Development and validation of a 1-km cardio-trekking test to estimate cardiorespiratory fitness in healthy adults

Maximum oxygen uptake (V̇O2max), the gold standard measure of cardiorespiratory fitness (CRF), supports cardiovascular risk assessment and is mainly assessed during maximal spiroergometry. However, for field use, submaximal exercise tests might be appropriate and feasible. There have been no studies...

Full description

Bibliographic Details
Main Authors: Laura Eisenberger, Barbara Mayr, Maximilian Beck, Verena Venek, Christina Kranzinger, Andrea Menzl, Inga Jahn, Mahdi Sareban, Renate Oberhoffer-Fritz, Josef Niebauer, Birgit Böhm
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335522003461
_version_ 1811190767221211136
author Laura Eisenberger
Barbara Mayr
Maximilian Beck
Verena Venek
Christina Kranzinger
Andrea Menzl
Inga Jahn
Mahdi Sareban
Renate Oberhoffer-Fritz
Josef Niebauer
Birgit Böhm
author_facet Laura Eisenberger
Barbara Mayr
Maximilian Beck
Verena Venek
Christina Kranzinger
Andrea Menzl
Inga Jahn
Mahdi Sareban
Renate Oberhoffer-Fritz
Josef Niebauer
Birgit Böhm
author_sort Laura Eisenberger
collection DOAJ
description Maximum oxygen uptake (V̇O2max), the gold standard measure of cardiorespiratory fitness (CRF), supports cardiovascular risk assessment and is mainly assessed during maximal spiroergometry. However, for field use, submaximal exercise tests might be appropriate and feasible. There have been no studies attempting a submaximal test protocol involving uphill hiking. This study aimed to develop and validate a 1-km cardio-trekking test (CTT) controlled by heart rate monitoring and Borg’s 6–20 rating of perceived exertion (RPE) scale to predict V̇O2max outdoors. Healthy participants performed a maximal incremental treadmill walking laboratory test and a submaximal 1-km CTT on mountain trails in Austria and Germany, and V̇O2max was assessed with a portable spirometry device. Borg’s RPE scale was used to control the exercise intensity of the CTT. All subjects wore a chest strap to measure heart rate (HR). A total of 134 participants (median age: 56.0 years [IQR: 51.8–63.0], 43.3 % males) completed both testing protocols. The prediction model is based on age, gender, smoking status, weight, mean HR, altitude difference, duration, and the interaction between age and duration (R2 = 0.65, adj. R2 = 0.63). Leave-one-out cross-validation revealed small shrinkage in predictive accuracy (R2 = 0.59) compared to the original model. Submaximal exercise testing using uphill hiking allows for practical estimation of V̇O2max in healthy adults. This method may allow people to engage in physical activity while monitoring their CRF to avert unnecessary cardiovascular events.
first_indexed 2024-04-11T14:54:42Z
format Article
id doaj.art-2625b468f47041cd9083bbb9103f84ca
institution Directory Open Access Journal
issn 2211-3355
language English
last_indexed 2024-04-11T14:54:42Z
publishDate 2022-12-01
publisher Elsevier
record_format Article
series Preventive Medicine Reports
spelling doaj.art-2625b468f47041cd9083bbb9103f84ca2022-12-22T04:17:17ZengElsevierPreventive Medicine Reports2211-33552022-12-0130102039Development and validation of a 1-km cardio-trekking test to estimate cardiorespiratory fitness in healthy adultsLaura Eisenberger0Barbara Mayr1Maximilian Beck2Verena Venek3Christina Kranzinger4Andrea Menzl5Inga Jahn6Mahdi Sareban7Renate Oberhoffer-Fritz8Josef Niebauer9Birgit Böhm10Institute of Preventive Pediatrics, Faculty of Sport and Health Sciences, Technical University of Munich, Munich, Germany; Corresponding author.Institute of Sports Medicine, Prevention and Rehabilitation and Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, Salzburg, Austria; Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, AustriaLudwig Boltzmann Institute for Digital Health and Prevention, Salzburg, AustriaSalzburg Research Forschungsgesellschaft mbH, Salzburg, AustriaSalzburg Research Forschungsgesellschaft mbH, Salzburg, AustriaSt. Irmingard Klinik Prien, Clinic for Cardiology, Prien am Chiemsee, GermanySt. Irmingard Klinik Prien, Clinic for Cardiology, Prien am Chiemsee, GermanyInstitute of Sports Medicine, Prevention and Rehabilitation and Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, Salzburg, Austria; Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, AustriaInstitute of