Assessment of Cardiorespiratory Fitness without Exercise in Elderly Men with Chronic Cardiovascular and Metabolic Diseases
Low cardiorespiratory (CRF) is associated with health problems in elderly people, especially cardiovascular and metabolic disease. However, physical limitations in this population frequently preclude the application of aerobic tests. We developed a model to estimate CRF without aerobic testing in ol...
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          | Published in | Journal of Aging Research Vol. 2012; no. 2012; pp. 635 - 640 | 
|---|---|
| Main Authors | , , , | 
| Format | Journal Article | 
| Language | English | 
| Published | 
        Cairo, Egypt
          Hindawi Limiteds
    
        2012
     Hindawi Puplishing Corporation Hindawi Publishing Corporation Wiley  | 
| Online Access | Get full text | 
| ISSN | 2090-2212 2090-2204 2090-2212  | 
| DOI | 10.1155/2012/518045 | 
Cover
| Abstract | Low cardiorespiratory (CRF) is associated with health problems in elderly people, especially cardiovascular and metabolic disease. However, physical limitations in this population frequently preclude the application of aerobic tests. We developed a model to estimate CRF without aerobic testing in older men with chronic cardiovascular and metabolic diseases. Subjects aged from 60 to 91 years were randomly assigned into validation (n=67) and cross-validation (n=29) groups. A hierarchical linear regression model included age, self-reported fitness, and handgrip strength normalized to body weight (R2=0.79; SEE = 1.1 METs). The PRESS (predicted residual sum of squares) statistics revealed minimal shrinkage in relation to the original model and that predicted by the model and actual CRF correlated well in the cross-validation group (r=0.85). The area under curve (AUC) values suggested a good accuracy of the model to detect disability in the validation (0.876, 95% CI: 0.793–0.959) and cross-validation groups (0.826, 95% CI: 0.677–0.975). Our findings suggest that CRF can be reliably estimated without exercise test in unhealthy elderly men. | 
    
