Evidence map›Paper›PMID 35704440›Full record

ArticleMedicine and science in sports and exercise2022

Factors Associated with Age-Related Declines in Cardiorespiratory Fitness from Early Adulthood Through Midlife: CARDIA.

Kelley Pettee Gabriel, Byron C Jaeger, Barbara Sternfeld, Erin E Dooley, Mercedes R Carnethon, David R Jacobs, Cora E Lewis, Bjoern Hornikel, Jared P Reis, Pamela J Schreiner and 3 more

Open access · greenAbstract read
In one paragraph

Article in Medicine and science in sports and exercise, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Validation of a Time-to-Exhaustion-DerivedExercise, sport & movement · 2025
    Article
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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

13 authors at 7 institutions in 1 country.

Kelley Pettee GabrielDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL.
Byron C JaegerDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC.
Barbara SternfeldDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Erin E DooleyDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL.
Mercedes R CarnethonDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.
David R JacobsDivision of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN.
Cora E LewisDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL.
Bjoern HornikelDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL.
Jared P ReisDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, MD.
Pamela J SchreinerDivision of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN.
James M ShikanyDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL.
Kara M WhitakerDepartment of Health and Human Physiology, University of Iowa, Iowa City, IA.
Stephen SidneyDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
University of Alabama at Birmingham · USKaiser Permanente · USUniversity of Minnesota · USNational Heart Lung and Blood Institute · USNorthwestern University · USUniversity of Iowa · USWake Forest University · US

Funding

20 YEAR CHANGES IN FITNESS &CARDIOVASCULAR DISEASE RISKR01HL078972 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIDNEY, STEPHEN · 2005 to 2008
$6.1M
Young Adult and Midlife Transitions in Physical Activity and Sedentary Behavior with Heart Failure Risk and Progression: Coronary Artery Risk Development in Young Adults (CARDIA)R01HL149796 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GABRIEL, KELLEY PETTEE · 2020 to 2023
$5.6M
NHLBI NIH HHS HHSN268201800003INHLBI NIH HHS HHSN268201800004INHLBI NIH HHS HHSN268201800005INHLBI NIH HHS HHSN268201800006INHLBI NIH HHS HHSN268201800007INHLBI NIH HHS R01 HL078972NHLBI NIH HHS R01 HL149796
6 · The paper itself

Abstract

purposeThis study aimed to describe maximal and submaximal cardiorespiratory fitness from early adulthood to midlife and examine differences in maximal fitness at age 20 yr and changes in fitness overtime by subcategories of sociodemographic, behavioral, and health-related factors.

methodsData include 5018 Coronary Artery Risk Development in Young Adults participants (mean (SD) age, 24.8 (3.7) yr; 53.3% female; and 51.4% Black participants) who completed at least one maximal graded exercise test at baseline and/or the year 7 and 20 exams. Maximal and submaximal fitness were estimated by exercise duration and heart rate at the end of stage 2. Multivariable adjusted linear-mixed models were used to estimate fitness trajectories using age as the mechanism for time after adjustment for covariates. Fitness trajectories from ages 20 to 50 yr in 5-yr increments were estimated overall and by subgroups determined by each factor after adjustment for duration within the less favorable category.

resultsMean (95% confidence interval) maximal fitness at age 20 and 50 yr was 613 (607-616) and 357 (350-362) s; submaximal heart rate during this period also reflected age-related fitness declines (126 (125-127) and 138 (137-138) bpm). Compared with men, women had lower maximal fitness at age 20 yr (P < 0.001), which persisted over follow-up (P < 0.001); differences were also found by race within sex strata (all P < 0.001). Differences in maximal fitness at age 20 yr were noted by socioeconomic, behavioral, and health-related status in young adulthood (all P < 0.05), which persisted over follow-up (all P < 0.001) and were generally consistent in sex-stratified analyses.

conclusionsTargeting individuals experiencing accelerated fitness declines with tailored intervention strategies may provide an opportunity to preserve fitness throughout midlife to reduce lifetime cardiovascular disease risk.

Indexed as

Cardiorespiratory FitnessAdultExerciseExercise TestFemaleHealth StatusHumansMaleMiddle AgedPhysical FitnessRisk FactorsYoung Adult

Identifiers

PMID35704440
PMCPMC9201221
OpenAlexW4211234485

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.