Cardiorespiratory fitness is a stronger indicator of cardiometabolic risk factors and risk prediction than self-reported physical activity levels

This study investigated the relationships of self-reported physical activity levels and cardiorespiratory fitness in 81 males to assess which measurement is the greatest indicator of cardiometabolic risk. Physical activity levels were determined by the General Practice Physical Activity Questionnair...

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Bibliographic Details
Published in:Diabetes & vascular disease research 2015-11, Vol.12 (6), p.428-435
Main Authors: Gray, Benjamin J, Stephens, Jeffrey W, Williams, Sally P, Davies, Christine A, Turner, Daniel, Bracken, Richard M
Format: Article
Language:English
Subjects:
Adult
Aged
Body Mass Index
Cardiovascular Diseases - etiology
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - physiopathology
Exercise - physiology
Health Status
Humans
Male
Middle Aged
Motor Activity - physiology
Physical Fitness - physiology
Risk
Risk Factors
Self Report
Waist Circumference - physiology
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Summary:This study investigated the relationships of self-reported physical activity levels and cardiorespiratory fitness in 81 males to assess which measurement is the greatest indicator of cardiometabolic risk. Physical activity levels were determined by the General Practice Physical Activity Questionnaire tool and cardiorespiratory fitness assessed using the Chester Step Test. Cardiovascular disease risk was estimated using the QRISK2, Framingham Lipids, Framingham body mass index and Joint British Societies’ Guidelines-2 equations, and type 2 diabetes mellitus risk calculated using QDiabetes, Leicester Risk Assessment, Finnish Diabetes Risk Score and Cambridge Risk Score models. Categorising employees by cardiorespiratory fitness categories (‘Excellent/Good’ vs ‘Average/Below Average’) identified more differences in cardiometabolic risk factor (body mass index, waist circumference, total cholesterol, total cholesterol:high-density lipoprotein ratio, high-density lipoprotein cholesterol, triglycerides, HbA1c) scores than physical activity (waist circumference only). Cardiorespiratory fitness levels also demonstrated differences in all four type 2 diabetes mellitus risk prediction models and both the QRISK2 and Joint British Societies’ Guidelines-2 cardiovascular disease equations. Furthermore, significant negative correlations (p 
ISSN:1479-1641
1752-8984
DOI:10.1177/1479164115599907