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ORIGINAL RESEARCH article

Front. Sports Act. Living

Sec. Physical Activity in the Prevention and Management of Disease

Volume 7 - 2025 | doi: 10.3389/fspor.2025.1583432

This article is part of the Research TopicCardiovascular Responses to Exercise: Clinical and Pathological Perspectives in AthletesView all 5 articles

The relationship between cardiorespiratory fitness and indices of fat mass and fat-free mass in adults

Provisionally accepted
  • 1Grossman School of Medicine, New York University, New York, United States
  • 2Clemson University, Clemson, South Carolina, United States

The final, formatted version of the article will be published soon.

Purpose: Cardiorespiratory fitness (CRF) independently predicts cardiovascular disease risk and mortality. In addition, body composition levels characterized by excess adiposity (fat mass [FM]) and low levels of fat-free mass (FFM) are strongly associated with poor health status. The relationship between CRF and body composition, especially indices adjusted for height [fat mass index (FMI), fat-free mass index (FFMI)] has not been well established in otherwise healthy adults. Methods: A sample (n=82) of adults completed measures for body composition using dual-energy x-ray absorptiometry and estimated V̇O2max by way of an Åstrand-Rhyming submaximal cycle ergometer test. Total daily energy expenditure (TDEE) and moderate-to-vigorous physical activity (MVPA) were measured using a SenseWear Armband activity monitor. The associations between body composition (FMI, FFMI), and CRF were examined using multiple linear regression models adjusting for sex (model 1) and TDEE (model 2). Results: Participants were young (age: 24 9 yr), 64% female, with a BMI of 25.44.9 kg∙m-2. The mean absolute and relative estimated V̇O2max were 3.02 ± 1.0 L∙min-1 and 42.1  12.2 ml∙kg-1∙min-1, respectively. FMI was negatively associated CRF (L∙min-1) in model 2 (B= -0.106, 95%CI -0.16, -0.05, p<0.001) but not model 1 (B= -0.011, 95%CI -0.03, 0.01, p=0.271). FFMI was positively associated with CRF (L∙min-1) (model 1: B= 0.087, 95%CI 0.03, 0.14), p=0.004) but not after adjusting for TDEE (model 2: B= 0.026, 95%CI -0.07, 0.12, p=0.585). Conclusion: FM adjusted for height (FMI), but fat-free mass (FFMI), is negatively associated with cardiorespiratory fitness in adults.

Keywords: aerobic fitness, Body Composition, body fat, LEAN MASS, physical activity

Received: 25 Feb 2025; Accepted: 03 Jul 2025.

Copyright: © 2025 Popp and Jesch. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Collin J. Popp, Grossman School of Medicine, New York University, New York, United States

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