Factors Associated with Age-Related Declines in Cardiorespiratory Fitness from Early Adulthood Through Midlife: CARDIA.
Journal
Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433
Informations de publication
Date de publication:
01 07 2022
01 07 2022
Historique:
entrez:
15
6
2022
pubmed:
16
6
2022
medline:
18
6
2022
Statut:
ppublish
Résumé
This study aimed to describe maximal and submaximal cardiorespiratory fitness from early adulthood to midlife and examine differences in maximal fitness at age 20 yr and changes in fitness overtime by subcategories of sociodemographic, behavioral, and health-related factors. Data include 5018 Coronary Artery Risk Development in Young Adults participants (mean (SD) age, 24.8 (3.7) yr; 53.3% female; and 51.4% Black participants) who completed at least one maximal graded exercise test at baseline and/or the year 7 and 20 exams. Maximal and submaximal fitness were estimated by exercise duration and heart rate at the end of stage 2. Multivariable adjusted linear-mixed models were used to estimate fitness trajectories using age as the mechanism for time after adjustment for covariates. Fitness trajectories from ages 20 to 50 yr in 5-yr increments were estimated overall and by subgroups determined by each factor after adjustment for duration within the less favorable category. Mean (95% confidence interval) maximal fitness at age 20 and 50 yr was 613 (607-616) and 357 (350-362) s; submaximal heart rate during this period also reflected age-related fitness declines (126 (125-127) and 138 (137-138) bpm). Compared with men, women had lower maximal fitness at age 20 yr (P < 0.001), which persisted over follow-up (P < 0.001); differences were also found by race within sex strata (all P < 0.001). Differences in maximal fitness at age 20 yr were noted by socioeconomic, behavioral, and health-related status in young adulthood (all P < 0.05), which persisted over follow-up (all P < 0.001) and were generally consistent in sex-stratified analyses. Targeting individuals experiencing accelerated fitness declines with tailored intervention strategies may provide an opportunity to preserve fitness throughout midlife to reduce lifetime cardiovascular disease risk.
Identifiants
pubmed: 35704440
doi: 10.1249/MSS.0000000000002893
pii: 00005768-202207000-00013
pmc: PMC9201221
mid: NIHMS1776810
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1147-1154Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL149796
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800003I
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800007I
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800005I
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800006I
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL078972
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800004I
Pays : United States
Informations de copyright
Copyright © 2022 by the American College of Sports Medicine.
Références
Ekelund LG, Haskell WL, Johnson JL, Whaley FS, Criqui MH, Sheps DS. Physical fitness as a predictor of cardiovascular mortality in asymptomatic North American men. The Lipid Research Clinics Mortality Follow-up Study. N Engl J Med . 1988;319(21):1379–84.
Erikssen J. Physical fitness and coronary heart disease morbidity and mortality. A prospective study in apparently healthy, middle age men. Acta Med Scand Suppl . 1986;711:189–92.
Sandvik L, Erikssen J, Thaulow E, Erikssen G, Mundal R, Rodahl K. Physical fitness as a predictor of mortality among healthy, middle-age Norwegian men. N Engl J Med . 1993;328(8):533–7.
Hein HO, Suadicani P, Gyntelberg F. Physical fitness or physical activity as a predictor of ischaemic heart disease? A 17-year follow-up in the Copenhagen Male Study. J Intern Med . 1992;232(6):471–9.
Peters RK, Cady LD Jr, Bischoff DP, Bernstein L, Pike MC. Physical fitness and subsequent myocardial infarction in healthy workers. JAMA . 1983;249(22):3052–6.
Slattery ML, Jacobs DR Jr, Nichaman MZ. An assessment of caloric intake as an indicator of physical activity. Prev Med . 1989;18(4):444–51.
Slattery ML, Jacobs DR Jr, Nichaman MZ. Leisure time physical activity and coronary heart disease death. The US Railroad Study. Circulation . 1989;79(2):304–11.
