Aerobic training causes six main physiological adaptations that improve athletic performance: 1) resting heart rate decreases as the heart becomes more efficient, 2) stroke volume and cardiac output increase allowing the heart to pump more blood per beat to deliver more oxygen to working muscles, 3) oxygen uptake increases through improved cardiovascular and respiratory efficiency while lung capacity remains unchanged, 4) haemoglobin levels rise to transport more oxygen in the bloodstream, 5) muscle hypertrophy occurs through increased muscle fiber size from resistance training, and 6) aerobic training enlarges slow-twitch muscle fibers more than fast-twitch fibers.