Objective To estimate international and national temporal trends in the cardiorespiratory ftness (CRF) of adults, and to examine relationships between trends in CRF and trends in health-related, socioeconomic, and environmental indicators.
Methods Data were obtained from a systematic search of studies that explicitly reported temporal trends in the CRF of apparently healthy adults aged 18–59 years. Sample-weighted temporal trends were estimated using best-ftting regression models relating the year of testing to mean CRF. Post-stratifed population-weighted mean changes in percent and standardized CRF were estimated. Pearson’s correlations were used to describe associations between linear trends in CRF and linear trends in health-related, socioeconomic, and environmental indicators.
Results 2,525,827 adults representing eight high- and upper-middle-income countries between 1967 and 2016 collectively showed a moderate decline of 7.7% (95% CI −8.4 to −7.0) or 1.6% per decade (95% CI −1.7 to −1.5). Internationally, CRF improved in the 1960s and 1970s, and progressively declined at an increasing rate thereafter. Declines were larger for men than for women, and for young adults (<40 >years) than for middle-aged adults (≥40 years). All countries experienced declines in CRF with a very strong negative correlation between CRF trends and obesity trends.
Conclusions There has been a meaningful decline in the CRF of adults since 1980, which has progressively increased in magnitude over time, suggestive of a corresponding decline in population health. Continuous national and international surveillance systems are needed in order to monitor health and ftness trends, especially among low- and middle-income countries for which data do not currently exist. PROSPERO registration number: CRD42013003678.
This is a post-peer-review, pre-copyedit version of an article published in Sports Medicine. The final authenticated version is available online at: http://dx.doi.org/10.1007/s40279-018-1017-y..
Lamoureux, Nicholas R.; Fitzgerald, John S.; Norton, Kevin I.; Sabato, Todd; Tremblay, Mark S.; and Tomkinson, Grant R., "Temporal trends in the cardiorespiratory fitness of 2,525,827 adults between 1967 and 2016" (2018). Education, Health & Behavior Studies Faculty Publications. 35.
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