Michelle G. Swainson
Cardiorespiratory fitness as a predictor of short‐term and lifetime estimated cardiovascular disease risk
Swainson, Michelle G.; Ingle, Lee; Carroll, Sean
Professor Lee Ingle L.Ingle@hull.ac.uk
Professor Sean Carroll S.Carroll@hull.ac.uk
Professor of Sport, Health and Exercise Science
Development of cardiovascular disease (CVD) remains a public health concern for young-to-middle-aged adults, now exacerbated by the increasing prevalence of obesity and sedentary lifestyles. Cardiorespiratory fitness (CRF) improves the reclassification of short-term (10-year) CVD risk, but has not been uniformly defined across studies. This study evaluated cross-sectional differences in short-term and lifetime CVD risk scores, across both absolute metabolic equivalent (MET), sex- and age-standardised CRF categories in 805 healthy apparently healthy young-to-middle aged adults (68% male; 47.4 ± 7.2 years). CVD risk factors were evaluated, and estimated cardiorespiratory fitness (CRF) measurements (METS and peak VO2) were derived from a submaximal Bruce treadmill test. CRF measures also included post-exercise heart rate recovery (HRR) data. Consistent trends showing more favorable risk factor profiles and lower short-term CVD (QRISK2), and CVD mortality (SCORE) scores, associated with higher levels of CRF were evident in both sexes. Lifetime CVD risk (Q-Lifetime) was highest in the lowest CRF categories. Peak VO2 and HRR following submaximal exercise testing contributed to the variability in short-term and lifetime CVD risk. Global CVD risk predictions were examined across different contemporary CRF classifications with inconsistent findings. Recommended absolute MET and sex- and age-standardised CRF categories were significantly associated with both short-term and lifetime risk of CVD outcomes. However, compared to internationally-derived normative CRF standards, cohort-specific CRF categories resulted in markedly different proportion of individuals classified in the “poor” CRF category at higher CVD risk.
|Journal Article Type||Article|
|Journal||Scandinavian Journal of Medicine & Science in Sports|
|Peer Reviewed||Peer Reviewed|
|APA6 Citation||Swainson, M. G., Ingle, L., & Carroll, S. (2019). Cardiorespiratory fitness as a predictor of short‐term and lifetime estimated cardiovascular disease risk. Scandinavian Journal of Medicine and Science in Sports, 29(9), 1402-1413. https://doi.org/10.1111/sms.13468|
|Keywords||Aerobic capacity; Heart rate recovery; Peak VO2|
This file is under embargo until Jun 7, 2020 due to copyright reasons.
Contact L.Ingle@hull.ac.uk to request a copy for personal use.
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