|---|---|
| AbstractList | Low cardiorespiratory (CRF) is associated with health problems in elderly people, especially cardiovascular and metabolic disease. However, physical limitations in this population frequently preclude the application of aerobic tests. We developed a model to estimate CRF without aerobic testing in older men with chronic cardiovascular and metabolic diseases. Subjects aged from 60 to 91 years were randomly assigned into validation (
n
=
67
) and cross-validation (
n
=
29
) groups. A hierarchical linear regression model included age, self-reported fitness, and handgrip strength normalized to body weight (
R
2
=
0.79
; SEE = 1.1 METs). The PRESS (predicted residual sum of squares) statistics revealed minimal shrinkage in relation to the original model and that predicted by the model and actual CRF correlated well in the cross-validation group (
r
=
0.85
). The area under curve (AUC) values suggested a good accuracy of the model to detect disability in the validation (0.876, 95% CI: 0.793–0.959) and cross-validation groups (0.826, 95% CI: 0.677–0.975). Our findings suggest that CRF can be reliably estimated without exercise test in unhealthy elderly men. Low cardiorespiratory (CRF) is associated with health problems in elderly people, especially cardiovascular and metabolic disease. However, physical limitations in this population frequently preclude the application of aerobic tests. We developed a model to estimate CRF without aerobic testing in older men with chronic cardiovascular and metabolic diseases. Subjects aged from 60 to 91 years were randomly assigned into validation (n=67) and cross-validation (n=29) groups. A hierarchical linear regression model included age, self-reported fitness, and handgrip strength normalized to body weight (R2=0.79; SEE = 1.1 METs). The PRESS (predicted residual sum of squares) statistics revealed minimal shrinkage in relation to the original model and that predicted by the model and actual CRF correlated well in the cross-validation group (r=0.85). The area under curve (AUC) values suggested a good accuracy of the model to detect disability in the validation (0.876, 95% CI: 0.793–0.959) and cross-validation groups (0.826, 95% CI: 0.677–0.975). Our findings suggest that CRF can be reliably estimated without exercise test in unhealthy elderly men. Low cardiorespiratory (CRF) is associated with health problems in elderly people, especially cardiovascular and metabolic disease. However, physical limitations in this population frequently preclude the application of aerobic tests. We developed a model to estimate CRF without aerobic testing in older men with chronic cardiovascular and metabolic diseases. Subjects aged from 60 to 91 years were randomly assigned into validation (n = 67) and cross-validation (n = 29) groups. A hierarchical linear regression model included age, self-reported fitness, and handgrip strength normalized to body weight (R(2) = 0.79; SEE = 1.1 METs). The PRESS (predicted residual sum of squares) statistics revealed minimal shrinkage in relation to the original model and that predicted by the model and actual CRF correlated well in the cross-validation group (r = 0.85). The area under curve (AUC) values suggested a good accuracy of the model to detect disability in the validation (0.876, 95% CI: 0.793-0.959) and cross-validation groups (0.826, 95% CI: 0.677-0.975). Our findings suggest that CRF can be reliably estimated without exercise test in unhealthy elderly men.Low cardiorespiratory (CRF) is associated with health problems in elderly people, especially cardiovascular and metabolic disease. However, physical limitations in this population frequently preclude the application of aerobic tests. We developed a model to estimate CRF without aerobic testing in older men with chronic cardiovascular and metabolic diseases. Subjects aged from 60 to 91 years were randomly assigned into validation (n = 67) and cross-validation (n = 29) groups. A hierarchical linear regression model included age, self-reported fitness, and handgrip strength normalized to body weight (R(2) = 0.79; SEE = 1.1 METs). The PRESS (predicted residual sum of squares) statistics revealed minimal shrinkage in relation to the original model and that predicted by the model and actual CRF correlated well in the cross-validation group (r = 0.85). The area under curve (AUC) values suggested a good accuracy of the model to detect disability in the validation (0.876, 95% CI: 0.793-0.959) and cross-validation groups (0.826, 95% CI: 0.677-0.975). Our findings suggest that CRF can be reliably estimated without exercise test in unhealthy elderly men. Low cardiorespiratory (CRF) is associated with health problems in elderly people, especially cardiovascular and metabolic disease. However, physical limitations in this population frequently preclude the application of aerobic tests. We developed a model to estimate CRF without aerobic testing in older men with chronic cardiovascular and metabolic diseases. Subjects aged from 60 to 91 years were randomly assigned into validation (n = 67) and cross-validation (n = 29) groups. A hierarchical linear regression model included age, self-reported fitness, and handgrip strength normalized to body weight (R(2) = 0.79; SEE = 1.1 METs). The PRESS (predicted residual sum of squares) statistics revealed minimal shrinkage in relation to the original model and that predicted by the model and actual CRF correlated well in the cross-validation group (r = 0.85). The area under curve (AUC) values suggested a good accuracy of the model to detect disability in the validation (0.876, 95% CI: 0.793-0.959) and cross-validation groups (0.826, 95% CI: 0.677-0.975). Our findings suggest that CRF can be reliably estimated without exercise test in unhealthy elderly men. Low cardiorespiratory (CRF) is associated with health problems in elderly people, especially cardiovascular and metabolic disease. However, physical limitations in this population frequently preclude the application of aerobic tests. We developed a model to estimate CRF without aerobic testing in older men with chronic cardiovascular and metabolic diseases. Subjects aged from 60 to 91 years were randomly assigned into validation (n = 67) and cross-validation (n = 29) groups. A hierarchical linear regression model included age, self-reported fitness, and handgrip strength normalized to body weight (R 2 = 0.79; SEE = 1.1 METs). The PRESS (predicted residual sum of squares) statistics revealed minimal shrinkage in relation to the original model and that predicted by the model and actual CRF correlated well in the cross-validation group (r = 0.85). The area under curve (AUC) values suggested a good accuracy of the model to detect disability in the validation (0.876, 95% CI: 0.793–0.959) and cross-validation groups (0.826, 95% CI: 0.677–0.975). Our findings suggest that CRF can be reliably estimated without exercise test in unhealthy elderly men.  | 
    
| Author | Maranhão Neto, Geraldo A. de Leon, Antonio P. Farinatti, Paulo T. V. Lira, Vitor A.  | 
    
| AuthorAffiliation | 4 Robert M. Berne Cardiovascular Research Center, University of Virginia School of Medicine, 415 Lane Rd Charlottesville, VA 22908, USA 2 Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, Rio de Janeiro State University, Rua São Francisco Xavier 524/Sala 8121F, Maracanã, 20550-900 Rio de Janeiro, RJ, Brazil 1 Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, 20550-900 Rio de Janeiro, RJ, Brazil 3 Division of Social Medicine, Karolinska Institute, Norrbacka, 171 76 Stockholm, Sweden 5 Physical Activity Sciences Graduate Program, Salgado de Oliveira University, Niterói, RJ, Brazil  | 
    
