Clinical Study

The Obesity Paradox and Cardiorespiratory Fitness

Table 2

Independent associations of baseline fitness and BMI with all-cause mortality.

Variables 𝑛 Deaths (%)Model 1*Model 2
HR (95% CI)P ValueHR (95% CI)P Value

As continuous variables
 Per MET81195 (11.7)0.91 (0.85–0.97)0.0020.90 (0.84–0.96)0.001
 Per kg/m281195 (11.7)0.99 (0.96–1.09)0.910.98 (0.93–1.02)0.25
As categorical variables
 Fit54145 (8.3)1 (reference)1 (reference)
 Unfit27050 (18.5)2.05 (1.34–3.15)0.0012.26 (1.43–3.56)<0.001
 Nonobese 511 61 (11.9) 1 (reference) 1 (reference)
 Obese30034 (11.3)1.13 (0.72–1.76)0.590.92 (0.58–1.46)0.72

CI, confidence interval; HR, hazard ratio.
*Adjusted for age, ethnicity, hypertension, hypercholesterolemia, family history of heart disease, and cardiovascular medication use.
Adjusted for above plus METs (for BMI) and BMI (for METs) as continuous variables.