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Medicine & Science in Sports & Exercise:
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Prediction of functional aerobic capacity without exercise testing

JACKSON, ANDREW S.; BLAIR, STEVEN N.; MAHAR, MATTHEW T.; WIER, LARRY T.; ROSS, ROBERT M.; STUTEVILLE, JOSEPH E.

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Abstract

The purpose of this study was to develop functional aerobic capacity prediction models without using exercise tests (N-Ex) and to compare the accuracy with Astrand single-stage submaximal prediction methods. The data of 2,009 subjects (9.7% female) were randomly divided into validation (N = 1,543) and cross-validation (N = 466) samples. The validation sample was used to develop two N-Ex models to estimate [latin capital V with dot above]O2peak. Gender, age, body composition, and self-report activity were used to develop two N-Ex prediction models. One model estimated percent fat from skinfolds (N-Ex %fat) and the other used body mass index (N-Ex BMI) to represent body composition. The multiple correlations for the developed models were R = 0.81 (SE = 5.3 ml[middle dot]kg-1 -min-1) and R = 0.78 (SE = 5.6 ml[middle dot]kg-1[middle dot]min-1). This accuracy was confirmed when applied to the cross-validation sample. The N-Ex models were more accurate than what was obtained from [latin capital V with dot above]O2speak estimated from the Astrand prediction models. The SEs of the Astrand models ranged from 5.5-9.7 ml[middle dot]kg-1-min-1. The N-Ex models were cross-validated on 59 men on hypertensive medication and 71 men who were found to have a positive exercise ECG. The SEs of the N-Ex models ranged from 4.6-5.4 ml[middle dot]kg-1[middle dot]min-1 with these subjects. An analysis of subsamples of the cross-validation sample showed that the accuracy of the models was upheld with all but subjects with a [latin capital V with dot above]O2speak >= 55 ml[middle dot]kg-1[middle dot]min-1. this confirmed that the N-Ex models were more accurate than established submaximal treadmill prediction models and are appropriate for about 96% of the adult population.

(C)1990The American College of Sports Medicine

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