Exercise capacity and mortality among men referred for exercise testing

Myers, Jonathan A.; Prakash, Mangire Ganesh; Froelicher, Victor; Do, Duc; Partington, Sara L.; Atwood, J. Edwin

doi:10.1016/s1062-1458(02)00697-9

Cited by 448 publications

(590 citation statements)

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“…A high health-related physical fitness level focuses on optimum health and prevents the onset of disease and problems associated with inactivity at all ages. [1][2][3][4] The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study 5 includes a thorough assessment of health-related physical fitness. For this purpose, a set of standardized tests has been chosen, and the scientific rationale for their selection has been published elsewhere.…”

Section: Introductionmentioning

confidence: 99%

Reliability of health-related physical fitness tests in European adolescents. The HELENA Study

et al. 2008

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Objective: To examine the reliability of a set of health-related physical fitness tests used in the European Union-funded Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study on lifestyle and nutrition among adolescents. Design: A set of physical fitness tests was performed twice in a study sample, 2 weeks apart, by the same researchers. Participants: A total of 123 adolescents (69 males and 54 females, aged 13.6 ± 0.8 years) from 10 European cities participated in the study. Measurements: Flexibility, muscular fitness, speed/agility and aerobic capacity were tested using the back-saver sit and reach, handgrip, standing broad jump, Bosco jumps (squat jump, counter movement jump and Abalakov jump), bent arm hang, 4 Â 10 m shuttle run, and 20-m shuttle run tests. Results: The ANOVA analysis showed that neither systematic bias nor sex differences were found for any of the studied tests, except for the back-saver sit and reach test, in which a borderline significant sex difference was observed (P ¼ 0.044). The Bland-Altman plots graphically showed the reliability patterns, in terms of systematic errors (bias) and random error (95% limits of agreement), of the physical fitness tests studied. The observed systematic error for all the fitness assessment tests was nearly 0. Conclusions: Neither a learning nor a fatigue effect was found for any of the physical fitness tests when repeated. The results also suggest that reliability did not differ between male and female adolescents. Collectively, it can be stated that the reliability of the set of physical fitness tests examined in this study is acceptable. The data provided contribute to a better understanding of physical fitness assessment in young people.

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Section: Introductionmentioning

confidence: 99%

Reliability of health-related physical fitness tests in European adolescents. The HELENA Study

et al. 2008

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“…3 Moreover, aerobic capacity is more powerful predictor of mortality than other established risk factors of cardiovascular diseases. 4 Therefore, improving the aerobic capacity is of great importance in MetS patients. In general, the aerobic capacity is adjusted by body weight and tends to be low in obese subject such as MetS patients because of weight gain primarily due to increased fat mass.…”

Section: Introductionmentioning

confidence: 99%

Lower aerobic capacity was associated with abnormal intramuscular energetics in patients with metabolic syndrome

et al. 2011

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Lower aerobic capacity is a strong and independent predictor of cardiovascular morbidity and mortality in patients with metabolic syndrome (MetS). However, the mechanisms are not fully elucidated. We tested the hypothesis that skeletal muscle dysfunction could contribute to the lower aerobic capacity in MetS patients. The incremental exercise tests with cycle ergometer were performed in 12 male patients with MetS with no habitual exercise and 11 age-, sex-and activity-matched control subjects to assess the aerobic capacity. We performed 31 phosphorus-magnetic resonance spectroscopy (MRS) to assess the high-energy phosphate metabolism in skeletal muscle during aerobic exercise. Proton-MRS was also performed to measure intramyocellular lipid (IMCL) content. Peak oxygen uptake (peak VO 2 ; 34.1±6.2 vs. 41.4±8.4 ml kg À1 min À1 , Po0.05) and anaerobic threshold (AT; 18.0±2.4 vs. 23.1±3.7 ml kg À1 min À1 , Po0.01) adjusted by lean body mass were lower in MetS patients than control subjects. Phosphocreatine (PCr) loss during exercise was 1.5-fold greater in MetS, suggesting reduced intramuscular oxidative capacity. PCr loss was inversely correlated with peak VO 2 (r¼À0.64) and AT (r¼À0.60), respectively. IMCL content was threefold higher in MetS and was inversely correlated with peak VO 2 (r¼À0.47) and AT (r¼À0.52), respectively. Moreover, there was a positive correlation between IMCL content and PCr loss (r¼0.64). These results suggested that lean-body aerobic capacity in MetS patients was lower compared with activity-matched healthy subjects, which might be due to the reduced intramuscular fatty acid oxidative metabolism.

