Technically, NTSC video does 60 fields per second (PAL does 50), because the video signal is interlaced. That is, the beam sweeps from top to bottom of the screen 60 times per second, but it only draws half of the horizontal scan lines per sweep, alternating between the odd lines field and the even lines field. That’s why we considered “full motion video” to be 30 frames per second back in the day. The alternating fields did make movement appear smoother, but the clarity wasn’t great.
VGA originally doubled the 15.75kHz horizontal clock rate of NTSC to 31.5kHz, so that the beam was fast enough to draw all of the lines in one vertical sweep, so it can do 60 frames per second with a 60Hz refresh rate. Prior to that, a lot of games were just 30fps, because interlaced video tended to flicker on bitmapped graphics.