Despite the wide effects of cardiorespiratory fitness (CRF) on metabolic, cardiovascular, pulmonary and neurological health, challenges in the feasibility and reproducibility of CRF measurements have impeded its use for clinical decision-making. Here we link proteomic profiles to CRF in 14,145 individuals across four international cohorts with diverse CRF ascertainment methods to establish, validate and characterize a proteomic CRF score. In a cohort of around 22,000 individuals in the UK Biobank, a proteomic CRF score was associated with a reduced risk of all-cause mortality (unadjusted hazard ratio 0.50 (95% confidence interval 0.48–0.52) per 1 s.d. increase). The proteomic CRF score was also associated with multisystem disease risk and provided risk reclassification and discrimination beyond clinical risk factors, as well as modulating high polygenic risk of certain diseases. Finally, we observed dynamicity of the proteomic CRF score in individuals who undertook a 20-week exercise training program and an association of the score with the degree of the effect of training on CRF, suggesting potential use of the score for personalization of exercise recommendations. These results indicate that population-based proteomics provides biologically relevant molecular readouts of CRF that are additive to genetic risk, potentially modifiable and clinically translatable.
A summary of the evidence for a contribution of genetic variability to physical activity–related traits is presented. The availability of a reference human DNA sequence has made it possible to screen individuals and populations for the presence of genomic differences. Even though more than 100 million DNA variants have been identified, human beings share a genomic sequence, which is more than 99% identical. Four major lessons can be derived from ongoing genomic and genetic studies. First, the connection between a genotype and a phenotype is highly complex. Second, the expression of genes is regulated via multiple interacting mechanisms. Third, redundancy and compensatory mechanisms are ubiquitous. Fourth, complex, multifactorial traits are influenced by polygenic systems defined by hundreds and thousands of loci with most alleles characterized by very small effect sizes. The contribution of genetic variability is briefly summarized for human longevity, common chronic diseases, physical activity level, cardiorespiratory fitness in the sedentary state, and in response to exercise programs.
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A common polymorphism generated by an A to C transition at nucleotide 7580 in the third intron of the insulin-like growth factor binding protein 3 gene was found. This polymorphism can be identified by Nde 1 restriction of genomic DNA amplified with a specifically designed restriction enzyme site-generating oligonucleotide primer. The frequency of the A and C alleles was estimated at 0·6 and 0·4 in the Caucasians, 0·63 and 0·37 in Blacks, respectively.
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No abstract is provided for this article.
No abstract is provided for this article.