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Prediction of Cardiorespiratory Fitness in Czech Adults: Normative Values and Association with Cardiometabolic Health

Author

Listed:
  • Geraldo A. Maranhao Neto

    (International Clinical Research Center (ICRC), St Anne’s University Hospital (FNUSA), 656 92 Brno, Czech Republic)

  • Iuliia Pavlovska

    (International Clinical Research Center (ICRC), St Anne’s University Hospital (FNUSA), 656 92 Brno, Czech Republic
    Department of Public Health, Faculty of Medicine, Masaryk University, 656 91 Brno, Czech Republic)

  • Anna Polcrova

    (International Clinical Research Center (ICRC), St Anne’s University Hospital (FNUSA), 656 92 Brno, Czech Republic
    Research Centre for Toxic Compounds in the Environment (RECETOX), Masaryk University, 656 91 Brno, Czech Republic)

  • Jeffrey I. Mechanick

    (The Marie-Josée and Henry R. Kravis Center for Cardiovascular Health at Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
    Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA)

  • Maria M. Infante-Garcia

    (International Clinical Research Center (ICRC), St Anne’s University Hospital (FNUSA), 656 92 Brno, Czech Republic
    Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas 1060, Venezuela)

  • Jose Pantaleón Hernandez

    (EDU Medicine and Health, Digital Education Holdings Ltd., KKR 1320 Kalkara, Malta)

  • Miguel A. Araujo

    (Department of Physical Education, School of Education, University of Los Andes, Mérida 5101, Venezuela)

  • Ramfis Nieto-Martinez

    (Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas 1060, Venezuela
    Department of Global Health and Population. Harvard TH Chan School of Public Health, Harvard University, Boston, MA 02115, USA
    LifeDoc Health, Memphis, TN 38119, USA)

  • Juan P. Gonzalez-Rivas

    (International Clinical Research Center (ICRC), St Anne’s University Hospital (FNUSA), 656 92 Brno, Czech Republic
    Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas 1060, Venezuela
    Department of Global Health and Population. Harvard TH Chan School of Public Health, Harvard University, Boston, MA 02115, USA)

Abstract

Cardiorespiratory fitness (CRF) is a strong independent predictor of morbidity and mortality. However, there is no recent information about the impact of CRF on cardiometabolic risk specifically in Central and Eastern Europe, which are characterized by different biological and social determinants of health. In this cross-sectional study normative CRF values were proposed and the association between CRF and cardiometabolic outcomes was evaluated in an adult Czechian population. In 2054 participants (54.6% females), median age 48 (IQR 19 years), the CRF was predicted from a non-exercise equation. Multivariable-adjusted logistic regressions were carried out to determine the associations. Higher CRF quartiles were associated with lower prevalence of hypertension, type 2 diabetes (T2D) and dyslipidemia. Comparing subjects within the lowest CRF, we see that those within the highest CRF had decreased chances of hypertension (odds ratio (OR) = 0.36; 95% CI: 0.22–0.60); T2D (OR = 0.16; 0.05–0.47), low HDL-c (OR = 0.32; 0.17–0.60), high low-density lipoprotein (OR = 0.33; 0.21–0.53), high triglycerides (OR = 0.13; 0.07–0.81), and high cholesterol (OR = 0.44; 0.29–0.69). There was an inverse association between CRF and cardiometabolic outcomes, supporting the adoption of a non-exercise method to estimate CRF of the Czech population. Therefore, more accurate cardiometabolic studies can be performed incorporating the valuable CRF metric.

Suggested Citation

  • Geraldo A. Maranhao Neto & Iuliia Pavlovska & Anna Polcrova & Jeffrey I. Mechanick & Maria M. Infante-Garcia & Jose Pantaleón Hernandez & Miguel A. Araujo & Ramfis Nieto-Martinez & Juan P. Gonzalez-Ri, 2021. "Prediction of Cardiorespiratory Fitness in Czech Adults: Normative Values and Association with Cardiometabolic Health," IJERPH, MDPI, vol. 18(19), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10251-:d:646176
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    References listed on IDEAS

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    1. Lee Ingle & Alan Rigby & David Brodie & Gavin Sandercock, 2020. "Normative reference values for estimated cardiorespiratory fitness in apparently healthy British men and women," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-11, October.
    2. Takahisa Ohta & Junzo Nagashima & Hiroyuki Sasai & Naokata Ishii, 2019. "Relationship of Cardiorespiratory Fitness and Body Mass Index with the Incidence of Dyslipidemia among Japanese Women: A Cohort Study," IJERPH, MDPI, vol. 16(23), pages 1-9, November.
    3. Chun-Sheng Hsu & Shin-Tsu Chang & Oswald Ndi Nfor & Kuan-Jung Lee & Shiuan-Shinn Lee & Yung-Po Liaw, 2019. "Effects of Regular Aerobic Exercise and Resistance Training on High-Density Lipoprotein Cholesterol Levels in Taiwanese Adults," IJERPH, MDPI, vol. 16(11), pages 1-8, June.
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