Measuring physical fitness in the German National Cohort-methods, quality assurance, and first descriptive results

被引:0
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作者
Kluttig, Alexander [1 ]
Zschocke, Johannes [1 ,2 ]
Haerting, Johannes [1 ]
Schmermund, Axel [3 ]
Gastell, Sylvia [4 ]
Steindorf, Karen [5 ]
Herbolsheimer, Florian [5 ]
Hillreiner, Andrea [6 ]
Jochem, Carmen [6 ]
Baumeister, Sebastian [7 ,35 ]
Sprengeler, Ole [8 ]
Pischon, Tobias [9 ,26 ,27 ,28 ,29 ]
Jaeschke, Lina [9 ]
Michels, Karin B. [10 ]
Krist, Lilian [11 ]
Greiser, Halina [34 ]
Schmidt, Gerhard [12 ]
Lieb, Wolfgang [13 ]
Waniek, Sabina [13 ]
Becher, Heiko [14 ]
Jagodzinski, Annika [15 ,38 ]
Schipf, Sabine [16 ]
Voelzke, Henry [16 ,37 ]
Ahrens, Wolfgang [8 ,25 ]
Guenther, Kathrin [8 ]
Castell, Stefanie [17 ]
Kemmling, Yvonne [17 ]
Legath, Nicole [18 ]
Berger, Klaus [18 ]
Keill, Thomas [11 ,31 ,32 ]
Fricke, Julia [11 ]
Schulze, Matthias B. [30 ]
Loeffler, Markus [19 ]
Wirkner, Kerstin [24 ]
Kuss, Oliver [20 ]
Schikowski, Tamara [21 ]
Kalinowski, Sonja [22 ]
Stang, Andreas [22 ]
Kaaks, Rudolf [34 ]
Machado, Antje Damms [34 ]
Hoffmeister, Michael [36 ]
Weber, Barbara [33 ]
Franzke, Claus-Werner [10 ]
Thierry, Sigrid [23 ]
Peters, Anette [23 ]
Kartschmit, Nadja [1 ]
Mikolajczyk, Rafael [1 ]
Fischer, Beate [6 ]
Leitzmann, Michael [6 ]
Brandes, Mirko [8 ]
机构
[1] Martin Luther Univ Halle Wittenberg, Inst Med Epidemiol Biometrie & Informat, Halle, Saale, Germany
[2] Martin Luther Univ Halle Wittenberg, Inst Phys, Halle, Saale, Germany
[3] Bethanien Hosp, Frankfurt, Germany
[4] Deutsch Inst Ernahrungsforsch, NAKO Studienzentrum, Potsdam, Germany
[5] Deutsch Krebsforschungszentrum DKFZ, Abt Bewegung Praventionsforsch & Krebs, Heidelberg, Germany
[6] Univ Regensburg, Inst Epidemiol & Praventivmed, Regensburg, Germany
[7] LMU Munchen, UNIKA T, Lehrstuhl Epidemiol, Augsburg, Germany
[8] Leibniz Inst Praventionsforsch & Epidemiol, BIPS, Bremen, Germany
[9] Max Delbruck Ctr Mol Med Helmholtz Gemeinschaft M, Forschergrp Mol Epidemiol, Berlin, Germany
[10] Albert Ludwigs Univ Freiburg, Med Fak, Univ Klinikum Freiburg, Inst Prevent & Tumorepidemiol, Freiburg, Germany
[11] Charite Univ Med Berlin, Inst Sozialmed Epidemiol & Gesundheitsokon, Berlin, Germany
[12] Hsch Kaiserslautern, Zweibrucken, Germany
[13] Christian Albrechts Univ Kiel, Inst Epidemiol, Kiel, Germany
[14] Univ Klinikum Hamburg Eppendorf, Inst Med Biometrie & Epidemiol, Hamburg, Germany
[15] Univ Klinikum Hamburg Eppendorf, Epidemiol Studienzentrum, Hamburg, Germany
[16] Univ Med Greifswald, Inst Community Med, Greifswald, Germany
[17] HZI, Braunschweig, Germany
[18] Univ Munster, Inst Epidemiol & Sozialmed, Munster, Germany
[19] Univ Leipzig, IMISE, Leipzig, Germany
[20] Heinrich Heine Univ Dusseldorf, Leibniz Zentrum Diabet Forsch, DDZ, Inst Biometrie & Epidemiol, Dusseldorf, Germany
[21] IUF Leibniz Inst Umweltmed Forsch, Dusseldorf, Germany
[22] Univ Klinikum Essen, IMIBE, Essen, Germany
[23] Helmholtz Zentrum Munchen, Inst Epidemiol, Neuherberg, Germany
[24] Univ Leipzig, LIFE Leipziger Forschungszentrum Zivilisationserk, Leipzig, Germany
[25] Univ Bremen, Fachbereich Math & Informat, Inst Stat, Bremen, Germany