| AuthorAffiliation_xml | – name: 2 Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, Rio de Janeiro State University, Rua São Francisco Xavier 524/Sala 8121F, Maracanã, 20550-900 Rio de Janeiro, RJ, Brazil – name: 3 Division of Social Medicine, Karolinska Institute, Norrbacka, 171 76 Stockholm, Sweden – name: 4 Robert M. Berne Cardiovascular Research Center, University of Virginia School of Medicine, 415 Lane Rd Charlottesville, VA 22908, USA – name: 1 Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, 20550-900 Rio de Janeiro, RJ, Brazil – name: 5 Physical Activity Sciences Graduate Program, Salgado de Oliveira University, Niterói, RJ, Brazil  | 
    
| Author_xml | – sequence: 1 givenname: Geraldo A. surname: Maranhão Neto fullname: Maranhão Neto, Geraldo A. organization: Department of EpidemiologyInstitute of Social MedicineRio de Janeiro State University20550-900 Rio de Janeiro, RJBraziluerj.br – sequence: 2 givenname: Antonio P. surname: de Leon fullname: de Leon, Antonio P. organization: Department of EpidemiologyInstitute of Social MedicineRio de Janeiro State University20550-900 Rio de Janeiro, RJBraziluerj.br – sequence: 3 givenname: Vitor A. surname: Lira fullname: Lira, Vitor A. organization: Robert M. Berne Cardiovascular Research CenterUniversity of Virginia School of Medicine415 Lane Rd CharlottesvilleVA 22908USAvirginia.edu – sequence: 4 givenname: Paulo T. V. surname: Farinatti fullname: Farinatti, Paulo T. V. organization: Laboratory of Physical Activity and Health PromotionInstitute of Physical Education and SportsRio de Janeiro State UniversityRua São Francisco Xavier 524/Sala 8121F, Maracanã, 20550-900 Rio de Janeiro, RJBraziluerj.br  | 
    
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22187648$$D View this record in MEDLINE/PubMed | 
    
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| Cites_doi | 10.1097/01.HCR.0000291297.70517.9a 10.1007/BF02336193 10.1007/s00421-010-1366-1 10.1590/S1517-86922003000500006 10.1097/JSM.0b013e3181865f03 10.1007/s00421-002-0636-y 10.1590/S0102-311X2004000100018 10.1093/ageing/afg111 10.1016/j.amepre.2005.06.004 10.1093/gerona/58.8.M734 10.1097/00005768-200301000-00022 10.1590/S0102-311X2008001100005 10.1007/s00421-009-1162-y 10.1001/jama.276.18.1473 10.1093/ptj/83.1.37 10.1093/ageing/afn022 10.1016/S0140-6736(86)90837-8 10.1682/JRRD.2003.12.0176 10.1123/japa.16.4.408 10.1093/oxfordjournals.aje.a115704 10.1186/1471-2458-10-59 10.1016/j.amjmed.2006.04.018 10.1093/gerona/60.1.57  | 
    
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| Contributor | de Leon, Antonio P Farinatti, Paulo T. V Lira, Vitor A Maranhão Neto, Geraldo A  | 
    
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| Copyright | Copyright © 2012 Geraldo A. Maranhão Neto et al. Copyright © 2012 Geraldo A. Maranhão Neto et al. 2012  | 
    
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| References_xml | – volume: 29 start-page: 185 issue: 3 year: 2005 end-page: 193 ident: 9 article-title: Assessing cardiorespiratory fitness without performing exercise testing – volume: 60 start-page: 57 issue: 1 year: 2005 end-page: 66 ident: 24 article-title: Maximal aerobic capacity testing of older adults: a critical review – reference: VisichP. S.EhrmanJ. K.Ehrman J. K.GordonP. M.VisichP. S.KeteyianS. J.Graded exercise testing and exercise prescriptionClinical Exercise Physiology20092ndChampaign, Ill, USAHuman Kinetics – volume: 20 start-page: 48 issue: 1 year: 2004 end-page: 56 ident: 8 article-title: Prediction of aerobic fitness without stress testing and applicability to epidemiological studies: a systematic review – volume: 35 start-page: 191 issue: 3 year: 1976 end-page: 200 ident: 23 article-title: A comparison of maximum oxygen uptake determination by bicycle ergometry at various pedaling frequencies and by treadmill running at various speeds – reference: LohmanT. 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| Title | Assessment of Cardiorespiratory Fitness without Exercise in Elderly Men with Chronic Cardiovascular and Metabolic Diseases | 
    
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