Institute for Internal Medicine B, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Institute for Community Medicine, Department SHIP - Clinical-Epidemiological Research, University Medicine Greifswald, Greifswald, Germany.
Sci Rep. 2022 Dec 23;12(1):22185. doi: 10.1038/s41598-022-26740-8.
The assessment of cardiorespiratory fitness (CRF) is an important tool for prognosis evaluation of cardiovascular events. The gold standard to measure CRF is cardiopulmonary exercise testing (CPET) to determine peak oxygen uptake (VO2peak). However, CPET is not only time consuming but also expensive and is therefore not widely applicable in daily practice. The aim of our study was to analyze, whether and which anthropometric markers derived from a 3D body scanner were related to VO2peak in a general population-based study. We analyzed data (SHIP-START-3) from 3D body scanner and CPET of 1035 subjects (529 women; 51.1%, age range 36-93). A total of 164 anthropometric markers were detected with the 3D body scanner VITUS Smart XXL using the software AnthroScan Professional. Anthropometric measurements were standardized and associated with CRF by sex-stratified linear regression models adjusted for age and height. Anthropometric markers were ranked according to the - log- p values derived from these regression models. In men a greater left and right thigh-knee-ratio, a longer forearm-fingertip length, a greater left thigh circumference and greater left upper arm circumference were most strongly associated with a higher VO2peak. In women a greater left and right thigh circumference, left calf circumference, thigh thickness and right calf circumference were most strongly associated with a higher VO2peak. The detected VO2peak-related anthropometric markers could be helpful in assessing CRF in clinical routine. Commonly used anthropometric markers, e.g. waist and hip circumference, were not among the markers associated with VO2peak.
心肺适能(CRF)的评估是评估心血管事件预后的重要工具。测量 CRF 的金标准是心肺运动测试(CPET),以确定峰值摄氧量(VO2peak)。然而,CPET 不仅耗时而且昂贵,因此在日常实践中并不广泛适用。我们的研究目的是分析来自 3D 身体扫描仪的哪些人体测量指标与一般人群研究中的 VO2peak 相关。我们分析了来自 3D 身体扫描仪和 CPET 的 1035 名受试者(529 名女性;51.1%,年龄范围 36-93 岁)的数据(SHIP-START-3)。使用 VITUS Smart XXL 3D 身体扫描仪和 AnthroScan Professional 软件总共检测到 164 个人体测量指标。人体测量值经过标准化,并通过按性别分层的线性回归模型,根据年龄和身高进行调整,与 CRF 相关联。根据这些回归模型得出的 -log-p 值对人体测量指标进行排名。在男性中,左右大腿-膝盖比更大、前臂-指尖长度更长、左大腿周长更大以及左上臂周长更大与更高的 VO2peak 最密切相关。在女性中,左右大腿周长、左小腿周长、大腿厚度和右小腿周长与更高的 VO2peak 最密切相关。检测到的与 VO2peak 相关的人体测量指标有助于在临床常规中评估 CRF。常用的人体测量指标,如腰围和臀围,并不在与 VO2peak 相关的指标之列。