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“Over the next 20+ years, research established that CRF was indeed a key marker for health; however, a limiting concern was the lack of reference standards for interpreting CRF measurements. Thus, the AHA policy statement published in 2013 led to the development of the Fitness Registry and the Importance of Exercise National Database (FRIEND).”
“Aerobic fitness is a stronger predictor of mortality than established cardiovascular disease risk factors. Medicine acknowledges the diagnostic utility of exercise tests, but their tendency to 'focus on the ischemic ST-segment' may explain why aerobic fitness is so rarely reported as an outcome in the medical literature.”
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Kaminsky et al. (2013) studied this question.
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