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British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 2003 Dec;37(6):521–528. doi: 10.1136/bjsm.37.6.521

Effects of physical activity on exercise tests and respiratory function

Y Cheng 1, C Macera 1, C Addy 1, F Sy 1, D Wieland 1, S Blair 1
PMCID: PMC1724716  PMID: 14665592

Abstract

Background: Exercise is an important component of pulmonary rehabilitation for patients with chronic lung disease.

Objective: To explore the role of physical activity in maintaining cardiac and respiratory function in healthy people.

Methods: Cardiorespiratory fitness was measured by a maximal treadmill test (MTT), and respiratory function was tested by spirometry. The cross sectional study included data from 24 536 healthy persons who were examined at the Cooper Clinic between 1971 and 1995; the longitudinal study included data from 5707 healthy persons who had an initial visit between 1971 and 1995 and a subsequent visit during the next five years. All participants were aged 25–55 years and completed a cardiorespiratory test and a medical questionnaire.

Results: In the cross sectional study, after controlling for covariates, being active and not being a recent smoker were associated with better cardiorespiratory fitness and respiratory function in both men and women. In the follow up study, persons who remained or became active had better MTT than persons who remained or became sedentary. Men who remained active had higher forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) than the other groups. Smoking was related to lower cardiorespiratory fitness and respiratory function.

Conclusions: Physical activity and non-smoking or smoking cessation is associated with maintenance of cardiorespiratory fitness. Change in physical activity habits is associated with change in cardiorespiratory fitness, but respiratory function contributed little to this association during a five year follow up.