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“…In recent decades, VO 2max has had a growing importance in clinical settings and has become the gold standard measure of cardiovascular fitness and exercise capacity [1]. There is evidence from large cohort studies that low cardiorespiratory fitness is a powerful and independent predictor of long-term cardiac mortality in people with diabetes [2,3,4], even after controlling for traditional risk factors such as age, hypercholesterolaemia, smoking, and hypertension and excluding individuals with evidence of coronary ischaemia during testing. Furthermore, in non-diabetic subjects undergoing repeated maximal…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus

et al. 2003

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Aims/hypothesis. Low cardiorespiratory fitness is a powerful and independent predictor of mortality in people with diabetes. Several studies have examined the effects of exercise on cardiorespiratory fitness in Type 2 diabetic individuals. However, these studies had relatively small sample sizes and highly variable results. Therefore the aim of this study was to systematically review and quantify the effects of exercise on cardiorespiratory fitness in Type 2 diabetic individuals. Methods. MEDLINE, EMBASE, and four other databases were searched up to March 2002 for randomized, controlled trials evaluating effects of structured aerobic exercise interventions of 8 weeks or more on cardiorespiratory fitness in adults with Type 2 diabetes. Cardiorespiratory fitness was defined as maximal oxygen uptake (VO 2max ) during a maximal exercise test.Results. Seven studies, presenting data for nine randomized trials comparing exercise and control groups (overall n=266), met the inclusion criteria. Mean exercise characteristics were as follows: 3.4 sessions per week, 49 min per session for 20 weeks. Exercise intensity ranged from 50% to 75% of VO 2max . There was an 11.8% increase in VO 2max in the exercise group and a 1.0% decrease in the control group (post intervention standardized mean difference =0.53, p<0.003). Studies with higher exercise intensities tended to produce larger improvements in VO 2max . Exercise intensity predicted post-intervention weighted mean difference in HbA 1c (r=−0.91, p=0.002 Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus N. G. Boulé 1 , G. P. Kenny 1 , E. Haddad 2 , G. A. Wells 3, 4 , R. J. Sigal 1, 3 1 School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada 2 Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada 3 Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada 4 Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Ontario, Canada pacities of athletes. In recent decades, VO 2max has had a growing importance in clinical settings and has become the gold standard measure of cardiovascular fitness and exercise capacity [1]. There is evidence from large cohort studies that low cardiorespiratory fitness is a powerful and independent predictor of long-term cardiac mortality in people with diabetes [2,3,4], even after controlling for traditional risk factors such as age, hypercholesterolaemia, smoking, and hypertension and excluding individuals with evidence of coronary ischaemia during testing. Furthermore, in non-diabetic subjects undergoing repeated maximalThe maximal amount of oxygen consumed during exercise (VO 2max ) has been used for decades by exercise physiologists to determine the maximum exercise ca-

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Exercise capacity and mortality among men referred for exercise testing

Cited by 448 publications

References 0 publications

Reliability of health-related physical fitness tests in European adolescents. The HELENA Study

Reliability of health-related physical fitness tests in European adolescents. The HELENA Study

Lower aerobic capacity was associated with abnormal intramuscular energetics in patients with metabolic syndrome

Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus

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