Abstract

BackgroundThere is limited data examining the association between cardiorespiratory fitness (CRF) and health related quality of life (HRQOL) in healthy young adults. We examined the association between CRF and the HRQOL Physical Component Summary (PCS) and Mental Component Summary (MCS) scores in apparently healthy males in the United States Navy.MethodsA total of 709 males (18–49 yr) performed a submaximal exercise test and HRQOL assessment (SF-12v2™) between 2004–2006. CRF level was classified into fourths depending on age distribution with the lowest fitness quartile serving as the referent group. PCS and MCS scores ≥ 50 were defined as above the norm. Logistic regression was used to obtain odds ratios (OR) and 95% confidence intervals (CI). ResultsThe age-standardized prevalence of above the norm scores was lowest in the referent CRF quartile, PCS 56.6% and MCS 45.1%. After adjusting for age, systolic blood pressure, body mass index, smoking habit, alcohol habit and using the lowest CRF group as the reference, the OR (95% CI) for PCS scores above the norm across the fitness quartiles (P < 0.003 for trend) were 1.51(0.94–2.41), 2.24(1.29–3.90), and 2.44 (1.30–4.57); For MCS the OR (95% CI) were across the fitness quartiles (P trend < 0.001) 2.03(1.27–3.24), 4.53(2.60–7.90), 3.59(1.95–6.60).ConclusionAmong males in the United States Navy relative higher levels of CRF are associated with higher levels of HRQOL.

Highlights

  • The Centers for Disease Control and Prevention and the Agency for Healthcare Research and Quality consider the surveillance of mental and physical health to be imperative in understanding health-related quality of life (HRQOL) and its impact on increasing the quality and years of healthy life, eliminating health disparities, and predicting future medical health care costs [1,2]

  • Among males in the United States Navy relative higher levels of cardiorespiratory fitness (CRF) are associated with higher levels of health related quality of life (HRQOL)

  • After multivariate adjustment for several potential confounding variables, low CRF was associated with low Physical Component Summary (PCS) and Mental Component Summary (MCS) scores

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Summary

Introduction

The Centers for Disease Control and Prevention and the Agency for Healthcare Research and Quality consider the surveillance of mental and physical health to be imperative in understanding health-related quality of life (HRQOL) and its impact on increasing the quality and years of healthy life, eliminating health disparities, and predicting future medical health care costs [1,2]. There is a dearth of evidence on the association of CRF level and HRQOL in apparently healthy young adults. Health and Quality of Life Outcomes 2009, 7:47 http://www.hqlo.com/content/7/1/47 importance of better understanding the relation between physical activity and HRQOL in the general adult population [5]. The review presented minimal evidence for the relationship of objectively measured CRF and the mental and physical health components of HRQOL. It is well accepted that the primary marker for habitual physical activity is objectively measured CRF [6] This observational study sought to evaluate the association between CRF level and the physical and mental components of HRQOL in apparently healthy young males. There is limited data examining the association between cardiorespiratory fitness (CRF) and health related quality of life (HRQOL) in healthy young adults. We examined the association between CRF and the HRQOL Physical Component Summary (PCS) and Mental Component Summary (MCS) scores in apparently healthy males in the United States Navy

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