This study employed the systematic literature review to investigate to what extent digital smart wearable technology was used in measuring VO2MAX to support athlete performance and public health. To achieve the goal, data were obtained from articles searched through Google Scholar. The search was conducted in September 2024 using the following keywords: (Smart Wearable OR Wearable Technology AND VO2MAX OR VO2 Max OR Cardiorespiratory Fitness AND Athlete Performance OR Sports Performance OR Athletic Performance AND Public Health OR General Population OR Health Monitoring). The articles were selected by considering predetermined inclusion and exclusion criteria. For example, to be included in this review, the articles should be published in Scopus-indexed journals. Additionally, the publication period should be from 2019 to 2024. Based on this timeframe, 1,110 articles were found. Furthermore, they were screened again in multiple stages, and 16 articles that fit the theme and met the inclusion requirements were selected. During the article selection, this study followed the PRISMA guidelines. The results confirmed that wearable technology played an important role in athlete performance optimization through real-time monitoring of VO2MAX. The device enables exercise adjustments based on metrics such as heart rate and diurnal variations, which can improve exercise effectiveness and reduce the risk of injury. Interestingly, it also contributes significantly to improving public health by promoting active lifestyles, monitoring health parameters, and supporting self-health management, especially for the elderly and individuals with chronic diseases. Nonetheless, technical challenges, such as measurement accuracy, data synchronization issues, and user education needs, must be addressed for wearables to be optimally utilized. With proper development, wearable technology has great potential to improve athlete performance and public health. Keywords: Role, Digital Technology, Smart Wearable, VO2MAX, Athlete Performance, Public Health