Association of Step Count with Cardiorespiratory Fitness: Results from the Virtual 2-Minute Step Test

To test the hypothesis that step count based on a virtual 2-minute step test (2MST) predicts cardiorespiratory fitness (CRF). Cross-sectional study. Veteran Affairs Medical Centers participating in a randomized trial of functional exercise training delivered by videoconferencing. People with human immunodeficiency virus (HIV) (PWH) who were aged ≥50 years and clinically stable on antiretroviral therapy were eligible for the trial. Consecutive male participants who were enrolled prior to November 9, 2023 and completed a baseline 2MST and cardiopulmonary exercise test (CPET) were included in the cross-sectional study (N=74). None. Step count was measured by a 2MST performed by live videoconferencing using the Rikli and Jones protocol. CRF was measured by peak oxygen utilization (VO2peak) during a modified Bruce cardiopulmonary exercise testing. Most participants (62.2%) were ≥60 years of age. The mean (SD) VO2peak was 23.6 (5.7) mL/kg/min, which represented 72.4% (SD, 14.1) of expected VO2peak. Step count correlated with VO2peak (r=0.47, P