Institute of Physical Culture Sciences, Medical College of Rzeszów University, University of Rzeszów, 35-959 Rzeszów, Poland.
Department of Quantitative Methods, Rzeszów University of Technology, 35-959 Rzeszów, Poland.
Int J Environ Res Public Health. 2022 Feb 24;19(5):2643. doi: 10.3390/ijerph19052643.
The health condition of working-age males in Poland remains largely associated with long-lasting sick leaves, one of the main reasons of which being cardiovascular diseases (CVD). The aim of this work was to develop a prediction model for FIT Treadmill Score ("FIT" refers to Henry Ford ExercIse Testing (FIT) Project) that only depends on easily accessible somatic data and smoking without the need to perform the exercise test anymore. The study comprised 146 men with a negative cardiological history, aged 26-60, with desk-jobs. By means of regression analysis it was tested to what degree obesity-related indices as well as smoking cigarettes allow for determining the measure level of mortality risk, without the necessity of performing an exercise test. The following independent variables were entered into the linear regression model: age, BMI, Fat%, waist circumference (WC), waist to height ratio (WHtR) as well as smoking. Statistically significant factors were singled out from among them. The obtained model accounts for a significant part (over 87%) of the variability of the mortality risk measure among the tested population. Based on the value of the standardised regression coefficient , it can be stated that age is the factor that mostly determines the mortality risk measure, followed by the WHtR and smoking. The simplicity of the worked-out model and, resulting from it, the possibility of its common application should enable better health monitoring of working-age men with regard to cardiovascular disease occurrence and, related to it, mortality risk, thereby improving the quality of public health management.
波兰劳动年龄段男性的健康状况在很大程度上仍与长期病假有关,其中一个主要原因是心血管疾病(CVD)。本研究旨在开发一种仅依赖于易于获得的体数据和吸烟情况的 FIT 跑步机评分预测模型(“FIT”是指 Henry Ford ExercIse Testing (FIT) Project),不再需要进行运动测试。该研究纳入了 146 名无心血管病史、年龄在 26-60 岁之间、从事文书工作的男性。通过回归分析,研究了肥胖相关指标以及吸烟程度在多大程度上可以确定死亡率风险的测量水平,而无需进行运动测试。将以下自变量纳入线性回归模型:年龄、BMI、体脂百分比、腰围(WC)、腰高比(WHtR)以及吸烟情况。从中筛选出具有统计学意义的因素。所获得的模型可以解释测试人群中死亡率风险测量的很大一部分(超过 87%)的可变性。根据标准化回归系数的值,可以得出结论,年龄是决定死亡率风险测量的主要因素,其次是 WHtR 和吸烟。所开发模型的简单性以及由此产生的其普遍适用性的可能性,应该能够更好地监测劳动年龄段男性的心血管疾病发生和相关的死亡率风险,从而提高公共卫生管理的质量。