Optimizing physical performance is a major goal in current physiology. However, basic understanding of combining high sprint and endurance performance is currently lacking. This study identifies critical determinants of combined sprint and endurance performance using multiple regression analyses of physiologic determinants at different biologic levels. Cyclists, including 6 international sprint, 8 team pursuit, and 14 road cyclists, completed a Wingate test and 15-km time trial to obtain sprint and endurance performance results, respectively. Performance was normalized to lean body mass 2/3 to eliminate the influence of body size. Performance determinants were obtained from whole-body oxygen consumption, blood sampling, knee-extensor maximal force, muscle oxygenation, wholemuscle morphology, and muscle fiber histochemistry of musculus vastus lateralis. Normalized sprint performance was explained by percentage of fast-type fibers and muscle volume (R 2 = 0.65; P < 0.001) and normalized endurance performance by performance oxygen consumption (Vȯ 2 ), mean corpuscular hemoglobin concentration, and muscle oxygenation (R 2 = 0.92; P < 0.001). Combined sprint and endurance performance was explained by gross efficiency, performance Vȯ 2 , and likely by muscle volume and fascicle length (P = 0.056; P = 0.059). High performance Vȯ 2 related to a high oxidative capacity, high capillarization 3 myoglobin, and small physiologic cross-sectional area (R 2 = 0.67; P < 0.001). Results suggest that fascicle length and capillarization are important targets for training to optimize sprint and endurance performance simultaneously.-Van der Zwaard, S., van der Laarse, W. J., Weide, G., Bloemers, F. W., Hofmijster, M. J., Levels, K., Noordhof, D. A., de Koning, J. J., de Ruiter, C. J., Jaspers, R. T. Critical determinants of combined sprint and endurance performance: an integrative analysis from muscle fiber to the human body. FASEB J. 32, 2110FASEB J. 32, -2123FASEB J. 32, (2018 Many sports require a combination of sprint and endurance performance. During the past decades, physiologic determinants of physical performance have been the subject of intensive investigation (e.g., in cycling, 1-11). Studies focused on determinants of either sprint (e.g., 8-18) or endurance performance (e.g., 1-7, 19-23), even though physical performance is rarely a dichotomous function of only sprint or only endurance. Generally, a limited number of whole-body determinants of sprint or endurance performance have been studied, although there are many physical performance determinants at different levels (i.e., molecular, cellular, whole-muscle, organ, and whole ABBREVIATIONS: 3D, 3-dimensional; CAF, capillaries around the fiber; CD, capillary density; C/F, capillary-to-fiber ratio; FCSA, fiber cross-sectional area; fVȯ 2max , fiber maximal oxygen consumption; [Hb], hemoglobin concentration; Hct, hematocrit; [HHbMb], deoxygenated hemoglobin and myoglobin concentration; iSDH activity, spatially integrated SDH activity, SDH activity 3 FCSA; KE, k...