Physical activity and fitness in the community: the Framingham Heart Study

Autor: Gregory D. Lewis, Rajeev Malhotra, Martin G. Larson, Ramachandran S. Vasan, Nicole L. Spartano, Raghava S. Velagaleti, Matthew Nayor, Venkatesh L. Murthy, Ravi V. Shah, Melissa Tanguay, Nicholas E. Houstis, Jasmine B Blodgett, Joanne M. Murabito, Ariel Chernofsky
Rok vydání: 2021
Předmět:
Zdroj: European Heart Journal
ISSN: 1522-9645
0195-668X
Popis: Aims While greater physical activity (PA) is associated with improved health outcomes, the direct links between distinct components of PA, their changes over time, and cardiorespiratory fitness are incompletely understood. Methods and results Maximum effort cardiopulmonary exercise testing (CPET) and objective PA measures [sedentary time (SED), steps/day, and moderate-vigorous PA (MVPA)] via accelerometers worn for 1 week concurrent with CPET and 7.8 years prior were obtained in 2070 Framingham Heart Study participants [age 54 ± 9 years, 51% women, SED 810 ± 83 min/day, steps/day 7737 ± 3520, MVPA 22.3 ± 20.3 min/day, peak oxygen uptake (VO2) 23.6 ± 6.9 mL/kg/min]. Adjusted for clinical risk factors, increases in steps/day and MVPA and reduced SED between the two assessments were associated with distinct aspects of cardiorespiratory fitness (measured by VO2) during initiation, early-moderate level, peak exercise, and recovery, with the highest effect estimates for MVPA (false discovery rate Conclusions Our findings provide a detailed assessment of relations of different types of PA with multidimensional cardiorespiratory fitness measures and suggest favourable longitudinal changes in PA (and MVPA in particular) are associated with greater objective fitness.
Databáze: OpenAIRE