Reference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND

Background The importance of cardiorespiratory fitness for stratifying risk and guiding clinical decisions in patients with cardiovascular disease is well‐established. To optimize the clinical value of cardiorespiratory fitness, normative reference standards are essential. The purpose of this report...

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Autores principales:	James E. Peterman, Ross Arena, Jonathan Myers, Susan Marzolini, Philip A. Ades, Patrick D. Savage, Carl J. Lavie, Leonard A. Kaminsky
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	cardiopulmonary exercise testing health peak oxygen consumption risk factors well‐being Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/7d5795ec6e6447adaa653bd25399fae2
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spelling	oai:doaj.org-article:7d5795ec6e6447adaa653bd25399fae22021-11-16T10:22:44ZReference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND10.1161/JAHA.121.0223362047-9980https://doaj.org/article/7d5795ec6e6447adaa653bd25399fae22021-11-01T00:00:00Zhttps://www.ahajournals.org/doi/10.1161/JAHA.121.022336https://doaj.org/toc/2047-9980Background The importance of cardiorespiratory fitness for stratifying risk and guiding clinical decisions in patients with cardiovascular disease is well‐established. To optimize the clinical value of cardiorespiratory fitness, normative reference standards are essential. The purpose of this report is to extend previous cardiorespiratory fitness normative standards by providing updated cardiorespiratory fitness reference standards according to cardiovascular disease category and testing modality. Methods and Results The analysis included 15 045 tests (8079 treadmill, 6966 cycle) from FRIEND (Fitness Registry and the Importance of Exercise National Database). Using data from tests conducted January 1, 1974, through March 1, 2021, percentiles of directly measured peak oxygen consumption (VO2peak) were determined for each decade from 30 through 89 years of age for men and women with a diagnosis of coronary artery bypass surgery, myocardial infarction, percutaneous coronary intervention, or heart failure. There were significant differences between sex and age groups for VO2peak (P<0.001). The mean VO2peak was 23% higher for men compared with women and VO2peak decreased by a mean of 7% per decade for both sexes. Among each decade, the mean VO2peak from treadmill tests was 21% higher than the VO2peak from cycle tests. Differences in VO2peak were observed among the age groups in both sexes according to cardiovascular disease category. Conclusions This report provides normative reference standards by cardiovascular disease category for both men and women performing cardiopulmonary exercise testing on a treadmill or cycle ergometer. These updated and enhanced reference standards can assist with patient risk stratification and guide clinical care.James E. PetermanRoss ArenaJonathan MyersSusan MarzoliniPhilip A. AdesPatrick D. SavageCarl J. LavieLeonard A. KaminskyWileyarticlecardiopulmonary exercise testinghealthpeak oxygen consumptionrisk factorswell‐beingDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 10, Iss 22 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiopulmonary exercise testing health peak oxygen consumption risk factors well‐being Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	cardiopulmonary exercise testing health peak oxygen consumption risk factors well‐being Diseases of the circulatory (Cardiovascular) system RC666-701 James E. Peterman Ross Arena Jonathan Myers Susan Marzolini Philip A. Ades Patrick D. Savage Carl J. Lavie Leonard A. Kaminsky Reference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND
description	Background The importance of cardiorespiratory fitness for stratifying risk and guiding clinical decisions in patients with cardiovascular disease is well‐established. To optimize the clinical value of cardiorespiratory fitness, normative reference standards are essential. The purpose of this report is to extend previous cardiorespiratory fitness normative standards by providing updated cardiorespiratory fitness reference standards according to cardiovascular disease category and testing modality. Methods and Results The analysis included 15 045 tests (8079 treadmill, 6966 cycle) from FRIEND (Fitness Registry and the Importance of Exercise National Database). Using data from tests conducted January 1, 1974, through March 1, 2021, percentiles of directly measured peak oxygen consumption (VO2peak) were determined for each decade from 30 through 89 years of age for men and women with a diagnosis of coronary artery bypass surgery, myocardial infarction, percutaneous coronary intervention, or heart failure. There were significant differences between sex and age groups for VO2peak (P<0.001). The mean VO2peak was 23% higher for men compared with women and VO2peak decreased by a mean of 7% per decade for both sexes. Among each decade, the mean VO2peak from treadmill tests was 21% higher than the VO2peak from cycle tests. Differences in VO2peak were observed among the age groups in both sexes according to cardiovascular disease category. Conclusions This report provides normative reference standards by cardiovascular disease category for both men and women performing cardiopulmonary exercise testing on a treadmill or cycle ergometer. These updated and enhanced reference standards can assist with patient risk stratification and guide clinical care.
format	article
author	James E. Peterman Ross Arena Jonathan Myers Susan Marzolini Philip A. Ades Patrick D. Savage Carl J. Lavie Leonard A. Kaminsky
author_facet	James E. Peterman Ross Arena Jonathan Myers Susan Marzolini Philip A. Ades Patrick D. Savage Carl J. Lavie Leonard A. Kaminsky
author_sort	James E. Peterman
title	Reference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND
title_short	Reference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND
title_full	Reference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND
title_fullStr	Reference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND
title_full_unstemmed	Reference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND
title_sort	reference standards for cardiorespiratory fitness by cardiovascular disease category and testing modality: data from friend
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/7d5795ec6e6447adaa653bd25399fae2
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Reference Standards for Cardiorespiratory Fitness by Cardiovascular Disease Category and Testing Modality: Data From FRIEND

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