Sobolski J, Kornitzer M, De Backer G, et al. Protection against ischemic heart disease in the Belgian Physical Fitness Study: physical fitness rather than physical activity? Am J Epidemiol . 1987;125(4):601–10.
Kokkinos P, Myers J, Kokkinos JP, et al. Exercise capacity and mortality in Black and White men. Circulation . 2008;117(5):614–22.
Astrand I. Aerobic work capacity in men and women with special reference to age. Acta Physiol Scand Suppl . 1960;49(169):1–92.
Buskirk ER, Hodgson JL. Age and aerobic power: the rate of change in men and women. Fed Proc . 1987;46(5):1824–9.
Heath GW, Hagberg JM, Ehsani AA, Holloszy JO. A physiological comparison of young and older endurance athletes. J Appl Physiol Respir Environ Exerc Physiol . 1981;51(3):634–40.
Jackson AS, Beard EF, Wier LT, Ross RM, Stuteville JE, Blair SN. Changes in aerobic power of men, ages 25–70 yr. Med Sci Sports Exerc . 1995;27(1):113–20.
Jackson AS, Wier LT, Ayers GW, Beard EF, Stuteville JE, Blair SN. Changes in aerobic power of women, ages 20–64 yr. Med Sci Sports Exerc . 1996;28(7):884–91.
Fitzgerald MD, Tanaka H, Tran ZV, Seals DR. Age-related declines in maximal aerobic capacity in regularly exercising vs. sedentary women: a meta-analysis. J Appl Physiol (1985) . 1997;83(1):160–5.
Wilson TM, Tanaka H. Meta-analysis of the age-associated decline in maximal aerobic capacity in men: relation to training status. Am J Physiol Heart Circ Physiol . 2000;278(3):H829–34.
Fleg JL, Morrell CH, Bos AG, et al. Accelerated longitudinal decline of aerobic capacity in healthy older adults. Circulation . 2005;112(5):674–82.
Spina RJ. Cardiovascular adaptations to endurance exercise training in older men and women. Exerc Sport Sci Rev . 1999;27:317–32.
Katzel LI, Sorkin JD, Fleg JL. A comparison of longitudinal changes in aerobic fitness in older endurance athletes and sedentary men. J Am Geriatr Soc . 2001;49(12):1657–64.
Pollock ML, Mengelkoch LJ, Graves JE, et al. Twenty-year follow-up of aerobic power and body composition of older track athletes. J Appl Physiol (1985) . 1997;82(5):1508–16.
Astrand I, Astrand PO, Hallback I, Kilbom A. Reduction in maximal oxygen uptake with age. J Appl Physiol . 1973;35(5):649–54.
Rogers MA, Hagberg JM, Martin WH 3rd, Ehsani AA, Holloszy JO. Decline in VO 2 max with aging in master athletes and sedentary men. J Appl Physiol (1985) . 1990;68(5):2195–9.
Marti B, Howald H. Long-term effects of physical training on aerobic capacity: controlled study of former elite athletes. J Appl Physiol (1985) . 1990;69(4):1451–9.
Pentikainen H, Savonen K, Ngandu T, et al. Cardiorespiratory fitness and cognition: longitudinal associations in the FINGER study. J Alzheimers Dis . 2019;68(3):961–8.
Dougherty RJ, Lose SR, Gaitan JM, et al. Five-year changes in objectively measured cardiorespiratory fitness, physical activity, and sedentary time in mid-to-late adulthood. Appl Physiol Nutr Metab . 2022;47(2):206–9.
Board on Children, Youth, and Families; Institute of Medicine; National Research Council. Improving the Health Safety and Well-Being of Young Adults: Workshop Summary . Washington (DC): National Academies Press (US); 2013.
Bibbins-Domingo K, Burroughs Pena M. Caring for the “young invincibles”. J Gen Intern Med . 2010;25(7):642–3.
Allender S, Hutchinson L, Foster C. Life-change events and participation in physical activity: a systematic review. Health Promot Int . 2008;23(2):160–72.
