Kaminsky Leonard A, Myers Jonathan, Arena Ross
Fisher Institute of Health and Well-Being, Ball State University, Muncie, IN, United States of America.
Division of Cardiology, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States of America; Stanford University School of Medicine, United States of America.
Prog Cardiovasc Dis. 2019 Jan-Feb;62(1):76-82. doi: 10.1016/j.pcad.2018.10.003. Epub 2018 Oct 30.
Healthy living (HL) behaviors and characteristics are central to both preventing and treating a myriad of chronic diseases; a key HL characteristic is cardiorespiratory fitness (CRF). Knowing an individual's CRF provides vital information when assessing health status and formulating a plan of care. Normative reference values as well as thresholds that denote varying degrees of health and future risk exist for measures of CRF. However, improving upon the precision of CRF reference standards according to key factors as well as precision in how CRF assessments can be used to assess health status and prognosis is needed. The current review will: 1) provide an overview of current approaches to CRF assessment and interpretations; 2) describe more recent efforts to improve upon the precision of CRF values; and 3) describe the Fitness Registry and the Importance of Exercise: A National Data Base (FRIEND) for the precision of CRF as a clinical measure.
健康生活(HL)行为和特征对于预防和治疗众多慢性疾病至关重要;一个关键的HL特征是心肺适能(CRF)。了解个体的CRF在评估健康状况和制定护理计划时提供了至关重要的信息。对于CRF测量存在规范性参考值以及表示不同健康程度和未来风险的阈值。然而,需要根据关键因素提高CRF参考标准的精度,以及提高CRF评估用于评估健康状况和预后的精度。本综述将:1)概述当前CRF评估和解释的方法;2)描述最近为提高CRF值精度所做的努力;3)描述健身登记与运动的重要性:一个全国数据库(FRIEND)在将CRF作为临床测量指标时的精度情况。