Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program
OBJECTIVES Low cardiorespiratory fitness, defined as a VO2 max below the 25th percentile for age and sex, is associated with greater body mass index (BMI), blood pressure, and plasma cholesterol values and is an independent risk factor for cardiovascular and metabolic diseases. Given that sedentaris...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sapientia Publishing Group
2022-07-01
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| Series: | Exercise Medicine |
| Subjects: | |
| Online Access: | http://www.exercmed.org/upload/pdf/em-2022-005.pdf |
| _version_ | 1797821981839589376 |
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| author | Otto A Sanchez Anton S. Hesse Morgan R. Betker Christopher J. Lundstrom William E. Conroy Zan Gao |
| author_facet | Otto A Sanchez Anton S. Hesse Morgan R. Betker Christopher J. Lundstrom William E. Conroy Zan Gao |
| author_sort | Otto A Sanchez |
| collection | DOAJ |
| description | OBJECTIVES Low cardiorespiratory fitness, defined as a VO2 max below the 25th percentile for age and sex, is associated with greater body mass index (BMI), blood pressure, and plasma cholesterol values and is an independent risk factor for cardiovascular and metabolic diseases. Given that sedentarism has substantially increased in the U.S. population in the last 20 years and that office workers have the lowest cardiorespiratory fitness of the workforce, we aimed to assess the prevalence of low cardiorespiratory fitness in an corporate wellness program and determine its relationship with associated comorbidities. METHODS For this retrospective observational analysis demographics, height, weight, blood pressure at rest, plasma glucose, lipids, comorbidities, and VO2 max data was extracted from the medical records of 199 participants attending the Executive Health Program at M Health Fairview of the University of Minnesota. Participants were predominantly white, middle-aged men with near-optimal blood pressure values. RESULTS Participants with low cardiorespiratory fitness had a VO2 max [mean (range) of 28 (19.4 - 36.1) mL/kg/min], and was observed in 33% of all participants. Participants with low cardiorespiratory fitness were more likely to have higher BMI, dyslipidemia and hypertension than those in the excellent to superior category of cardiorespiratory fitness, VO2 max [mean (range) 45.6 (31.8 - 61.2) mL/kg/min]. Prevalence of obesity (17%) was lower than in the general U.S. population, and those who were obese were more likely to be of low cardiorespiratory fitness. Those with low cardiorespiratory fitness had a four fold relative risk of belonging to the group at high risk of cardiovascular and metabolic diseases when compared to those with a fair to superior cardiorespiratory fitness. CONCLUSIONS Low cardiorespiratory fitness identified in a third of all participants, is a modifiable risk factor associated with risk for cardiovascular and metabolic disease, should be evaluated in executive health programs. |
| first_indexed | 2024-03-13T10:02:04Z |
| format | Article |
| id | doaj.art-4f4017cf34174f0997bba3c4255ad4fc |
| institution | Directory Open Access Journal |
| issn | 2508-9056 |
| language | English |
| last_indexed | 2024-03-13T10:02:04Z |
| publishDate | 2022-07-01 |
| publisher | Sapientia Publishing Group |
| record_format | Article |
| series | Exercise Medicine |
| spelling | doaj.art-4f4017cf34174f0997bba3c4255ad4fc2023-05-23T04:55:52ZengSapientia Publishing GroupExercise Medicine2508-90562022-07-01610.26644/em.2022.00545Cardiovascular Fitness and Associated Comorbidities in An Executive Health ProgramOtto A Sanchez0Anton S. Hesse1Morgan R. Betker2Christopher J. Lundstrom3William E. Conroy4Zan Gao5 School of Kinesiology, University of Minnesota, 1900 University Ave SE, Cooke Hall, Minneapolis, MN 55455 USA School of Kinesiology, University of Minnesota, 1900 University Ave SE, Cooke Hall, Minneapolis, MN 55455 USA Exercise Science Program for Southwest Minnesota State University, 1501 State St, Marshal, MN 56258 USA School of Kinesiology, University of Minnesota, 1900 University Ave SE, Cooke Hall, Minneapolis, MN 55455 USA Division of General Internal Medicine, 420 Delaware St. SE, Minneapolis, MN 55455 USA School of Kinesiology, University of Minnesota, 1900 University Ave SE, Cooke Hall, Minneapolis, MN 55455 USAOBJECTIVES Low cardiorespiratory fitness, defined as a VO2 max below the 25th percentile for age and sex, is associated with greater body mass index (BMI), blood pressure, and plasma cholesterol values and is an independent risk factor for cardiovascular and metabolic diseases. Given that sedentarism has substantially increased in the U.S. population in the last 20 years and that office workers have the lowest cardiorespiratory fitness of the workforce, we aimed to assess the prevalence of low cardiorespiratory fitness in an corporate wellness program and determine its relationship with associated comorbidities. METHODS For this retrospective observational analysis demographics, height, weight, blood pressure at rest, plasma glucose, lipids, comorbidities, and VO2 max data was extracted from the medical records of 199 participants attending the Executive Health Program at M Health Fairview of the University of Minnesota. Participants were predominantly white, middle-aged men with near-optimal blood pressure values. RESULTS Participants with low cardiorespiratory fitness had a VO2 max [mean (range) of 28 (19.4 - 36.1) mL/kg/min], and was observed in 33% of all participants. Participants with low cardiorespiratory fitness were more likely to have higher BMI, dyslipidemia and hypertension than those in the excellent to superior category of cardiorespiratory fitness, VO2 max [mean (range) 45.6 (31.8 - 61.2) mL/kg/min]. Prevalence of obesity (17%) was lower than in the general U.S. population, and those who were obese were more likely to be of low cardiorespiratory fitness. Those with low cardiorespiratory fitness had a four fold relative risk of belonging to the group at high risk of cardiovascular and metabolic diseases when compared to those with a fair to superior cardiorespiratory fitness. CONCLUSIONS Low cardiorespiratory fitness identified in a third of all participants, is a modifiable risk factor associated with risk for cardiovascular and metabolic disease, should be evaluated in executive health programs.http://www.exercmed.org/upload/pdf/em-2022-005.pdfcardiorespiratory fitnesscomorbiditiesdyslipidemiaexecutive wellness programhypertension |
| spellingShingle | Otto A Sanchez Anton S. Hesse Morgan R. Betker Christopher J. Lundstrom William E. Conroy Zan Gao Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program Exercise Medicine cardiorespiratory fitness comorbidities dyslipidemia executive wellness program hypertension |
| title | Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program |
| title_full | Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program |
| title_fullStr | Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program |
| title_full_unstemmed | Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program |
| title_short | Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program |
| title_sort | cardiovascular fitness and associated comorbidities in an executive health program |
| topic | cardiorespiratory fitness comorbidities dyslipidemia executive wellness program hypertension |
| url | http://www.exercmed.org/upload/pdf/em-2022-005.pdf |
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