Clinical Exercise Physiology, Ball State University, Muncie, IN, United States of America; Fisher Institute of Health and Well-Being, Ball State University, Muncie, IN, United States of America; Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL, United States of America.
Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL, United States of America; Veterans Affairs Palo Alto Healthcare System and Stanford University, Palo Alto, CA, United States of America.
Prog Cardiovasc Dis. 2024 Mar-Apr;83:3-9. doi: 10.1016/j.pcad.2024.01.020. Epub 2024 Feb 2.
The American Heart Association issued a Policy Statement in 2013 that characterized the importance of cardiorespiratory fitness (CRF) as an essential marker of health outcomes and specifically the need for increased assessment of CRF. This statement summarized the evidence demonstrating that CRF is "one of the most important correlates of overall health status and a potent predictor of an individual's future risk of cardiovascular disease." Subsequently, this Policy Statement led to the development of a National Registry for CRF (Fitness Registry and the Importance of Exercise: A National Data Base [FRIEND]) which established normative reference values for CRF for adults in the United States (US). This review provides an overview of the progress made in the past decade to further our understanding of the importance of CRF, specifically related to prevention and for clinical populations. Additionally, this review overviews the evolvement and additional uses of FRIEND and summarizes a hierarchy of assessment methods for CRF. In summary, continued efforts are needed to expand the representation of data from across the US, and to include data from pediatric populations, to further develop the CRF Reference Standards for the US as well as further develop Global CRF Reference Standards.
美国心脏协会在 2013 年发布了一项政策声明，强调了心肺适能（CRF）作为健康结果的重要指标的重要性，并特别需要增加对 CRF 的评估。该声明总结了表明 CRF 是“整体健康状况最重要的相关因素之一，也是个体未来患心血管疾病风险的有力预测因素”的证据。随后，该政策声明导致了心肺适能国家登记处（Fitness Registry and the Importance of Exercise：A National Data Base [FRIEND]）的发展，为美国成年人建立了 CRF 的规范参考值（美国）。这篇综述概述了在过去十年中取得的进展，以进一步了解 CRF 的重要性，特别是与预防和临床人群有关的重要性。此外，本综述还概述了 FRIEND 的发展和其他用途，并总结了 CRF 评估方法的层次结构。总之，需要继续努力扩大来自美国各地的数据代表性，并纳入儿科人群的数据，以进一步制定美国的 CRF 参考标准，并进一步制定全球 CRF 参考标准。