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Selected References

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  1. BALKE B., WARE R. W. An experimental study of physical fitness of Air Force personnel. U S Armed Forces Med J. 1959 Jun;10(6):675–688. [PubMed] [Google Scholar]
  2. Belousova E. G., Haby M. M., Xuan W., Peat J. K. Factors that affect normal lung function in white Australian adults. Chest. 1997 Dec;112(6):1539–1546. doi: 10.1378/chest.112.6.1539. [DOI] [PubMed] [Google Scholar]
  3. Blair S. N., Kampert J. B., Kohl H. W., 3rd, Barlow C. E., Macera C. A., Paffenbarger R. S., Jr, Gibbons L. W. Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. JAMA. 1996 Jul 17;276(3):205–210. [PubMed] [Google Scholar]
  4. Burchfiel C. M., Enright P. L., Sharp D. S., Chyou P. H., Rodriguez B. L., Curb J. D. Factors associated with variations in pulmonary function among elderly Japanese-American men. Chest. 1997 Jul;112(1):87–97. doi: 10.1378/chest.112.1.87. [DOI] [PubMed] [Google Scholar]
  5. Burchfiel C. M., Marcus E. B., Curb J. D., Maclean C. J., Vollmer W. M., Johnson L. R., Fong K. O., Rodriguez B. L., Masaki K. H., Buist A. S. Effects of smoking and smoking cessation on longitudinal decline in pulmonary function. Am J Respir Crit Care Med. 1995 Jun;151(6):1778–1785. doi: 10.1164/ajrccm.151.6.7767520. [DOI] [PubMed] [Google Scholar]
  6. Burrows B., Cline M. G., Knudson R. J., Taussig L. M., Lebowitz M. D. A descriptive analysis of the growth and decline of the FVC and FEV1. Chest. 1983 May;83(5):717–724. doi: 10.1378/chest.83.5.717. [DOI] [PubMed] [Google Scholar]
  7. Cheng Y., Macera C. A., Davis D. R., Ainsworth B. E., Troped P. J., Blair S. N. Physical activity and self-reported, physician-diagnosed osteoarthritis: is physical activity a risk factor? J Clin Epidemiol. 2000 Mar 1;53(3):315–322. doi: 10.1016/s0895-4356(99)00168-7. [DOI] [PubMed] [Google Scholar]
  8. Doherty M., Dimitriou L. Comparison of lung volume in Greek swimmers, land based athletes, and sedentary controls using allometric scaling. Br J Sports Med. 1997 Dec;31(4):337–341. doi: 10.1136/bjsm.31.4.337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Dunn A. L., Marcus B. H., Kampert J. B., Garcia M. E., Kohl H. W., 3rd, Blair S. N. Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: a randomized trial. JAMA. 1999 Jan 27;281(4):327–334. doi: 10.1001/jama.281.4.327. [DOI] [PubMed] [Google Scholar]
  10. Kerstjens H. A., Rijcken B., Schouten J. P., Postma D. S. Decline of FEV1 by age and smoking status: facts, figures, and fallacies. Thorax. 1997 Sep;52(9):820–827. doi: 10.1136/thx.52.9.820. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kohl H. W., Blair S. N., Paffenbarger R. S., Jr, Macera C. A., Kronenfeld J. J. A mail survey of physical activity habits as related to measured physical fitness. Am J Epidemiol. 1988 Jun;127(6):1228–1239. doi: 10.1093/oxfordjournals.aje.a114915. [DOI] [PubMed] [Google Scholar]
  12. Lange P., Groth S., Mortensen J., Appleyard M., Nyboe J., Jensen G., Schnohr P. Pulmonary function is influenced by heavy alcohol consumption. Am Rev Respir Dis. 1988 May;137(5):1119–1123. doi: 10.1164/ajrccm/137.5.1119. [DOI] [PubMed] [Google Scholar]
  13. Lewitter F. I., Tager I. B., McGue M., Tishler P. V., Speizer F. E. Genetic and environmental determinants of level of pulmonary function. Am J Epidemiol. 1984 Oct;120(4):518–530. doi: 10.1093/oxfordjournals.aje.a113912. [DOI] [PubMed] [Google Scholar]
  14. Mehrotra P. K., Varma N., Tiwari S., Kumar P. Pulmonary functions in Indian sportsmen playing different sports. Indian J Physiol Pharmacol. 1998 Jul;42(3):412–416. [PubMed] [Google Scholar]
  15. Mälkiä E., Impivaara O. Intensity of physical activity and respiratory function in subjects with and without bronchial asthma. Scand J Med Sci Sports. 1998 Feb;8(1):27–32. doi: 10.1111/j.1600-0838.1998.tb00225.x. [DOI] [PubMed] [Google Scholar]
  16. Neas L. M., Schwartz J. Pulmonary function levels as predictors of mortality in a national sample of US adults. Am J Epidemiol. 1998 Jun 1;147(11):1011–1018. doi: 10.1093/oxfordjournals.aje.a009394. [DOI] [PubMed] [Google Scholar]
  17. Renaud S. C., Guéguen R., Schenker J., d'Houtaud A. Alcohol and mortality in middle-aged men from eastern France. Epidemiology. 1998 Mar;9(2):184–188. [PubMed] [Google Scholar]
  18. Ries A. L., Kaplan R. M., Limberg T. M., Prewitt L. M. Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Ann Intern Med. 1995 Jun 1;122(11):823–832. doi: 10.7326/0003-4819-122-11-199506010-00003. [DOI] [PubMed] [Google Scholar]
  19. Ries A. L. The importance of exercise in pulmonary rehabilitation. Clin Chest Med. 1994 Jun;15(2):327–337. [PubMed] [Google Scholar]
  20. Sandvik L., Erikssen G., Thaulow E. Long term effects of smoking on physical fitness and lung function: a longitudinal study of 1393 middle aged Norwegian men for seven years. BMJ. 1995 Sep 16;311(7007):715–718. doi: 10.1136/bmj.311.7007.715. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Schünemann H. J., Dorn J., Grant B. J., Winkelstein W., Jr, Trevisan M. Pulmonary function is a long-term predictor of mortality in the general population: 29-year follow-up of the Buffalo Health Study. Chest. 2000 Sep;118(3):656–664. doi: 10.1378/chest.118.3.656. [DOI] [PubMed] [Google Scholar]
  22. Sparrow D., Rosner B., Cohen M., Weiss S. T. Alcohol consumption and pulmonary function. A cross-sectional and longitudinal study. Am Rev Respir Dis. 1983 Jun;127(6):735–738. doi: 10.1164/arrd.1983.127.6.735. [DOI] [PubMed] [Google Scholar]
  23. Standardized lung function testing. Report working party. Bull Eur Physiopathol Respir. 1983 Jul;19 (Suppl 5):1–95. [PubMed] [Google Scholar]
  24. Sue D. Y. Obesity and pulmonary function: more or less? Chest. 1997 Apr;111(4):844–845. doi: 10.1378/chest.111.4.844. [DOI] [PubMed] [Google Scholar]
  25. Tager I. B., Hollenberg M., Satariano W. A. Association between self-reported leisure-time physical activity and measures of cardiorespiratory fitness in an elderly population. Am J Epidemiol. 1998 May 15;147(10):921–931. doi: 10.1093/oxfordjournals.aje.a009382. [DOI] [PubMed] [Google Scholar]
  26. Taylor J. R., Combs-Orme T., Taylor D. A. Alcohol and mortality. Diagnostic considerations. J Stud Alcohol. 1983 Jan;44(1):17–25. doi: 10.15288/jsa.1983.44.17. [DOI] [PubMed] [Google Scholar]
  27. Tiep B. L. Disease management of COPD with pulmonary rehabilitation. Chest. 1997 Dec;112(6):1630–1656. doi: 10.1378/chest.112.6.1630. [DOI] [PubMed] [Google Scholar]
  28. Twisk J. W., Staal B. J., Brinkman M. N., Kemper H. C., van Mechelen W. Tracking of lung function parameters and the longitudinal relationship with lifestyle. Eur Respir J. 1998 Sep;12(3):627–634. doi: 10.1183/09031936.98.12030627. [DOI] [PubMed] [Google Scholar]
  29. Zureik M., Liard R., Kauffmann F., Henry C., Neukirch F. Alcohol consumption, gamma-glutamyl transpeptidase (GGT), and pulmonary function: a cross-sectional and longitudinal study in working men. Alcohol Clin Exp Res. 1996 Dec;20(9):1507–1511. doi: 10.1111/j.1530-0277.1996.tb01691.x. [DOI] [PubMed] [Google Scholar]

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