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Estimation of maximal oxygen consumption and heart rate recovery using the Tecumseh sub-maximal step test and their relationship to cardiovascular risk factors

Hughes, AD; Chaturvedi, N; (2017) Estimation of maximal oxygen consumption and heart rate recovery using the Tecumseh sub-maximal step test and their relationship to cardiovascular risk factors. Artery Research , 18 pp. 29-35. 10.1016/j.artres.2017.02.005. Green open access

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Abstract

BACKGROUND: Maximum aerobic capacity (VO2max) is associated with lower cardiovascular and total mortality. Step tests can be used to provide an estimate of (VO2max) in epidemiological or home-based studies. We compared different methods of estimation of VO2max and heart rate recovery and evaluated the relationship of these estimates with cardiovascular risk factors. METHODS: Data were analysed from 2286 participants in the Tecumseh Community Health Study (>16 y and <70 y) who performed a step test. VO2max was estimated from heart rate using three methods and the results compared. The magnitude of heart rate recovery (HRR) and the time constant of recovery based on different time intervals post-exercise were also estimated. RESULTS: Estimated VO2max showed good or poor agreement depending on the method used. VO2max correlated inversely with systolic blood pressure (SBP), body mass index (BMI), total cholesterol, blood glucose following a 100 g oral load (PLG) and Framingham risk score. In a multivariable model age sex, cigarette smoking, SBP, BMI and PLG were significantly inversely associated with VO2max. Correlations with risk factors were strongest for HRR measured over the first 30 s of recovery. Only the time constant calculated from the 3 min post-exercise period correlated significantly with risk factors. CONCLUSIONS: The Tecumseh step test can be used to provide estimates of VO2max and heart rate recovery. Estimated VO2max was inversely associated with higher systolic BP, higher BMI and worse glucose tolerance. Measurements of HRR over the first 30 s and the time constant calculate from the first 3 min of recovery correlate most closely with risk factors.

Type: Article
Title: Estimation of maximal oxygen consumption and heart rate recovery using the Tecumseh sub-maximal step test and their relationship to cardiovascular risk factors
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.artres.2017.02.005
Publisher version: https://doi.org/10.1016/j.artres.2017.02.005
Language: English
Additional information: © 2017 The Author. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Exercise; Cardiovascular risk; Oxygen consumption; Step test; Heart rate
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine > MRC Unit for Lifelong Hlth and Ageing
URI: https://discovery.ucl.ac.uk/id/eprint/1550382
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