Validity of the Incremental Shuttle Walk Test to Assess Exercise Safety Initiating Cardiac Rehabilitation in Low-Resource Countries
| dc.contributor.author | Lelis, Joana D'arc | |
| dc.contributor.author | Chaves, Gabriela | |
| dc.contributor.author | Lima de Melo Ghisi, Gabriela | |
| dc.contributor.author | Grace, Sherry | |
| dc.contributor.author | Britto, Raquel Rodrigues | |
| dc.date.accessioned | 2021-04-19T16:56:49Z | |
| dc.date.available | 2021-04-19T16:56:49Z | |
| dc.date.issued | 2019-05 | |
| dc.description.abstract | Purpose: To evaluate the validity of the Incremental Shuttle Walk Test (ISWT) to inform risk stratification in cardiac rehabilitation. Methods: This is a cross-sectional study at the major Cardiac Rehabilitation (CR) center in a middle-income country. Clinically-stable adult cardiac patients underwent an Incremental Shuttle Walk Test (ISWT) and a stress test (ST), wore a pedometer for 7 days and completed the Godin-Shepherd Leisure -Time Physical Activity Questionnaire. Metabolic equivalents of task (METs) achieved on the ISWT were calculated. Results: 115 patients were evaluated. The mean distance on the ISWT was 372.70±128.52 meters (standard deviation; mean METs=5.03±0.62). The correlation of the ISWT distance with ST METs (7.57±2.57), steps/day (4556.71±3280.88) and self-reported exercise (13.08±15.19 was rs=0.61 (p<0.001), rs=0.37 (p<0.001), and rs=0.20 (p=0.031), respectively. Distance on the ISWT accurately predicted METs from the ST (area under the received operation curve=0.774). The ability to walk ≥410 meters on the ISWT predicted, with a specificity of 81.5% and a sensitivity of 65.6%, a functional capacity of ≥7 METs on ST. Conclusion: The ISWT is an alternative way to evaluate functional capacity and can contribute to the process of identifying patients at low-risk for a cardiac event during exercise at moderate-intensity. | en_US |
| dc.identifier.citation | Journal of Cardiopulmonary Rehabilitation and Prevention: May 2019 - Volume 39 - Issue 3 - p E1-E7 | en_US |
| dc.identifier.issn | 1932-7501 | |
| dc.identifier.uri | https://doi.org/10.1097/HCR.0000000000000412 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10315/38290 | |
| dc.language.iso | en | en_US |
| dc.publisher | Wolters Kluwer | en_US |
| dc.rights | LWW This is a non-final version of an article published in final form in (Journal of Cardiopulmonary Rehabilitation and Prevention: May 2019 - Volume 39 - Issue 3 - p E1-E7). https://cdn-tp2.mozu.com/16833-m1/cms/files/Author-Document.pdf?_mzts=636519775710000000 | en_US |
| dc.rights | Attribution-NoDerivatives 4.0 International | * |
| dc.rights.article | https://journals.lww.com/jcrjournal/Abstract/2019/05000/Validity_of_the_Incremental_Shuttle_Walk_Test_to.13.aspx | en_US |
| dc.rights.journal | https://journals.lww.com/jcrjournal/pages/default.aspx | en_US |
| dc.rights.publisher | https://www.wolterskluwer.com/en | en_US |
| dc.rights.uri | http://creativecommons.org/licenses/by-nd/4.0/ | * |
| dc.subject | coronary artery disease | en_US |
| dc.subject | cardiac rehabilitation | en_US |
| dc.subject | functional capacity | en_US |
| dc.subject | risk | en_US |
| dc.subject | exercise | en_US |
| dc.title | Validity of the Incremental Shuttle Walk Test to Assess Exercise Safety Initiating Cardiac Rehabilitation in Low-Resource Countries | en_US |
| dc.title.alternative | ISWT validity in cardiac rehab | en_US |
| dc.type | Article | en_US |