测量无需运动测试的心肺健康:为西班牙成年人开发和验证新工具
Helmut Schröder1,2, Isaac Subirana3,4, Roberto Elosua3,4,5
1Cardiovascular Risk and Nutrition Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain.
Journal of clinical medicine
|April 27, 2024
概括
一个新的方程可以使用非运动因素估计心肺呼吸能力 (CRF),提供一个实用的选工具. 这种方法在预测最大氧气摄入量 (VO2max) 方面表现出合理的有效性.
科学领域:
- 运动生理学 运动生理学
- 预防性心脏病学 预防性心脏病学
背景情况:
- 心血管健康 (CRF) 对健康至关重要,减少心脏病,糖尿病和肥胖的风险.
- 直接测量CRF (VO2max) 是耗时的,限制了其在查中的使用.
- 广泛的健康评估需要一个可行的方法来估计CRF.
研究的目的:
- 开发和验证一个非运动方程来估计心肺呼吸能力 (eCRF).
- 在多样化的群体中评估eCRF方程的准确性和可靠性.
- 确定eCRF作为VO2max查工具的有用性.
主要方法:
- 使用最大跑步机运动测试 (布鲁斯协议) 来测量1047名西班牙成年人的VO2max.
- 多重线性回归模型使用体重,身高和休时间体育活动 (LTPA) 来预测VO2max.
- 模型有效性通过相关性,一致性,布兰德-阿尔特曼分析和构造有效性进行评估.
主要成果:
- 预测方程与测量VO2max (43.59与43.56毫升/千克/分钟) 没有显著差异,R2=0.57.
- 在测量和预测CRF之间观察到高相关性 (r=0.75,Rc=0.72).
- 尽管存在比例偏差,但64.3%的参与者被正确地归类为CRF第三类,在不适合类别中准确率为69.9%.
结论:
- 没有运动的eCRF方程显示出良好的构造有效性,与心血管风险因素相关.
- 电子CRF方程提供了一个合理有效和实用的方法来估计真正的VO2max.
- 对CRF的非运动估计是人口查和健康评估的潜在有价值的工具.
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