[26] Charite Univ Med Berlin, Berlin, Germany
[27] Max Delbruck Ctr Mol Med Helmholtz Gemeinschaft M, MDC BIH Biobank, Berlin, Germany
[28] Berlin Inst Hlth, Berlin, Germany
[29] Deutsch Zentrum Herz Kreislauf Forsch DZHK, Partnerstandort Berlin, Berlin, Germany
[30] DIfE, Abt Mol Epidemiol, Nuthetal, Germany
[31] Univ Wurzburg, Inst Klin Epidemiol & Biometrie, Wurzburg, Germany
[32] Bayer Landesamt Gesundheit & Lebensmittelsicherhe, Landesinst Gesundheit, Bad Kissingen, Germany
[33] Krebsregister Saarland, Saarbrucken, Germany
[34] Deutsch Krebsforschungszentrum DKFZ, Heidelberg, Germany
[35] Deutsch Forschungszentrum Gesundheit & Umwelt, Helmholtz Zentrum Munchen, Selbststandige Forschungsgrp Klin Epidemiol, Munich, Germany
[36] Deutsch Krebsforschungszentrum DKFZ, Abt Klin Epidemiol & Alternsforsch, Heidelberg, Germany
[37] Deutsch Zentrum Herz Kreislauf Forsch DZHK, Partnerstandort Greifswald, Greifswald, Germany
[38] Deutsch Zentrum Herz Kreislauf Forsch DZHK, Partnerstandort Hamburg, Hamburg, Germany
关键词
Physical fitness; Muscle strength; Grip strength; Cardiorespiratory fitness; German National Cohort; MAXIMAL OXYGEN-UPTAKE; CARDIORESPIRATORY FITNESS; GRIP STRENGTH; MUSCULAR STRENGTH; HEART-RATE; PAR-Q; EXERCISE; RISK; AGE; POPULATION;
D O I
10.1007/s00103-020-03100-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Physical fitness is defined as an individual's ability to be physically active. The main components are cardiorespiratory fitness (CRF), muscle strength, and flexibility. Regardless of physical activity level, physical fitness is an important determinant of morbidity and mortality. The aim of the current study was to describe the physical fitness assessment methodology in the German National Cohort (NAKO) and to present initial descriptive results in a subsample of the cohort. In the NAKO, hand grip strength (GS) and CRF as physical fitness components were assessed at baseline using a hand dynamometer and a submaximal bicycle ergometer test, respectively. Maximum oxygen uptake (VO2max) was estimated as a result of the bicycle ergometer test. The results of a total of 99,068 GS measurements and 3094 CRF measurements are based on a data set at halftime of the NAKO baseline survey (age 20-73 years, 47% men). Males showed higher values of physical fitness compared to women (males: GSx202f;= 47.8x202f;kg, VO2max& x202f;= 36.4x202f;ml center dot min(-1)& x202f;center dot kg(-1); females: GSx202f;= 29.9x202f;kg, VO(2max)x202f;= 32.3x202f;mlx202f;center dot min(-1)& x202f;center dot kg(-1)). GS declined from the age of 50 onwards, whereas VO2max levels decreased continuously between the age groups of 20-29 and >= 60 years. GS and VO2max showed a linear positive association after adjustment for body weight (males beta& x202f;= 0.21; females beta& x202f;= 0.35). These results indicate that the physical fitness measured in the NAKO are comparable to other population-based studies. Future analyses in this study will focus on examining the independent relations of GS and CRF with risk of morbidity and mortality.
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页码:312 / 321
页数:10
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