Preventive Pediatrics, Faculty of Sport and Health Sciences, Technical University of Munich, Munich, GermanyInstitute of Sports Medicine, Prevention and Rehabilitation and Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, Salzburg, Austria; Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, AustriaInstitute of Preventive Pediatrics, Faculty of Sport and Health Sciences, Technical University of Munich, Munich, GermanyMaximum oxygen uptake (V̇O2max), the gold standard measure of cardiorespiratory fitness (CRF), supports cardiovascular risk assessment and is mainly assessed during maximal spiroergometry. However, for field use, submaximal exercise tests might be appropriate and feasible. There have been no studies attempting a submaximal test protocol involving uphill hiking. This study aimed to develop and validate a 1-km cardio-trekking test (CTT) controlled by heart rate monitoring and Borg’s 6–20 rating of perceived exertion (RPE) scale to predict V̇O2max outdoors. Healthy participants performed a maximal incremental treadmill walking laboratory test and a submaximal 1-km CTT on mountain trails in Austria and Germany, and V̇O2max was assessed with a portable spirometry device. Borg’s RPE scale was used to control the exercise intensity of the CTT. All subjects wore a chest strap to measure heart rate (HR). A total of 134 participants (median age: 56.0 years [IQR: 51.8–63.0], 43.3 % males) completed both testing protocols. The prediction model is based on age, gender, smoking status, weight, mean HR, altitude difference, duration, and the interaction between age and duration (R2 = 0.65, adj. R2 = 0.63). Leave-one-out cross-validation revealed small shrinkage in predictive accuracy (R2 = 0.59) compared to the original model. Submaximal exercise testing using uphill hiking allows for practical estimation of V̇O2max in healthy adults. This method may allow people to engage in physical activity while monitoring their CRF to avert unnecessary cardiovascular events.http://www.sciencedirect.com/science/article/pii/S2211335522003461Borg scaleCardiovascular healthExercise testingField testHikingPrediction model
spellingShingle Laura Eisenberger
Barbara Mayr
Maximilian Beck
Verena Venek
Christina Kranzinger
Andrea Menzl
Inga Jahn
Mahdi Sareban
Renate Oberhoffer-Fritz
Josef Niebauer
Birgit Böhm
Development and validation of a 1-km cardio-trekking test to estimate cardiorespiratory fitness in healthy adults
Preventive Medicine Reports
Borg scale
Cardiovascular health
Exercise testing
Field test
Hiking
Prediction model
title Development and validation of a 1-km cardio-trekking test to estimate cardiorespiratory fitness in healthy adults
title_full Development and validation of a 1-km cardio-trekking test to estimate cardiorespiratory fitness in healthy adults
title_fullStr Development and validation of a 1-km cardio-trekking test to estimate cardiorespiratory fitness in healthy adults
title_full_unstemmed Development and validation of a 1-km cardio-trekking test to estimate cardiorespiratory fitness in healthy adults
title_short Development and validation of a 1-km cardio-trekking test to estimate cardiorespiratory fitness in healthy adults
title_sort development and validation of a 1 km cardio trekking test to estimate cardiorespiratory fitness in healthy adults
topic Borg scale
Cardiovascular health
Exercise testing
Field test
Hiking
Prediction model
url http://www.sciencedirect.com/science/article/pii/S2211335522003461
work_keys_str_mv AT lauraeisenberger developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT barbaramayr developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT maximilianbeck developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT verenavenek developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT christinakranzinger developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT andreamenzl developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT ingajahn developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT mahdisareban developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT renateoberhofferfritz developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT josefniebauer developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults
AT birgitbohm developmentandvalidationofa1kmcardiotrekkingtesttoestimatecardiorespiratoryfitnessinhealthyadults