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

bjsm.bmj.com

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

#51
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

Smoking does reduce appetite and therefore can help in weight loss/getting in shape. (I don’t smoke)

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

#52
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

That sounds like the sort of stuff that is completely correct. Low fitness is significantly more risky than smoking. (I am not suggesting that anyone start or continue smoking.)

https://peterattiamd.com/all-things-vo2-max/

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

#53

Earlier quoted context omitted.

The poor VO2Max estimates on the Apple Watch is why I'm phasing out of wearing one. I track my actual VO2Max measurements in Apple Health via a shortcut, and I don't need a daily made-up number messing up my data.

As the OP mentioned, absolute numbers are garbage, but trends are useful. Once a year just get an actual VO2Max test to peg the watch values too.

Where do you get a VO2Max test?

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

#54
post #45

Earlier quoted context omitted.

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

According to Apple[0] it is only after the specific activities of: Outdoor Walk, Outdoor Run, and Hiking. Which explains why my estimated VO2 max goes down significantly in the winter months when I'm mainly doing cardio indoors and only taking leisurely walks with the dog outdoors.

[0] https://support.apple.com/en-us/108790#:~:text=Apple%20Watch....

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

#55

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…

> Even simple waist-to-hip ratio assessement

Settling for subpar "could be good enough" heuristics instead of doing actual measurements is partly why people are less receptive.

Basically it'd just be telling them they're fat, and not what's their actual individual risk, and it would also make tracking progress overly difficult: what if after a year of exercice their VO2Max greatly improves while waist to hip only slightly changed ?

Overweight people already have distrust of doctors just telling them to first lose weight and dismiss their specific requests for help, additional advice vaguely based on statistics would probably not help.

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

#56
post #4

Slightly related: I have been engaging in powerlifting/weightlifting for over a decade. In my initial years, I was in the "just do weights, don't need cardio" camp. However, around 2018, I started doing cardio mostly to cut body weight as I wanted to hit my personal bests on squats, deadlifts, and bench at a lower body weight. I personally experienced that my weights moved much better, especially when I was doing mor…

One of my few regrets in life, and something I advise to all younger people, is that I didn't work on my upper body strength when I was younger. Now I'm 60, and it's going to be essentially a battle against muscle loss. So I suppose the message needs to be: Both are important.

60 is plenty young to build muscle as long as you have no serious injuries. You may not be that far off from a 60 year old former college athlete who let it all go to pot at age 35. In fact, I’d wager hardcore 20 something athletes may have experienced injuries that now prevent their older selves from maintaining a healthy lifestyle. There may be advantages to having been a nerdy slight out of shape 30 year old. :)

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

#58
post #52

Earlier quoted context omitted.

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

That sounds like the sort of stuff that is completely correct. Low fitness is significantly more risky than smoking. (I am not suggesting that anyone start or continue smoking.) https://peterattiamd.com/all-things-vo2-max/

It's pretty funny seeing people today seethe about the obvious (being unfit is terrible for you) the same way people in the 1970s were seething about the obvious (smoking is bad for you).

There is a reason why life expectancy was dropping in the US years before covid hit.

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

#59
post #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.

Causality is likely bidirectional here.

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

#60

Earlier quoted context omitted.

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.

It only takes a few months to make substantial gains in c-v fitness.

Define substantial. I find that incredible.

EDIT: Now that I've seen the replies, I realize that this is from a very low baseline. I'm personally going to the gym four to five days a week already and my own cardiovascular fitness has not seen much of an improvement in many months.

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