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Decline in cardiore...
Decline in cardiorespiratory fitness in the Swedish working force between 1995 and 2017.
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- Ekblom Bak, Elin, 1981- (author)
- Gymnastik- och idrottshögskolan,Åstrandlaboratoriet
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- Ekblom, Örjan, 1971- (author)
- Gymnastik- och idrottshögskolan,Åstrandlaboratoriet
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- Andersson, Gunnar (author)
- HPI Health Profile Institute
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- Wallin, Peter (author)
- HPI Health Profile Institute
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- Söderling, Jonas (author)
- Karolinska Institutet
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- Hemmingsson, Erik (author)
- Gymnastik- och idrottshögskolan,Institutionen för idrotts- och hälsovetenskap,Karolinska Institutet
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- Ekblom, Björn, 1938- (author)
- Gymnastik- och idrottshögskolan,Björn Ekbloms forskningsgrupp
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(creator_code:org_t)
- 2018-11-15
- 2019
- English.
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In: Scandinavian Journal of Medicine and Science in Sports. - : John Wiley & Sons. - 0905-7188 .- 1600-0838. ; 29:2, s. 232-239
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Abstract
Subject headings
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- BACKGROUND: Long-term trend analyses of cardiorespiratory fitness (VO2 max) in the general population are limited.OBJECTIVES: To describe trends in VO2 max from 1995 to 2017 in the Swedish working force and to study developments across categories of sex, age, education, and geographic regions.METHODS: 354.277 participants (44% women, 18-74 years) who participated in a nationwide occupational health service screening between 1995 and 2017 were included. Changes in standardized mean values of absolute (L·min-1 ) and relative (ml·min-1 ·kg-1 ) VO2 max, and the proportion with low (<32) relative VO2 max are reported. VO2 max was estimated using a submaximal cycle test.RESULTS: Absolute VO2 max decreased by -6.7% (-0.19 L·min-1 ) in the total population. Relative VO2 max decreased by -10.8% (-4.2 ml·min-1 ·kg-1 ) with approximately one-third explained by a simultaneous increase in body mass. Decreases in absolute fitness were more pronounced in men vs. women (8.7% vs. 5.3%), in younger vs. older (6.5% vs 2.3%), in short (11.4%) vs. long (4.5%) education, and in rural vs. urban regions (6.5% vs 3.5%), all p<0.001. The proportions with low VO2 max increased from 27% to 46% (p<0.001).CONCLUSION: Between 1995 and 2017, there was a steady and pronounced decline in mean cardiorespiratory fitness in Swedish adults. Male gender, young age, short education and living in a rural area were predictive of greater reductions. The proportion with low cardiorespiratory fitness almost doubled. Given the strong associations between cardiorespiratory fitness and multiple morbidities and mortality, preventing further decreases is a clear public health priority, especially for vulnerable groups. This article is protected by copyright. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Fysiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Physiology (hsv//eng)
Keyword
- Maximal oxygen consumption
- VO2max
- aerobic capacity
- population
- secular trend
- Medicin/Teknik
- Medicine/Technology
Publication and Content Type
- ref (subject category)
- art (subject category)
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