title: Cardiorespiratory fitness and sedentary lifestyle in the morbidly obese.
abstract: BACKGROUND
  Sedentary lifestyles and poor physical fitness are major contributors to the current obesity and cardiovascular disease pandemic.
  
  
  OBJECTIVE
  Daily physical activity and cardiorespiratory fitness are correlated in morbidly obese individuals in their free-living environment.
  
  
  METHODS
  Ten morbidly obese participants continuously wore an activity sensor that measured caloric expenditure, minute-by-minute physical activity, and steps/day over a 72-h period. Following collection of the device data, structured cardiorespiratory fitness testing was performed on each subject.
  
  
  RESULTS
  Mean caloric expenditure for all individuals was 2,668+/-481 kcal/d. On average, subjects took 3,763+/-2,223 steps. On average 23 h and 51.6 min per d were spent sleeping or engaged in sedentary activity (<3 metabolic equivalents [METs]) and the remaining 8.4 min were spent in moderate activity (3-6 METs). Average peak VO2 was 16.8+/-4.7 mL/kg/min. Higher peak VO2 correlated with higher total caloric expenditure (TCE; r=0.628, p=0.05) and trended with higher steps/day (r=0.591, p=0.07).
  
  
  CONCLUSIONS
  Most morbidly obese participants in this study were markedly sedentary. These study results may provide important links between obesity, poor fitness, and cardiovascular disease.
authors.affiliation: Department of Medicine, Division of Cardiology, William Beaumont Hospital, Royal Oak, Michigan 48073, USA. tvanhecke@gmail.com
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Vanhecke
authors.forename: Barry A
authors.initials: BA
authors.lastname: Franklin
authors.forename: Wendy M
authors.initials: WM
authors.lastname: Miller
authors.forename: Adam T
authors.initials: AT
authors.lastname: deJong
authors.forename: Catherine J
authors.initials: CJ
authors.lastname: Coleman
authors.forename: Peter A
authors.initials: PA
authors.lastname: McCullough
mesh_terms: D000328:Adult; D004734:Energy Metabolism; D005080:Exercise Test; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D055686:Metabolic Equivalent; D008875:Middle Aged; D018670:Monitoring, Ambulatory; D009767:Obesity, Morbid / Q000503:physiopathology*; D010809:Physical Fitness