Validity of equations for estimating aerobic fitness in Mexican youth

The purpose of this study was to evaluate the validity of prediction equations for estimating maximal oxygen uptake (VO_2peak) based on the PACER test and different adiposity indicators in Mexican youth. A convenience sample of youth aged 9-18 years from schools in Mexico City was recruited. VO_2peak was evaluated with a laboratory exercise test on a treadmill and using a gas analyser and with the 20-m PACER test guidelines. The sample was randomly divided to develop new equations (n = 220) and to evaluate their validity (n = 106). Prediction equations of VO_2peak were developed using multiple linear regression models. The adiposity indicators were BMI, waist circumference and body fat. The validity of the new and previously published equations was evaluated based on linear regression models, intra-class coefficient, Akaike's information criterion, mean absolute percentage error and Bland-Altman graphs. Equations with waist circumference and body fat performed better than those with BMI and without any anthropometric indicator. The accuracy of the developed equations (R² = 57.0%-59.50%) was higher than that of previously published equations (R² = 24.1%-56.0%). The new equations had lower bias in estimating VO_2peak. In Mexican youth, the estimation of VO_2peak from the 20-m PACER test is more accurate after including waist circumference or body fat than with BMI.