Knowing Your Fitness Number Predicts Your Risk for Future Ill Health
It is well known that individuals who are unfit are at substantially greater risk for lifestyle-related diseases and premature death. Despite its high value in assessment of risk, fitness is not routinely measured in clinical practice. The likely reason for this is the costly and time consuming testing procedure that requires trained personnel and expensive equipment. Therefore, research has recently turned to non-exercise algorithms, which, without the need for expensive equipment or trained personnel, estimate fitness from available clinical information and information provided by the patient.
In a new study published in Mayo Clinic Proceedings, researchers from K.G. Jebsen Center for Exercise in Medicine, at Norwegian University of Science and Technology tested the value of estimated fitness in predicting the risk of premature death from either heart disease or any other cause, alone or in combination with other risk factors such as high blood pressure, smoking status, alcohol consumption, family history of heart disease, and diabetes. In other words, they investigated whether adding estimated fitness to traditional risk factors could improve the reliability of predicting premature death.
In order to test their hypothesis, the researchers analyzed data available on 38,480 men and women who participated in the second wave of the Nord-Trondelag Health Study (HUNT2), followed up for up to 16 years.
“We found that estimating fitness was enough to predict future risk of premature death from all causes. There was no need to perform complicated risk score algorithms that traditionally are used to calculate risk,” explained Javaid Nauman, PhD, and Bjarne M. Nes, PhD, first co-authors of the study.
“With the increase in lifestyle-related diseases around the world, estimated fitness is an easy, cost-effective method that could significantly help medical professionals identify people at high risk and improve patient management,” commented co-author Carl J. Lavie, MD, from the John Ochsner Heart and Vascular Institute, New Orleans, LA.
“And just as importantly, it is a test that individuals can easily use to assess his/her own Fitness Number and Fitness Age, and in cases of low fitness do something about it! The only thing needed is access to the Internet and/or a smartphone as we have made this tool freely available (worldfitnesslevel.org and as apps on Google Play and Apple Store),” noted Ulrik Wisløff, PhD, lead investigator of the study.
Notes for editors
The article is "Prediction of Cardiovascular Mortality by Estimated Cardiorespiratory Fitness Independent of Traditional Risk Factors: The HUNT Study," by Javaid Nauman, PhD; Bjarne M. Nes, PhD; Carl J. Lavie, MD; Andrew S. Jackson, PhD; Xuemei Sui, MD, PhD; Jeff S. Coombes, PhD; Steven N. Blair, PhD; Ulrik Wisløff, PhD (doi: 10.1016/j.mayocp.2016.10.007), published online in advance Mayo Clinic Proceedings, volume 92, issue 2 (February 2017), published by Elsevier.
Full text of this study is available to credentialed journalists upon request. Contact Rachael Zaleski at +1 215-239-3658 or email@example.com to obtain copies. An accompanying video is available at https://youtu.be/sS_G_2pqKMY. Journalists wishing to interview the authors should contact Ulrik Wisloff, Professor and Head of K.G. Jebsen Center for Exercise in Medicine, Department of Circulation, and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway, at Ulrik.firstname.lastname@example.org or Bjarne M. Nes, PhD, K.G. Jebsen Center for Exercise in Medicine, Department of Circulation, and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway, at email@example.com.
Copies of this paper are available to credentialed journalists upon request; please contact Elsevier's Newsroom at firstname.lastname@example.org or +31 20 485 2492.
About Mayo Clinic Proceedings
The flagship journal of Mayo Clinic and one of the premier peer-reviewed clinical journals in general medicine, Mayo Clinic Proceedings is among the most widely read and highly cited scientific publications for physicians, with a circulation of approximately 125,000. While the Journal is sponsored by Mayo Clinic, it welcomes submissions from authors worldwide, publishing articles that focus on clinical medicine and support the professional and educational needs of its readers. www.mayoclinicproceedings.org
About Mayo Clinic
Mayo Clinic is a nonprofit worldwide leader in medical care, research, and education for people from all walks of life. For more information visit www.mayoclinic.org/about and www.mayoclinic.org/news.
Elsevier is a global information analytics business that helps institutions and professionals progress science, advance healthcare and improve performance for the benefit of humanity. Elsevier provides digital solutions and tools in the areas of strategic research management, R&D performance, clinical decision support, and professional education; including ScienceDirect, Scopus, ClinicalKey and Sherpath. Elsevier publishes over 2,500 digitized journals, including The Lancet and Cell, more than 35,000 e-book titles and many iconic reference works, including Gray's Anatomy. Elsevier is part of RELX Group, a global provider of information and analytics for professionals and business customers across industries. www.elsevier.com