Is cardiorespiratory fitness related to cardiometabolic health and all-cause mortality risk in patients with coronary heart disease? A CARE CR Study

NICHOLS, Simon, TAYLOR, Claire, PAGE, Richard, KALLVIKBACKA-BENNETT, Anna, NATION, Fiona, GOODMAN, Toni, CLARK, Andrew L., CARROLL, Sean and INGLE, Lee (2018). Is cardiorespiratory fitness related to cardiometabolic health and all-cause mortality risk in patients with coronary heart disease? A CARE CR Study. Sports medicine - open, 4 (22).

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Abstract

Background: Higher cardiorespiratory fitness (CRF) is associated with lower morbidity and mortality in patients with coronary heart disease (CHD). The mechanisms for this are not fully understood. A more favourable cardiometabolic risk factor profile may be responsible, however few studies have comprehensively evaluated cardiometabolic risk factors in relation to CRF, among patients with CHD. Objective: To explore differences in cardiometabolic risk and 5-year all-cause mortality risk in patients with CHD who have low, moderate, and high levels of CRF. Methods: Patients with CHD underwent maximal cardiopulmonary exercise testing (CPET), echocardiogram, carotid intima-media thickness measurement, spirometry, and dual X-ray absorptiometry assessment. Full blood count, biochemical lipid pro-files, high sensitivity (hs)- C-reactive protein and NT-proBNP were analysed. Pa-tients were defined as having low, moderate, or high CRF based on established prognostic thresholds. Results: 70 patients with CHD (age 63.1 ± 10.0 years, 86% male) were recruited. Patients with low CRF had a lower ventilatory anaerobic threshold, peak oxygen pulse, post-exercise heart rate recovery and poor ventilatory efficiency. The low CRF group also had higher NT pro-BNP, hs-CRP, non-fasting glucose concentrations and lower haemoglobin and haematocrit. Five-year mortality risk (CALIBER risk score) was also greatest in the lowest CRF group (14.9%). Conclusion: Practitioners should interpret low CRF as an important clinical risk factor associated with adverse cardiometabolic health and poor prognosis. Study registry; researchregistry.com (researchregistry3548). Key Words: Coronary Heart Disease, Cardiac Rehabilitation, Cardiometabolic Health, Exercise Training, Atherosclerosis, VO2peak, Maximal Cardiopulmonary Exercise Testing, Caliber 5-year risk

Item Type:	Article
Additional Information:	See supplementary material related URL for correction to original paper. Issued 5th February 2019.
Research Institute, Centre or Group - Does NOT include content added after October 2018:	Centre for Sport and Exercise Science
Departments - Does NOT include content added after October 2018:	Health and Well-being > Department of Sport
Identification Number:	https://doi.org/10.1186/s40798-018-0138-z
Depositing User:	Amanda Keeling
Date Deposited:	17 May 2018 12:56
Last Modified:	18 Mar 2021 06:32
URI:	https://shura.shu.ac.uk/id/eprint/21253

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