High-intensity training (HIT) has commonly been the most effective training method for improvement in maximal oxygen uptake (VO_2max) and work economy, alongside a substantial volume of low-intensity training (LIT). The polarized training model combines both low- and high-intensity training into a specific training intensity distribution and has gained attention as a comprehensive approach. The objective of this review was to systematically search the literature in order to identify the effects of polarized training intensity distribution on VO_2max, peak oxygen uptake (VO_2peak), and work economy among endurance athletes. A literature search was performed using PubMed and SPORTDiscus. A total of 1836 articles were identified, and, after the selection process, 14 relevant studies were included in this review. The findings indicate that a polarized training approach seems to be effective for enhancing VO_2max, VO_2peak, and work economy over a short-term period for endurance athletes. Specifically, a training intensity distribution involving a moderate to high volume of HIT (15–20%) combined with a substantial volume of LIT (75–80%) appears to be the most beneficial for these improvements. It was concluded that polarized training is a beneficial approach for enhancing VO_2max, VO_2peak, and work economy in endurance athletes. However, the limited number of studies restricts the generalizability of these findings.