Evidence map›Paper›PMID 27161032›Full record

ArticleMayo Clinic proceedings2016

Sex Differences in Cardiorespiratory Fitness and All-Cause Mortality: The Henry Ford ExercIse Testing (FIT) Project.

Mouaz H Al-Mallah, Stephen P Juraschek, Seamus Whelton, Zeina A Dardari, Jonathan K Ehrman, Erin D Michos, Roger S Blumenthal, Khurram Nasir, Waqas T Qureshi, Clinton A Brawner and 2 more

Abstract read
In one paragraph

Article in Mayo Clinic proceedings, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  4. Review
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  7. The Metabolic Signature of Cardiorespiratory Fitness.Scandinavian journal of medicine & science in sports · 2025
    Article
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  10. Review
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  17. Leisure-time physical activity, daily sitting time, and mortality among US skin cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Mouaz H Al-MallahDivision of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI; King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, King Abdulaziz Cardiac Center, Ministry of National Guard, Health Affairs, Riyadh, Saudi Arabia. Electronic address: mouaz74@gmail.com.
Stephen P JuraschekThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Seamus WheltonThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Zeina A DardariThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Jonathan K EhrmanDivision of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
Erin D MichosThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Roger S BlumenthalThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Khurram NasirThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Waqas T QureshiCardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, NC.
Clinton A BrawnerDivision of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
Steven J KeteyianDivision of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
Michael J BlahaThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.

Funding

PATHOPHYSIOLOGY OF MYOCARDIAL DISEASEST32HL007227 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Chulan Kwon, WENDY S POST · 1985 to 2026
$21.2M
RENAL DISEASE EPIDEMIOLOGY TRAINING GRANTT32DK007732 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CREWS, DEIDRA CANDICE · 1995 to 2024
$7.7M
NHLBI NIH HHS T32 HL007227NIA NIH HHS L30 AG051250NIDDK NIH HHS T32 DK007732
6 · The paper itself

Abstract

objectiveTo determine whether sex modifies the relationship between fitness and mortality. PATIENTS AND

methodsWe included 57,284 patients without coronary artery disease or heart failure who completed a routine treadmill exercise test between 1991 and 2009. We determined metabolic equivalent tasks (METs) and linked patient records with mortality data via the Social Security Death Index. Multivariable Cox regression was used to determine the association between sex, fitness, and all-cause mortality.

resultsThere were 29,470 men (51.4%) and 27,814 women (48.6%) with mean ages of 53 and 54 years, respectively. Overall, men achieved 1.7 METs higher than women (P<.001). During median follow-up of 10 years, there were 6402 deaths. The mortality rate for men in each MET group was similar to that for women, who achieved an average of 2.6 METs lower (P=.004). Fitness was inversely associated with mortality in both men (hazard ratio [HR], 0.84 per 1 MET; 95% CI, 0.83-0.85) and women (HR, 0.83 per 1 MET; 95% CI, 0.81-0.84). This relationship did not plateau at high or low MET values.

conclusionAlthough men demonstrated 1.7 METs higher than women, their survival was equivalent to that of women demonstrating 2.6 METs lower. Furthermore, higher MET values were associated with lower mortality for both men and women across the range of MET values. These findings are useful for tailoring prognostic information and lifestyle guidance to men and women undergoing stress testing.

Indexed as

Cause of DeathCardiorespiratory FitnessCoronary Artery DiseaseExercise TestFemaleHeart FailureHumansMaleMetabolic EquivalentMichiganMiddle AgedMultivariate AnalysisProportional Hazards ModelsRegistriesRetrospective StudiesRisk Factors

Identifiers

PMID27161032
PMCPMC5617114

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.