PurposesTo investigate longitudinally (1) the contribution of morphological covariates to explaining the development of maximum cardiac output ({dot{text{Q}}} max) and maximum arteriovenous oxygen difference (a-vO2 diff max), (2) sex differences in {dot{text{Q}}} max and a-vO2 diff max once age, maturity status, and morphological covariates have been controlled for, and, (3) the contribution of concurrent changes in morphological and cardiovascular covariates to explaining the sex-specific development of peak oxygen uptake (dot{{V}}{mathrm{O}}_{2}).MethodsFifty-one (32 boys) 11–13-year-olds had their peak dot{{V}}{mathrm{O}}_{2}, maximum heart rate (HR max), {dot{text{Q}}} max, and a-vO2 diff max determined during treadmill running on three annual occasions. The data were analysed using multilevel allometric modelling.ResultsThere were no sex differences in HR max which was not significantly (p > 0.05) correlated with age, morphological variables, or peak dot{{V}}{mathrm{O}}_{2}. The best-fit models for {dot{text{Q}}} max and a-vO2 diff max were with fat-free mass (FFM) as covariate with age, maturity status, and haemoglobin concentration not significant (p > 0.05). FFM was the dominant influence on the development of peak dot{{V}}{mathrm{O}}_{2}. With FFM controlled for, the introduction of either {dot{text{Q}}} max or a-vO2 diff max to multilevel models of peak dot{{V}}{mathrm{O}}_{2} resulted in significant (p < 0.05) additional contributions to explaining the sex difference.Conclusions(1) With FFM controlled for, there were no sex differences in {dot{text{Q}}} max or a-vO2 diff max, (2) FFM was the dominant influence on the development of peak dot{{V}}{mathrm{O}}_{2}, and (3) with FFM and either {dot{text{Q}}} max or a-vO2 diff max controlled for, there remained an unresolved sex difference of ~ 4% in peak dot{{V}}{mathrm{O}}_{2} .