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Cardio fitness is a strong, consistent predictor of morbidity and mortality

bjsm.bmj.com

41–50 of 556 posts

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#41
post #11

There’s amusing statistics that show that if you’re out of shape and a smoker, you get a bigger bang for the buck from getting in shape first than quitting smoking. Disclaimer: not an endorsement of smoking.

That sounds like the sort of stuff you’d remember because it validates what you already want to believe

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#43
But do they establish a causal arrow? If you're in chronic pain because you're dying of something you're not exactly going to be likely to do a lot of cardio workout. :)

Without care you might conclude, for example, that rock climbing prevents becoming a quadriplegic since there aren't any quadriplegic rock climbers... when in fact to the extent that they're related at all rock climbing sometimes causes it.

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#44

The Apple watch has a decent cardio fitness monitor. The absolute values aren't precise (since it uses VO2Max estimates, which is really only accurate if you're doing a metabolic stress test), but it's good to keep an eye on trends.

I wonder how it estimates VO2Max and how often depending on the model. On my Series 3, it seems to make a data point two or three times a month and it’s concerning to me because it seems like it isn’t trending up even though I have started to do more cardio exercises. Instead, it has consistently reported a range that it says is below average. Could it be that it’s just pretty difficult to improve VO2Max in general?…

VO2 Max is highly trainable, up to a point. But in order to see any significant improvement you're going to have to spend months consistently doing a mix of hard intervals and long zone 2 workouts.

There are major differences between individuals in terms of training response and achievable upper limit.

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#45

The Apple watch has a decent cardio fitness monitor. The absolute values aren't precise (since it uses VO2Max estimates, which is really only accurate if you're doing a metabolic stress test), but it's good to keep an eye on trends.

I wonder how it estimates VO2Max and how often depending on the model. On my Series 3, it seems to make a data point two or three times a month and it’s concerning to me because it seems like it isn’t trending up even though I have started to do more cardio exercises. Instead, it has consistently reported a range that it says is below average. Could it be that it’s just pretty difficult to improve VO2Max in general?…

Series 5 does it post every Cardio exercise

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#46

I am disappointed by how poor primary care is in the developed world. It could easily be made better by including a VO2Max test and a DEXA scan every few years. On my own dime, I took both (cost was ~ $150 total from a private provider) and the DEXA scan revealed I carried too much visceral fat and my cardiovascular fitness was only average, things that never came up in my yearly physical. The same applies for basic…

For better or worse (worse), people don't go to the doctor for lifestyle analysis and rarely take lifestyle advice from their doctors. They go to their doctors to know when to start medical interventions. Even simple waist-to-hip ratio assessement would be a big win for identifying lifestyle concerns, but neither that nor the far more involved VO2Max and DEXA rests are going to become standard unless they becoming a…

I know an aged cardiologist who jokes:

"I tell my patients they will need to lose weight, but whatever they do they must not lose it too fast. They always follow that advice just fine"

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#47
Fortunately, this seems relatively simple to change (compared to other things with this magnitude of impact).

It was a transformative experience to go from 40 VO2max to 57 (as reported by Apple Watch, and losing 30lbs on the way) over the past 12 months. The best part about it is that I didn't even have to give up anything - the extra energy I gained from 90-120 minutes of aerobics per day also had the effect of making everything else more efficient.

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#48

I am disappointed by how poor primary care is in the developed world. It could easily be made better by including a VO2Max test and a DEXA scan every few years. On my own dime, I took both (cost was ~ $150 total from a private provider) and the DEXA scan revealed I carried too much visceral fat and my cardiovascular fitness was only average, things that never came up in my yearly physical. The same applies for basic…

"It could easily be made better by including a VO2Max test and a DEXA scan every few years."

Frankly, the vast majority of people don't need fancy tests. The thing is, the healthcare system is not about optimizing health or performance. It's mostly about fixing problems and heading off the most common ones in the easiest ways. If the goal was to optimize, it would be relatively easy for a trained individual to examine most people and tell them to lose weight and exercise more. Hell, you could blindfold the person and their advice would still be right like 80% of the time.

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#49

I am disappointed by how poor primary care is in the developed world. It could easily be made better by including a VO2Max test and a DEXA scan every few years. On my own dime, I took both (cost was ~ $150 total from a private provider) and the DEXA scan revealed I carried too much visceral fat and my cardiovascular fitness was only average, things that never came up in my yearly physical. The same applies for basic…

Pretty sure Dexa scans and VO2Max tests are HSA/FSA eligible.

Re: Cardio fitness is a strong, consistent predictor of morbidity and mortality

#50
post #11

There’s amusing statistics that show that if you’re out of shape and a smoker, you get a bigger bang for the buck from getting in shape first than quitting smoking. Disclaimer: not an endorsement of smoking.

How much time do you have to get into shape? When it takes 50 years, the statistic probably doesn't hold because you will be dead by then due to the negative influence of smoking on your health.

A bit less than a year ? And also I made friends along the way.
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