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Original Article

Is BMI Associated with Cardiorespiratory Fitness? A Cross-Sectional Analysis Among 8470 Apparently Healthy Subjects Aged 18–94 Years from the Low-Lands Fitness Registry

T. Takken1 ( ), H. J. Hulzebos1
Child Development and Exercise Center, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Room KB02.056.0, NL, PO Box 85090, 3508 AB, Utrecht, The Netherlands
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Abstract

Objective

The purpose of the present study was to investigate the association between cardiorespiratory fitness (CRF) measured as peak oxygen uptake (VO2peak, expressed in mL/min) and body mass index (BMI) in a large cohort of apparently healthy subjects.

Methods

BMI and VO2peak were measured in a cross-sectional study of 8470 apparently healthy adults. VO2peak (mL/min) was determined by an incremental cycle ergometer test to exhaustion. Linear regression analyses were performed to identify predictors of CRF.

Results

There was no difference in CRF between adults with a normal weight (BMI between 18.5–24.9 kg/m2) and those who were overweight (BMI 25.0–29.9 kg/m2). Subjects who were underweight (BMI<18.5 kg/m2) as well as females who were obese (BMI≥30.0 kg/m2) showed a reduced CRF compared to the normal and overweight groups. Age, height, and gender were significant predictors of CRF (R2=0.467, P<0.0001); BMI did not add significantly to this relationship.

Conclusion

Our findings indicate that BMI was not associated with CRF in addition to age, height, and gender. In subjects with a BMI<18.5 kg/m2, CRF was lower compared to subjects with a BMI between 18.5 and 29.9 kg/m2. In obese subjects, CRF was only lower in females compared to females with a BMI between 18.5 and 29.9 kg/m2. Correcting CRF for BMI may be beneficial for subjects with a low BMI, and females with a BMI≥30.0 kg/m2. The outcome of this study might help to improve the interpretation of exercise testing results in individuals with a low or high BMI.

Keywords

Body mass indexObesityCardiorespiratory fitnessCardiopulmonary exercise testingMaximal oxygen uptakeExercise testOxygen consumption

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Journal of Science in Sport and Exercise
Volume 4 Issue 3,
August 2022
Pages 283-289
DOI: 10.1007/s42978-021-00143-z
Cite this article:
Takken T, Hulzebos HJ. Is BMI Associated with Cardiorespiratory Fitness? A Cross-Sectional Analysis Among 8470 Apparently Healthy Subjects Aged 18–94 Years from the Low-Lands Fitness Registry. Journal of Science in Sport and Exercise, 2022, 4(3): 283-289. https://doi.org/10.1007/s42978-021-00143-z

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Received: 06 April 2021
Accepted: 30 September 2021
Published: 17 January 2022
© The Author(s) 2022
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