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Descriptive Epidemiology of Cardiorespiratory Fitness in UK Adults: The Fenland Study.

Accepted version
Peer-reviewed

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Authors

Gonzales, Tomas I 
Westgate, Kate 
Hollidge, Stefanie 
Lindsay, Tim 
Wijndaele, Katrien 

Abstract

INTRODUCTION: Cardiorespiratory fitness (CRF) is rarely measured in population studies. Most studies of CRF do not examine differences by population subgroups or seasonal trends. We examined how estimated CRF levels vary by anthropometric, sociodemographic, and behavioral characteristics in a population-based cohort of UK adults (the Fenland Study). METHODS: We used a validated submaximal exercise test to obtain CRF estimates (CRF estimated ) in 5976 women and 5316 men, residing in the East of England. CRF estimated was defined as estimated maximal oxygen consumption per kilogram total body mass (V̇O 2 max tbm ) and fat-free mass (V̇O 2 max ffm ). Descriptive statistics were computed across anthropometric and sociodemographic characteristics, and across the year. Progressive multivariable analyses were performed to examine associations with physical activity energy expenditure (PAEE) and body mass index (BMI). RESULTS: Mean ± SD V̇O 2 max tbm was lower in women (35.2 ± 7.5 mL·min -1 ·kg -1 ) than men (41.7 ± 7.3 mL·min -1 ·kg -1 ) but V̇O 2 max ffm was similar (women: 59.2 ± 11.6 mL·min -1 ·kg -1 ; men: 62.0 ± 10.3 mL·min -1 ·kg -1 ). CRF estimated was inversely associated with age but not after adjustment for PAEE. People in more physically demanding jobs were fitter compared with those in sedentary jobs, but this association was attenuated in women and reversed in men after adjustment for total PAEE. Physical activity energy expenditure and BMI were positively associated with CRF estimated at all levels of adjustment when expressed relative to fat-free mass. CRF estimated was 4% higher in summer than in winter among women, but did not differ by season among men. CONCLUSIONS: CRF estimated was inversely associated with age but less steeply than anticipated, suggesting older generations are comparatively fitter than younger generations. Physical activity energy expenditure and BMI were stronger determinants of the variance in CRF estimated than other characteristic including age. This emphasizes the importance of modifiable physical activity behaviors in public health interventions.

Description

Keywords

Male, Humans, Adult, Female, Cardiorespiratory Fitness, Physical Fitness, Exercise, Motor Activity, Exercise Test, Body Mass Index, United Kingdom

Journal Title

Med Sci Sports Exerc

Conference Name

Journal ISSN

0195-9131
1530-0315

Volume Title

Publisher

Ovid Technologies (Wolters Kluwer Health)
Sponsorship
MRC (MC_UU_00006/4)
Medical Research Council (MC_UU_12015/3)
MRC (MC_UU_00006/1)
Medical Research Council (MC_UU_12015/1)
Medical Research Council (MC_UU_12015/4)
MRC (MC_UU_00006/6)
Cambridge University Hospitals NHS Foundation Trust (CUH) (146281)
Department of Health (via National Institute for Health Research (NIHR)) (NIHR202397)
Medical Research Council (MC_UU_12015/5)
National Institute for Health and Care Research (IS-BRC-1215-20014)
MRC (MC_UU_00006/3)
The Fenland study was funded by the Medical Research Council and the Wellcome Trust. The current work was supported by the Medical Research Council (T.I.G., S.B., K.Wi., S.H., grant number MC_UU_12015/3), (S.G., grant number MC_UU_12015/4), (N.W., grant number MC_UU_12015/1), (N.G.F., grant number MC_UU_12015/5); the National Institute of Health Research Cambridge (NIHR) Biomedical Research Centre (K.We., S.B., N.G.F., and N.W., grant number IS-BRC-1215-20014); and the Cambridge Trust and St Catharine’s College (T.L.). The funders had no role in the design, analysis or writing of this manuscript.
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