Validation of the Polar Fitness Test for Estimation of Maximal Oxygen Consumption at Rest in Medically Supervised Exercise Training: Comparison with CPET and the 6-Minute Walk Test †

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Vydáno v:Sensors vol. 25, no. 18 (2025), p. 5649-5665
Hlavní autor: Neudorfer, Michael
Další autoři: Ötzlinger Lukas, Kumar, Devender, Niebauer, Josef, Smeddinck, Jan David, Sareban Mahdi, Treff Gunnar
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MDPI AG
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100 1 |a Neudorfer, Michael  |u University Institute of Sports Medicine, Prevention and Rehabilitation, University Hospital Salzburg, Paracelsus Medical University, 5020 Salzburg, Austria 
245 1 |a Validation of the Polar Fitness Test for Estimation of Maximal Oxygen Consumption at Rest in Medically Supervised Exercise Training: Comparison with CPET and the 6-Minute Walk Test † 
260 |b MDPI AG  |c 2025 
513 |a Journal Article 
520 3 |a The Polar Fitness Test (PFT) estimates maximal oxygen consumption (<inline-formula>V̇</inline-formula>O2max) under resting conditions using heart rate data from the manufacturer’s wearable devices. We aimed to validate the PFT in a population with cardiovascular risk factors and to compare its results with five established equations predicting <inline-formula>V̇</inline-formula>O2max based on the 6-min walk test (6MWT). Twenty-four participants (9 female; age 57.4 ± 10.2 years) undergoing medically supervised exercise training—including seven individuals on heart rate-limiting medication—completed the PFT, 6MWT, and cardiopulmonary exercise testing (CPET), which served as the criterion <inline-formula>V̇</inline-formula>O2max measurement. The PFT showed a mean absolute percent-age error (MAPE) of 13.7%, an intraclass correlation coefficient (ICC) of 0.743, a mean bias of −1.0 mL/min/kg, and limits of agreement (LoA) of ±11.4 mL/min/kg compared to CPET. Among the 6MWT-based equations, only the Porcari equation demonstrated similar performance (MAPE 12.6%, ICC 0.725, mean bias 0.2 mL/min/kg, LoA ± 9.7 mL/min/kg), while other equations showed larger errors and systematic deviations. Our data indicate that the PFT may present an easily accessible option to estimate <inline-formula>V̇</inline-formula>O2max on population level when exercise-based testing is not feasible. However, its variability limits use for individual clinical decisions, reaffirming the relevance of CPET for accurate assessment. 
651 4 |a Germany 
653 |a Patients 
653 |a Exercise 
653 |a Accuracy 
653 |a Validity 
653 |a Physical fitness 
653 |a Mortality 
653 |a Sensors 
653 |a Sports medicine 
653 |a Hospitals 
653 |a Wearable computers 
653 |a Rehabilitation 
653 |a Skin 
653 |a Fitness equipment 
653 |a Walking 
653 |a Validation studies 
653 |a Fitness training programs 
653 |a Heart rate 
700 1 |a Ötzlinger Lukas  |u University Institute of Sports Medicine, Prevention and Rehabilitation, University Hospital Salzburg, Paracelsus Medical University, 5020 Salzburg, Austria 
700 1 |a Kumar, Devender  |u Ludwig Boltzmann Institute for Digital Health and Prevention, 5020 Salzburg, Austria 
700 1 |a Niebauer, Josef  |u University Institute of Sports Medicine, Prevention and Rehabilitation, University Hospital Salzburg, Paracelsus Medical University, 5020 Salzburg, Austria 
700 1 |a Smeddinck, Jan David  |u Ludwig Boltzmann Institute for Digital Health and Prevention, 5020 Salzburg, Austria 
700 1 |a Sareban Mahdi  |u University Institute of Sports Medicine, Prevention and Rehabilitation, University Hospital Salzburg, Paracelsus Medical University, 5020 Salzburg, Austria 
700 1 |a Treff Gunnar  |u Ludwig Boltzmann Institute for Digital Health and Prevention, 5020 Salzburg, Austria 
773 0 |t Sensors  |g vol. 25, no. 18 (2025), p. 5649-5665 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3254645709/abstract/embedded/H09TXR3UUZB2ISDL?source=fedsrch 
856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/3254645709/fulltextwithgraphics/embedded/H09TXR3UUZB2ISDL?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3254645709/fulltextPDF/embedded/H09TXR3UUZB2ISDL?source=fedsrch