Scholarlink

<p>Accurately quantifying cardiorespiratory fitness (CRF) through cardiopulmonary exercise testing (CPET) is increasingly important for improving risk assessment and guiding clinical decisions. However, research on V̇O<sub>2</sub>peak reference values and predictive equations for the Chinese population remains limited. This study aimed to establish a V̇O<sub>2</sub>peak predictive equation for Chinese adults. This study analyzed healthy participants who underwent CPET at Peking University Third Hospital (PUTH) from September 1, 2017, to September 1, 2023. Data from September 1, 2017, and August 31, 2021 were used as the derivation cohort, and September 1, 2021, to September 1, 2023 were utilized as an external validation cohort for temporal validation. The derivation cohort underwent backward multivariate regression analysis to generate the V̇O<sub>2</sub>peak prediction equation, which was compared with the widely-used Wasserman, FRIEND and Xiangya equations. The PUTH derivation cohort (N = 4531, mean age: 50.7&#xa0;years, 18–88&#xa0;years) and validation cohort (N = 4624, mean age: 46.1&#xa0;years, 18–89&#xa0;years) included 48.8 and 48.5% men, respectively. With increasing age, both men and women V̇O<sub>2</sub>peak exhibited a general decline. The predictive equation for V̇O<sub>2</sub>peak was established based on the derivation cohort: V̇O<sub>2</sub>peak (mL·min<sup>−1</sup>) =  −24364.9 − 621.3 × Sex (Women = 1, Men = 2)&#xa0;−10.7 × Age + 0.2 × Height<sup>2</sup> (cm) + 6464.7 × Log(BMI)&#xa0;−24997.2 × Log(BSA) +12388.6 × Log(LBM) (adjusted R<sup>2</sup> = 0.624, <i>p</i> &lt; 0.001). It demonstrated higher consistency between measured and predicted results compared to Xiangya, Wasserman, and FRIEND equations. This study presents the PUTH equation, a new V̇O<sub>2</sub>peak prediction equation for Chinese adults. Compared to existing equations, the PUTH equation shows reduced bias and improved accuracy, providing a more reliable tool for assessing CRF and guiding clinical interventions in the Chinese population.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A reference equation for peak oxygen uptake for cycle ergometry in Chinese adult participants

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年3月29日

查看全文
  • Jinan Wang,
  • Chuan Ren,
  • Shunlin Xu,
  • Yifang Yuan,
  • Yanxin Song,
  • Dingding Xie,
  • Kexin Wang,
  • Lei Yuan,
  • Tao Shen,
  • Ling Xu,
  • Yida Tang,
  • Wei Gao,
  • Wei Zhao

摘要

Accurately quantifying cardiorespiratory fitness (CRF) through cardiopulmonary exercise testing (CPET) is increasingly important for improving risk assessment and guiding clinical decisions. However, research on V̇O2peak reference values and predictive equations for the Chinese population remains limited. This study aimed to establish a V̇O2peak predictive equation for Chinese adults. This study analyzed healthy participants who underwent CPET at Peking University Third Hospital (PUTH) from September 1, 2017, to September 1, 2023. Data from September 1, 2017, and August 31, 2021 were used as the derivation cohort, and September 1, 2021, to September 1, 2023 were utilized as an external validation cohort for temporal validation. The derivation cohort underwent backward multivariate regression analysis to generate the V̇O2peak prediction equation, which was compared with the widely-used Wasserman, FRIEND and Xiangya equations. The PUTH derivation cohort (N = 4531, mean age: 50.7 years, 18–88 years) and validation cohort (N = 4624, mean age: 46.1 years, 18–89 years) included 48.8 and 48.5% men, respectively. With increasing age, both men and women V̇O2peak exhibited a general decline. The predictive equation for V̇O2peak was established based on the derivation cohort: V̇O2peak (mL·min−1) =  −24364.9 − 621.3 × Sex (Women = 1, Men = 2) −10.7 × Age + 0.2 × Height2 (cm) + 6464.7 × Log(BMI) −24997.2 × Log(BSA) +12388.6 × Log(LBM) (adjusted R2 = 0.624, p < 0.001). It demonstrated higher consistency between measured and predicted results compared to Xiangya, Wasserman, and FRIEND equations. This study presents the PUTH equation, a new V̇O2peak prediction equation for Chinese adults. Compared to existing equations, the PUTH equation shows reduced bias and improved accuracy, providing a more reliable tool for assessing CRF and guiding clinical interventions in the Chinese population.