Examining the Relationship between Cardiorespiratory Fitness and Body Weight Status: Empirical Evidence from a Population-Based Survey of Adults in Taiwan

BACKGROUND Cardiovascular disease is the number one cause of death worldwide. Meanwhile, obesity has been recognized as a global epidemic. This study aims to examine the extent to which cardiorespiratory fitness is associated with body mass among adult males and females in Taiwan. MaTERIALS AND METHODS: A nationally representative dataset consisting of 68,175 adults aged 18-60, including 31,743 males and 36,432 females, was used. Several multivariate regression models were used to investigate the relationship between cardiorespiratory fitness and body weight status, after controlling for adults' sociodemographic status. RESULTS A one-unit increase in the BMI lowered the cardiorespiratory fitness score by 0.316 and 0.368 points for adult males and females, respectively. Among adult males, compared to those of normal weight, adult males who were underweight, overweight, or obese had a lower cardiorespiratory fitness score by 1.287, 0.845, and 3.353 points, respectively. Similar results could be found in female samples. CONCLUSION The overweight and obese adults had much lower levels of cardiorespiratory fitness as compared to their normal weight counterparts. Given the upward trend in the prevalence of overweight and obesity, it is important to help overweight and obese people to become more fit and reach their healthy weight.