Interpreting Cardiorespiratory Fitness in Young Clinical Populations—Folklore and Fallacy

Published on Aug 1, 2019in JAMA Pediatrics12.004
· DOI :10.1001/jamapediatrics.2019.1485
Jo Welsman7
Estimated H-index: 7
(University of Exeter),
Neil Armstrong45
Estimated H-index: 45
(University of Exeter)
  • References (8)
  • Citations (1)
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4 Authors (Bjarne M. Nes, ..., Ulrik Wisløff)
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#1Neil Armstrong (University of Exeter)H-Index: 45
#2Jo Welsman (University of Exeter)H-Index: 7
Purpose: To investigate peak oxygen uptake (V˙O2) in relation to sex, age, body mass, fat-free mass (FFM), maturity, and overweight status. Methods: Multiplicative, allometric models of 10- to 18-y...
8 CitationsSource
#1Jo Welsman (University of Exeter)H-Index: 7
#2Neil Armstrong (University of Exeter)H-Index: 45
In this paper, we draw on cross-sectional, treadmill-determined, peak oxygen uptake data, collected in our laboratory over a 20-year period, to examine whether traditional per body mass (ratio) sca...
11 CitationsSource
#1Neil Armstrong (University of Exeter)H-Index: 45
#2Jo Welsman (University of Exeter)H-Index: 7
Purposes To investigate the development of peak oxygen uptake (\(\dot{{V}}{\text{O}}_{2}\)) assessed on both a treadmill and a cycle ergometer in relation with sex and concurrent changes in age, body mass, fat-free mass (FFM), and maturity status and to evaluate currently proposed ‘clinical red flags’ or health-related cut-points for peak \(\dot{{V}}{\text{O}}_{2}\).
7 CitationsSource
#1Andrew O. Agbaje (University of Eastern Finland)H-Index: 1
#2Eero A. Haapala (University of Jyväskylä)H-Index: 10
Last. Timo A. Lakka (University of Eastern Finland)H-Index: 80
view all 9 authors...
We aimed to develop cut-points for directly measured peak oxygen uptake (VO 2peak) to identify boys and girls at increased cardiometabolic risk using different scaling methods to control for body size and composition. Altogether 352 children (186 boys, 166 girls) aged 9-11 years were included in the analyses. We measured VO 2peak directly during a maximal cycle ergometer exercise test and lean body mass (LM) by bioelectrical impedance. We computed a sex- and age-specific cardiometabolic risk sco...
3 CitationsSource
#1Stijn Mintjens (VU: VU University Amsterdam)H-Index: 1
#2Malou D. Menting (UvA: University of Amsterdam)H-Index: 1
Last. Reinoud J. B. J. Gemke (VU: VU University Amsterdam)H-Index: 36
view all 6 authors...
Background Although cardiorespiratory fitness (CRF) in childhood and adolescence may be linked to future cardiovascular health, there is currently limited evidence for a longitudinal association.
18 CitationsSource
#1Mark Loftin (University of Mississippi)H-Index: 18
#2Melinda S. Sothern (LSU: Louisiana State University)H-Index: 28
Last. Marc Bonis (LSU: Louisiana State University)H-Index: 5
view all 4 authors...
The aim of this review was to highlight research that has focused on examining expressions of peak oxygen uptake (VO2peak) in children and youth, with special reference to allometric scaling. VO2peak is considered the highest VO2 during an increasing workload treadmill or bicycle ergometer test until volitional termination. We have reviewed scholarly works identified from PubMed, One Search, EBSCOhost and Google Scholar that examined VO2peak in absolute units (L·min−1), relative units [body mass...
22 CitationsSource
#1Neil ArmstrongH-Index: 45
#2Willem van MechelenH-Index: 88
ASSESSMENT IN PAEDIATRIC EXERCISE SCIENCE Interpreting growth-related data Physique, Body Composition and Maturity Muscle strength Anaerobic performance Pulmonary function Cardiovascular function Aerobic fitness Physical activity patterns Effort perception DEVELOPMENTAL ASPECTS OF PAEDIATRIC EXERCISE SCIENCE Growth and maturation Biomechanics of movement Motor development Strength and muscle growth Anaerobic performance Pulmonary function Cardiovascular function Aerobic fitness Economy of locomo...
178 Citations
395 CitationsSource
Cited By1
#1S TremblayMark (U of O: University of Ottawa)H-Index: 71
#2Grant R. Tomkinson (UND: University of North Dakota)H-Index: 24
1 CitationsSource
#1Neil Armstrong (University of Exeter)H-Index: 45
#2Jo Welsman (University of Exeter)H-Index: 7
: We welcome Raffy Dotan’s Letter to the Editor (14) as it gives us another opportunity to promote evidence-based discussion of the development of youth aerobic fitness. Readers of our contributions to the 2019 Special Issue of Pediatric Exercise Science (6,27,28) will recall that we concluded with, “The authors encourage all pediatric exercise scientists to engage with this discussion, to share ideas and methods, and be willing to explore alternatives. There are many issues to resolve and const...