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Type:	Artigo de Periódico
Title:	Validity of the incremental shuttle walk test to assess exercise safety when initiating cardiac rehabilitation in low-resource settings
Authors:	Joana D’arc Teles Castro Gabriela Chaves Gabriela Lima de Melo Ghisi Sherry Grace Raquel Rodrigues Britto
Abstract:	Purpose: To evaluate the validity of the Incremental Shuttle Walk Test (ISWT) for determining risk stratification in cardiac rehabilitation (CR). Methods: This is a cross-sectional study at a major CR center in a middle-income country. Clinically stable adult cardiac patients underwent an ISWT and an exercise test (ET), wore a pedometer for 7 d, and completed the Godin-Shepherd Leisure-Time Physical Activity Questionnaire. Metabolic equivalents of task (METs) achieved on the ISWT were calculated. Results: One hundred fifteen patients were evaluated. The mean ± standard deviation distance on the ISWT was 372.70 ± 128.52 m and METs were 5.03 ± 0.62. The correlation of ISWT distance with ET METs (7.57 ± 2.57), steps/d (4556.71 ± 3280.88), and self-reported exercise (13.08 ± 15.19) was rs = 0.61 (P < .001), rs = 0.37 (P < .001), and rs = 0.20 (P = .031), respectively. Distance on the ISWT accurately predicted METs from the ET (area under the receiver operating characteristic curve = 0.774). The ability to walk ≥410 m on the ISWT predicted, with a specificity of 81.5% and a sensitivity of 65.6%, a functional capacity of ≥7 METs on ET. Conclusion: The ISWT is an alternative way to evaluate functional capacity in CR and can contribute to the process of identifying patients at low risk for a cardiac event during exercise at moderate intensity.
Subject:	Reabilitação cardíaca Doença da artéria coronariana Exercícios físicos Risco
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	EEF - DEPARTAMENTO DE FISIOTERAPIA
Rights:	Acesso Restrito
metadata.dc.identifier.doi:	https://doi.org/10.1097/HCR.0000000000000412
URI:	http://hdl.handle.net/1843/41500
Issue Date:	May-2019
metadata.dc.url.externa:	https://journals.lww.com/jcrjournal/Abstract/2019/05000/Validity_of_the_Incremental_Shuttle_Walk_Test_to.13.aspx
metadata.dc.relation.ispartof:	Journal of Cardiopulmonary Rehabilitation and Prevention
Appears in Collections:	Artigo de Periódico

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