Kenney WL, Wilmore JH, Costill DL. Physiology of Sport and Exercise . 6th ed. Champaign (IL): Human Kinetics; 2015. xix, 627 pages p.
Coronary Artery Risk Development in Young Adults (CARDIA) Study. 2021 [cited 2021 Oct 11]. Available from: https://www.cardia.dopm.uab.edu/ .
Gabriel KP, Sidney S, Jacobs DR Jr, et al. Convergent validity of a brief self-reported physical activity questionnaire. Med Sci Sports Exerc . 2014;46(8):1570–7.
Ware J Jr, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care . 1996;34(3):220–3.
Balke B, Ware RW. An experimental study of physical fitness of Air Force personnel. U S Armed Forces Med J . 1959;10(6):675–88.
Sidney S, Haskell WL, Crow R, et al. Symptom-limited graded treadmill exercise testing in young adults in the CARDIA study. Med Sci Sports Exerc . 1992;24(2):177–83.
American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription . 10th ed. Philadelphia (PA): Lippincott Williams & Wilkins; 2017.
Pettee Gabriel K, Whitaker KM, Duprez D, et al. Clinical importance of non-participation in a maximal graded exercise test on risk of non-fatal and fatal cardiovascular events and all-cause mortality: CARDIA study. Prev Med . 2018;106:137–44.
Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc . 1982;14(5):377–81.
Whipp BJ, Ward SA. Physiological determinants of pulmonary gas exchange kinetics during exercise. Med Sci Sports Exerc . 1990;22(1):62–71.
Zhu N, Suarez-Lopez JR, Sidney S, et al. Longitudinal examination of age-predicted symptom-limited exercise maximum HR. Med Sci Sports Exerc . 2010;42(8):1519–27.
Schomaker M, Heumann C. Bootstrap inference when using multiple imputation. Stat Med . 2018;37(14):2252–66.
Ribisl PM, Lang W, Jaramillo SA, et al. Exercise capacity and cardiovascular/metabolic characteristics of overweight and obese individuals with type 2 diabetes: the Look AHEAD clinical trial. Diabetes Care . 2007;30(10):2679–84.
Swift DL, Johannsen NM, Lavie CJ, et al. Racial differences in the response of cardiorespiratory fitness to aerobic exercise training in Caucasian and African American postmenopausal women. J Appl Physiol (1985) . 2013;114(10):1375–82.
Skinner JS, Jaskolski A, Jaskolska A, et al. Age, sex, race, initial fitness, and response to training: the HERITAGE Family Study. J Appl Physiol (1985) . 2001;90(5):1770–6.
Flanagin A, Christiansen S, Frey T. Reporting of race and ethnicity in medical and scientific journals—reply. JAMA . 2021;326(7):674–5.
Sidney S, Sternfeld B, Haskell WL, Quesenberry CP Jr, Crow RS, Thomas RJ. Seven-year change in graded exercise treadmill test performance in young adults in the CARDIA study. Cardiovascular Risk Factors in Young Adults. Med Sci Sports Exerc . 1998;30(3):427–33.
Lewis CE, Smith DE, Wallace DD, Williams OD, Bild DE, Jacobs DR Jr. Seven-year trends in body weight and associations with lifestyle and behavioral characteristics in Black and White young adults: the CARDIA study. Am J Public Health . 1997;87(4):635–42.
Arnett JJ. Emerging adulthood. A theory of development from the late teens through the twenties. Am Psychol . 2000;55(5):469–80.
Winpenny EM, Smith M, Penney T, et al. Changes in physical activity, diet, and body weight across the education and employment transitions of early adulthood: a systematic review and meta-analysis. Obes Rev . 2020;21(4):e12962.
Blair SN, Kohl HW 3rd, Paffenbarger RS Jr, Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA . 1989;262(17):2395–401.
Lorem GF, Schirmer H, Emaus N. What is the impact of underweight on self-reported health trajectories and mortality rates: a cohort study. Health Qual Life Outcomes . 2017;15(1):191.