Cardiorespiratory fitness, as measured by a number of relativelysimple and inexpensive clinical maneuvers, provides strong andindependent prognostic information about the overall risk ofillness and death, especially that from cardiovascular causes.This relationship extends to men, women, and adolescents. Itis valid in apparently healthy persons; in patients with a broadrange of maladies, including several types of cancer and cardiovasculardisease; and in at-risk patients with diabetes mellitus, themetabolic syndrome, and hypertension.1,2,3 However, despitethe profoundly important prognostic information provided bysimple clinical assessments of fitness, they are rarely usedin the clinical setting and often . . . [Full Text of this Article]
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From the Division of Cardiovascular Medicine, Duke University Medical Center, Durham, N.C.
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N Engl J Med 2005;
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