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Cardiorespiratory fitness of a Brazilian regional sample distributed in different tables
Karlyse Claudino Belli1, Carine C Callegaro, Carine Calegaro
1Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Insights
International cardiorespiratory fitness (CRF) tables show significant discrepancies when applied to the Brazilian population, highlighting the need for localized validation. This study found varying classifications across common CRF assessment tools.
Area of Science:
- Cardiorespiratory fitness
- Exercise physiology
- Public health
Background:
- International cardiorespiratory fitness (CRF) classification tables lack validation for the Brazilian population.
- Extrapolation of international CRF data may lead to significant misclassifications in Brazilians.
Purpose of the Study:
- To evaluate the applicability of major cardiorespiratory fitness (CRF) tables within a Brazilian sample.
- Assessing the consistency of CRF classifications across different standard tables in Brazil.
Main Methods:
- Retrospective analysis of 2,930 individuals from Rio Grande do Sul, Brazil.
- Cardiorespiratory fitness (CRF) was assessed via VO2peak using the Bruce protocol, considering cardiovascular disease risk factors.
- Classified CRF using Cooper, American Heart Association (AHA), and Universidade Federal de São Paulo (Unifesp) tables based on sex and age.
Main Results:
- Women exhibited significantly lower VO2peak values than men (23.5 ± 8.5 vs. 31.7 ± 10.8 mL·kg−1·min−1).
- A moderate inverse correlation was observed between VO2peak and age (R = -0.48).
- Substantial discrepancies in cardiorespiratory fitness (CRF) classification levels were noted between tables, ranging from 49% to 75%.
Conclusions:
- The study identified significant discrepancies in cardiorespiratory fitness (CRF) classification levels among commonly used tables in Brazil.
- Further research is recommended to determine the suitability of international CRF tables for the Brazilian population and diverse regional groups within Brazil.
Background:
Most classification tables of cardiorespiratory fitness (CRF) used in clinical practice are international and have not been validated for the Brazilian population. That can result in important discrepancies when that classification is extrapolated to our population.
Objective:
To assess the use of major CRF tables available in a Brazilian population sample of the Central High Plan of the state of Rio Grande do Sul (RS).
Methods:
This study assessed the retrospective data of 2,930 individuals, living in 36 cities of the Central High Plan of the state of RS, and considered the following: presence of risk factors for cardiovascular disease and estimated maximum oxygen consumption (VO2peak) values obtained through exercise test with Bruce protocol. To classify CRF, the individuals were distributed according to sex, inserted in their respective age groups in the Cooper, American Heart Association (AHA) and Universidade Federal de São Paulo (Unifesp) tables, and classified according to their VO2peak.
Results:
Women had lower VO2peak values as compared with those of men (23.5 ± 8.5 vs. 31.7 ± 10.8 mL.kg-1.min-1, p < 0.001). Considering both sexes, VO2peak showed an inverse and moderate correlation with age (R = -0.48, p < 0.001). An important discrepancy in the CRF classification levels was observed between the tables, ranging from 49% (Cooper x AHA) to 75% (Unifesp x AHA).
Conclusion:
Our findings indicate important discrepancy in the CRF classification levels of the tables assessed. Future studies could assess whether international tables could be used for the Brazilian population and populations of different regions of Brazil.
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