Validity of the incremental shuttle walk test to assess exercise safety when initiating cardiac rehabilitation in low-resource settings

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dc.creatorJoana D’arc Teles Castro
dc.creatorGabriela Chaves
dc.creatorGabriela Lima de Melo Ghisi
dc.creatorSherry Grace
dc.creatorRaquel Rodrigues Britto
dc.date.accessioned2022-05-10T13:55:20Z
dc.date.accessioned2025-09-09T00:42:57Z
dc.date.available2022-05-10T13:55:20Z
dc.date.issued2019-05
dc.identifier.doihttps://doi.org/10.1097/HCR.0000000000000412
dc.identifier.issn1932-751x
dc.identifier.urihttps://hdl.handle.net/1843/41500
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Cardiopulmonary Rehabilitation and Prevention
dc.rightsAcesso Restrito
dc.subjectReabilitação cardíaca
dc.subjectDoença da artéria coronariana
dc.subjectExercícios físicos
dc.subjectRisco
dc.subject.otherCardiac rehabilitation
dc.subject.otherCoronary artery disease
dc.subject.otherExercise
dc.subject.otherFunctional capacity
dc.subject.otherRisk
dc.titleValidity of the incremental shuttle walk test to assess exercise safety when initiating cardiac rehabilitation in low-resource settings
dc.typeArtigo de periódico
local.citation.epageE7
local.citation.issue3
local.citation.spageE1
local.citation.volume39
local.description.resumoPurpose: 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.
local.identifier.orcidhttps://orcid.org/ 0000-0002-7737-8015
local.identifier.orcidhttps://orcid.org/ 0000-0001-7946-3718
local.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610
local.identifier.orcidhttp://orcid.org/0000-0002-9533-3654
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://journals.lww.com/jcrjournal/Abstract/2019/05000/Validity_of_the_Incremental_Shuttle_Walk_Test_to.13.aspx

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