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Rivista di Medicina, Traumatologia e Psicologia dello Sport

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The Journal of Sports Medicine and Physical Fitness 2017 Apr 13

DOI: 10.23736/S0022-4707.17.06767-6


lingua: Inglese

Fitness can be a determinant of arterial stiffness in healthy adult men: a cross-sectional study

Jin-Wook CHUNG 1, Mi-Lyang KIM 2, Youngsoo JIN 3, Yonghwan KIM 3, Jeeyoung HONG 4, 5

1 Division of Sports Science, Korea Institute of Sport Science, Seoul, Republic of Korea; 2 Department of Sport, Leisure, and Recreation, Soonchunhyang University, Asan, Republic of Korea; 3 Sports Health Medicine Center, Asan Medical Center, Seoul, Republic of Korea; 4 Institute of Medical & Biological Engineering, Medical Research Center, College of Medicine, Seoul National University, Seoul, Republic of Korea; 5 Department of Biomedical Engineering, Seoul National University Hospital, Seoul, Republic of Korea


BACKGROUND: Fitness is known to influence arterial stiffness. This study aimed to assess differences in cardiorespiratory endurance, muscular strength, and flexibility according to arterial stiffness, based on sex and age.
METHODS: We enrolled 1,590 healthy adults (men: 1,242, women: 348) who were free of metabolic syndrome. We measured cardiorespiratory endurance in an exercise stress test on a treadmill, muscular strength by a grip test, and flexibility by upper body forward-bends from a standing position. The brachial-ankle pulse wave velocity test was performed to measure arterial stiffness before the fitness test. Cluster analysis was performed to divide the patients into groups with low (Cluster 1) and high (Cluster 2) arterial stiffness. According to the k- cluster analysis results, Cluster 1 included 624 men and 180 women, and Cluster 2 included 618 men and 168 women.
RESULTS: Men in the middle aged group with low arterial stiffness demonstrated higher cardiorespiratory endurance, muscular strength, and flexibility than those with high arterial stiffness. Similarly, among men in the old aged group, the cardiorespiratory endurance and muscular strength, but not flexibility, differed significantly according to arterial stiffness. Women in both clusters showed similar cardiorespiratory endurance, muscular strength, and flexibility regardless of their arterial stiffness.
CONCLUSIONS: Among healthy adults, arterial stiffness was inversely associated with fitness in men but not in women. Therefore, fitness seems to be a determinant for arterial stiffness in men. Additionally, regular exercise should be recommended for middle-aged men to prevent arterial stiffness.

KEY WORDS: Arterial stiffness - Fitness - Healthy adults

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