchange Modeling

In 2025, researchers built a two-phase gas exchange model using PNOĒ data from overweight cyclists. The model predicted O2 and CO2 exchange with 84–89% accuracy, enabling real-time adjustments to training intensity.
It marks a move from static programming to responsive, data-driven training powered by PNOĒ’s breath analysis, backed by independent metabolic testing validation

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Home & Clinic Monitoring: Metabolic Health for Everyone

Today, PNOĒ offers scientific validation of key health biomarkers such as VO2 Max, resting metabolic rate (RMR), fat and carbohydrate usage, and biological age – all through a simple breath test. Its clinically proven system empowers individuals to monitor their metabolic profile from anywhere: home, clinic, or gym.
With this validated metabolic testing device, anyone can gain insight into aging, disease risk, and performance – making PNOĒ’s role in metabolic testing validation essential to personalizing health with confidence.

Explore breath analysis
Personal metabolic health monitoring with validated breath analysis
Today, PNOĒ offers scientific validation of key health biomarkers such as VO2 Max, resting metabolic rate (RMR), fat and carbohydrate usage, and biological age – all through a simple breath test. Its clinically proven system empowers individuals to monitor their metabolic profile from anywhere: home, clinic, or gym.
With this validated metabolic testing device, anyone can gain insight into aging, disease risk, and performance – making PNOĒ’s role in metabolic testing validation essential to personalizing health with confidence.

Explore breath analysis
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