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Estimating VO(2peak) in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire
PURPOSE: Cardiorespiratory fitness (CRF) plays an essential role in health outcomes and quality of life. However, it is often not assessed nor estimated. Objective CRF assessment is costly, labour intensive and not widely available. Patient-reported outcome measures estimate CRF more cost-efficientl...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994663/ https://www.ncbi.nlm.nih.gov/pubmed/35411174 http://dx.doi.org/10.2147/IJGM.S355589 |
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author | Meijer, Renske van Hooff, Martijn Papen-Botterhuis, Nicole E Molenaar, Charlotte J L Regis, Marta Timmers, Thomas van de Poll-Franse, Lonneke V Savelberg, Hans H C M Schep, Goof |
author_facet | Meijer, Renske van Hooff, Martijn Papen-Botterhuis, Nicole E Molenaar, Charlotte J L Regis, Marta Timmers, Thomas van de Poll-Franse, Lonneke V Savelberg, Hans H C M Schep, Goof |
author_sort | Meijer, Renske |
collection | PubMed |
description | PURPOSE: Cardiorespiratory fitness (CRF) plays an essential role in health outcomes and quality of life. However, it is often not assessed nor estimated. Objective CRF assessment is costly, labour intensive and not widely available. Patient-reported outcome measures estimate CRF more cost-efficiently, but current questionnaires lack accuracy. The aim of this study is to develop a new self-reported questionnaire to estimate CRF. MATERIALS AND METHODS: The FitMáx©-questionnaire, consisting of only three questions assessing walking, stair climbing, and cycling capacity, was compared with the commonly used Duke Activity Status Index (DASI) and Veterans Specific Activity Questionnaire (VSAQ). These questionnaires were compared to peak oxygen uptake (VO(2peak)) as measured with cardiopulmonary exercise testing. This study included 759 cardiac, pulmonary and oncologic patients and healthy persons aged 18‒90. RESULTS: FitMáx© strongly correlated (r = 0.94 (0.92‒0.95) SEE = 4.14 mL∙kg(−1)∙min(−1)) with measured VO(2peak). Bias between predicted and measured VO(2peak) was −0.24 (−9.23‒8.75; 95% limits of agreement) mL·kg(−1)·min(−1). The FitMáx© scored superiorly on correlation and SEE compared with the DASI and VSAQ, r = 0.75 (0.68‒0.80) SEE = 4.62 mL∙kg(−1)∙min(−1) and r = 0.87 (0.83‒0.90) SEE = 6.75 mL∙kg(−1)∙min(−1), respectively. CONCLUSION: FitMáx© is a valid and accessible questionnaire to estimate CRF expressed as VO(2peak) in clinical practice and shows substantial improvement compared to currently used questionnaires. |
format | Online Article Text |
id | pubmed-8994663 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-89946632022-04-10 Estimating VO(2peak) in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire Meijer, Renske van Hooff, Martijn Papen-Botterhuis, Nicole E Molenaar, Charlotte J L Regis, Marta Timmers, Thomas van de Poll-Franse, Lonneke V Savelberg, Hans H C M Schep, Goof Int J Gen Med Original Research PURPOSE: Cardiorespiratory fitness (CRF) plays an essential role in health outcomes and quality of life. However, it is often not assessed nor estimated. Objective CRF assessment is costly, labour intensive and not widely available. Patient-reported outcome measures estimate CRF more cost-efficiently, but current questionnaires lack accuracy. The aim of this study is to develop a new self-reported questionnaire to estimate CRF. MATERIALS AND METHODS: The FitMáx©-questionnaire, consisting of only three questions assessing walking, stair climbing, and cycling capacity, was compared with the commonly used Duke Activity Status Index (DASI) and Veterans Specific Activity Questionnaire (VSAQ). These questionnaires were compared to peak oxygen uptake (VO(2peak)) as measured with cardiopulmonary exercise testing. This study included 759 cardiac, pulmonary and oncologic patients and healthy persons aged 18‒90. RESULTS: FitMáx© strongly correlated (r = 0.94 (0.92‒0.95) SEE = 4.14 mL∙kg(−1)∙min(−1)) with measured VO(2peak). Bias between predicted and measured VO(2peak) was −0.24 (−9.23‒8.75; 95% limits of agreement) mL·kg(−1)·min(−1). The FitMáx© scored superiorly on correlation and SEE compared with the DASI and VSAQ, r = 0.75 (0.68‒0.80) SEE = 4.62 mL∙kg(−1)∙min(−1) and r = 0.87 (0.83‒0.90) SEE = 6.75 mL∙kg(−1)∙min(−1), respectively. CONCLUSION: FitMáx© is a valid and accessible questionnaire to estimate CRF expressed as VO(2peak) in clinical practice and shows substantial improvement compared to currently used questionnaires. Dove 2022-04-05 /pmc/articles/PMC8994663/ /pubmed/35411174 http://dx.doi.org/10.2147/IJGM.S355589 Text en © 2022 Meijer et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Meijer, Renske van Hooff, Martijn Papen-Botterhuis, Nicole E Molenaar, Charlotte J L Regis, Marta Timmers, Thomas van de Poll-Franse, Lonneke V Savelberg, Hans H C M Schep, Goof Estimating VO(2peak) in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire |
title | Estimating VO(2peak) in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire |
title_full | Estimating VO(2peak) in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire |
title_fullStr | Estimating VO(2peak) in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire |
title_full_unstemmed | Estimating VO(2peak) in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire |
title_short | Estimating VO(2peak) in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire |
title_sort | estimating vo(2peak) in 18–90 year-old adults: development and validation of the fitmáx©-questionnaire |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994663/ https://www.ncbi.nlm.nih.gov/pubmed/35411174 http://dx.doi.org/10.2147/IJGM.S355589 |
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