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Peak oxygen uptake estimation from a moderate 500-m treadmill walk in older women with cardiovascular disease

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Abstract

Background and objective

Low levels of cardiorespiratory fitness are associated with a high risk of cardiovascular disease (CVD) and all-cause mortality in women. The aim of this study was to determine the validity of a 500-m moderate treadmill-walking test for estimating peak oxygen uptake (VO2peak) in older women with CVD.

Methods

Fifty-three women with stable CVD (age 70.4 ± 8.2 years) underwent exercise testing during an outpatient cardiac rehabilitation/secondary prevention program. Each patient completed a maximal cardiopulmonary exercise test, and a moderate and self-paced (11–13/20 on the Borg scale) 500-m treadmill-walking test. Treadmill walk time, age, weight, height, and heart rate during the test were entered into prediction equations previously validated for VO2peak estimation in male patients.

Results

Measured and estimated VO2peak values were not different (20.8 ± 4.3 vs 21.3 ± 4.6 mL/kg/min, P = 0.12). The comparison between measured and estimated VO2peak values yielded a correlation of R = 0.92 (SEE = 1.3 mL/kg/min, P < 0.0001), with the slope and the intercept that coincided with the line of identity (Passing and Bablok analysis, P = 0.65). Residuals were normally distributed with a mean value of − 0.5 mL/kg/min. Examination of the Bland–Altman analysis does not show systematic or proportional error.

Conclusion

A moderate and self-regulated 500-m treadmill-walking test is a valid tool for VO2peak estimation in older women with CVD. These findings may have practical implications in the context of transitioning from clinically based programs to fitness facilities or self-guided exercise programs in older women with stable cardiovascular disease.

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Authors and Affiliations

  1. Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy

    Gianni Mazzoni & Giovanni Grazzi

  2. Public Health Department, AUSL Ferrara, Ferrara, Italy

    Gianni Mazzoni, Simona Mandini & Giovanni Grazzi

  3. General Directorship for Public Health and Integration Policy, Emilia-Romagna Region, Bologna, Italy

    Giorgio Chiaranda

  4. Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA

    Jonathan Myers

  5. Stanford University School of Medicine, Stanford, CA, USA

    Jonathan Myers

  6. Division of Cardiology, Department of Medicine, Cento Hospital, AUSL Ferrara, Ferrara, Italy

    Biagio Sassone

  7. Division of Cardiology, Department of Medicine,“Delta” Hospital, AUSL Ferrara, Ferrara, Italy

    Giovanni Pasanisi

  8. Center of Biomedical Studies Applied to Sport, University of Ferrara, Ferrara, Italy

    Simona Mandini & Francesco Conconi

  9. Department of Medical Sciences, University of Ferrara, Ferrara, Italy

    Stefano Volpato

Authors
  1. Gianni Mazzoni
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  2. Giorgio Chiaranda
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  3. Jonathan Myers
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  4. Biagio Sassone
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  5. Giovanni Pasanisi
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  6. Simona Mandini
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  7. Stefano Volpato
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  8. Francesco Conconi
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  9. Giovanni Grazzi
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Corresponding author

Correspondence to Simona Mandini.

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The authors declare they have no conflict of interest.

Ethical approval

The Human Studies Committee of the University of Ferrara, number 22-13, approved the study.

Informed consent

Informed consent was obtained from all the participants included in the study.

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Mazzoni, G., Chiaranda, G., Myers, J. et al. Peak oxygen uptake estimation from a moderate 500-m treadmill walk in older women with cardiovascular disease. Sport Sci Health 14, 655–661 (2018). https://doi.org/10.1007/s11332-018-0483-9

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  • DOI: https://doi.org/10.1007/s11332-018-0483-9

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