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人群的心肺适能真的在下降吗?

Is population's cardiorespiratory fitness really declining?

作者信息

Sovová Markéta, Sovová Eliška, Asswad Amjad Ghazal, Sova Milan

机构信息

Department of Sports Medicine, Cardiovascular Rehabilitation, Palacky University Olomouc, Olomouc, Czech Republic.

Emergency Department, West Middlesex University Hospital, London, United Kingdom of Great Britain, Northern Ireland.

出版信息

Cent Eur J Public Health. 2020 Jun;28(2):120-123. doi: 10.21101/cejph.a5912.

DOI:10.21101/cejph.a5912
PMID:32592556
Abstract

OBJECTIVE

Cardiorespiratory fitness (CRF) is defined as the capacity of the cardiovascular and pulmonary systems to meet the oxygen demands of the body during physical work. Poor CRF is connected with a higher risk for the development of various noninfectious diseases such as cardiovascular disease or malignancies. The standard test for the assessment of CRF is exercise testing with the measurement of maximal oxygen consumption (VO max). Standard VO max values for adult men and women in the Czech Republic have been available since the 1970s without being updated. According to experts, these standard values are now unusable for contemporary CRF measurements of the population in the Czech Republic. The Fitness Registry and the Importance of Exercise: a National Database (FRIEND) - 4,494 patients (1,717 men) defined new standard values for bicycle ergometry CRF for the population in the United States of America. The aim of the study was the statistical comparison of VO max values (reference standards) in the 1970s population in the Czech Republic with the new reference standards of the FRIEND registry.

METHODS

All analyses were performed using IBM SPSS statistics and all tests with a p-value of less than 0.05 were considered statistically significant.

RESULTS

VO max norms for women in the Czech population were higher in all age categories with statistically significant differences in the categories 30-39, 40-49 and 50-59 (p < 0.001). In the male population aged 20-29 years, VO max was significantly higher in the FRIEND registry (p < 0.001) in contrast to the other age categories, 30-39, 40-49 and 50-59, which were significantly higher in the Czech population (p < 0.001).

CONCLUSIONS

Czech VO max population norms from the 1970s are (with the exception of age category 20-29 years) higher than values from the recent FRIEND registry.

摘要

目的

心肺适能(CRF)被定义为心血管和肺部系统在体力活动期间满足身体氧气需求的能力。心肺适能差与患各种非传染性疾病(如心血管疾病或恶性肿瘤)的较高风险相关。评估心肺适能的标准测试是通过测量最大耗氧量(VO₂max)进行运动测试。自20世纪70年代以来,捷克共和国成年男性和女性的标准VO₂max值就已存在,但未更新。据专家称,这些标准值现在对于捷克共和国人口的当代心肺适能测量已无法使用。健身登记与运动的重要性:一个国家数据库(FRIEND)——4494名患者(1717名男性)为美利坚合众国人口定义了自行车测力计心肺适能的新标准值。该研究的目的是对捷克共和国20世纪70年代人群的VO₂max值(参考标准)与FRIEND登记处的新参考标准进行统计比较。

方法

所有分析均使用IBM SPSS统计学软件进行,所有p值小于0.05的测试均被视为具有统计学意义。

结果

捷克人群中女性的VO₂max标准在所有年龄类别中都更高,在30 - 39岁、40 - 49岁和50 - 59岁类别中存在统计学显著差异(p < 0.001)。与其他年龄类别(30 - 39岁、40 - 49岁和50 - 59岁,捷克人群中的这些值显著更高,p < 0.001)相比,20 - 29岁男性人群中,FRIEND登记处的VO₂max显著更高(p < 0.001)。

结论

20世纪70年代捷克的VO₂max人群标准(20 - 29岁年龄类别除外)高于近期FRIEND登记处的值。

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