Low cardiorespiratory fitness in African Americans: a health disparity risk factor?

Swift, Damon L., Staiano, Amanda E., Johannsen, Neil M., Lavie, Carl J., Earnest, Conrad P., Katzmarzyk, Peter T., Blair, Steven N., Newton, Robert L., Jr. and Church, Timothy S. (2013) Low cardiorespiratory fitness in African Americans: a health disparity risk factor?. Sports Medicine, 43 12: 1301-1313. doi:10.1007/s40279-013-0092-3


Author Swift, Damon L.
Staiano, Amanda E.
Johannsen, Neil M.
Lavie, Carl J.
Earnest, Conrad P.
Katzmarzyk, Peter T.
Blair, Steven N.
Newton, Robert L., Jr.
Church, Timothy S.
Title Low cardiorespiratory fitness in African Americans: a health disparity risk factor?
Journal name Sports Medicine   Check publisher's open access policy
ISSN 0112-1642
1179-2035
Publication date 2013-12-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1007/s40279-013-0092-3
Volume 43
Issue 12
Start page 1301
End page 1313
Total pages 13
Place of publication Auckland, New Zealand
Publisher Adis International
Collection year 2014
Language eng
Abstract Low cardiorespiratory fitness (CRF) is a well-established risk factor for all-cause and cardiovascular disease mortality. African Americans have higher rates of cardiovascular disease compared with their Caucasian counterparts. However, the extent to which lower CRF levels contribute to the excess risk in African Americans has not been fully explored. The purpose of this review is to: (i) explore the literature evaluating the relationship between CRF and mortality specifically in African American populations; and (ii) critically evaluate the studies which have compared CRF between African American and Caucasians in epidemiological studies and clinical trials. We have further discussed several potential mechanisms that may contribute to the observation of lower CRF levels in African American compared with Caucasian adults, including potential racial differences in physical activity levels, muscle fiber type distribution, and hemoglobin levels. If lower CRF is generally present in African Americans compared with Caucasians, and is of a clinically meaningful difference, this may represent an important public health concern.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Medicine Publications
 
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