Do simple and quick functional tests reflect a more comprehensive test or physical activity in daily life in healthy young subjects?

Authors

DOI:

https://doi.org/10.1590/1809-2950/200165250522EN

Keywords:

Motor Activity, Exercise, Sedentary Behavior

Abstract

Considering the wide use of functional tests and that faster and simpler evaluations are preferable, the aim of this study was to verify the association between five protocols of simple functional tests (Timed-Up-and-Go [TUG], 4-Meter-Gait-Speed [4MGS] and Sit-To-Stand [STS] in 5-repetitions [STS5rep], 30-seconds [STS30sec] and 1-minute [STS1min] protocols) and the 6-minute walk test (6MWT) as well as with physical activity in daily life (PADL) in healthy young subjects. In this cross-sectional study, PADL was quantified by a pedometer validated for step counting and the average of 7 consecutive days during the awake time was considered. Functional capacity was assessed with TUG, 4MGS, STS5rep, STS30sec and STS1min as well as with the 6MWT. 79 subjects without lung functional impairments were included (49% male, age 28 [23-36] years). Performance of simple functional tests correlated with the 6MWT (0.23< r <0.56; P<0.05 for all) and the TUG test presented the best association (R2= 0.34). However, simple functional tests did not correlate with the PADL (0.03< r <0.13; P>0.05 for all). The less time-consuming functional tests were weakly-moderately related to the 6MWT in healthy young subjects. The TUG presented the best association and explained up to 34% of the 6MWT; however, the latter cannot be replaced by none of these simple functional tests. Finally, functional capacity was not related with physical activity in daily life assessed by the pedometers in this population.

Downloads

Download data is not yet available.

References

Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V, Saey D, et al. An official European respiratory society/American thoracic society technical standard: Field walking tests in chronic respiratory disease. Eur Respir J. 2014;44(6):1428–46. doi:10.1183/09031936.00150314

Bui K-L, Nyberg A, Maltais F, Saey D. Functional Tests in Chronic Obstructive Pulmonary Disease, Part 1: Clinical Relevance and Links to the International Classification of Functioning, Disability, and Health. Ann Am Thorac Soc. 2017;14(5):778–84. doi:10.1513/annalsats.201609-733as

Vermeulen J, Neyens JCL, van Rossum E, Spreeuwenberg MD, de Witte LP. Predicting ADL disability in community-dwelling elderly people using physical frailty indicators: a systematic review. BMC Geriatr. 2011;11:33. doi:10.1186/1471-2318-11-33

Nolan CM, Maddocks M, Maher TM, Banya W, Patel S, Barker RE, et al. Gait speed and prognosis in patients with idiopathic pulmonary fibrosis: a prospective cohort study. Eur Respir J. 2019;53(2). doi:10.1183/13993003.01186-2018

Steele BG, Belza B, Cain K, Warms C, Coppersmith J, Howard J. Bodies in motion: monitoring daily activity and exercise with motion sensors in people with chronic pulmonary disease. J Rehabil Res Dev. 2003;40(5 Suppl 2):45–58. doi: 10.1682/jrrd.2003.10.0045

Ainsworth B, Cahalin L, Buman M, Ross R. The current state of physical activity assessment tools. Prog Cardiovasc Dis. 2015;57(4):387–95. doi:10.1016/j.pcad.2014.10.005

Santos DA, Silva AM, Baptista F, Santos R, Vale S, Mota J, et al. Sedentary behavior and physical activity are independently related to functional fitness in older adults. Exp Gerontol. 2012;47(12):908–12. doi:10.1016/j.exger.2012.07.011

Wu F, Wills K, Laslett LL, Oldenburg B, Jones G, Winzenberg T. Moderate-to-Vigorous Physical Activity But Not Sedentary Time Is Associated With Musculoskeletal Health Outcomes in a Cohort of Australian Middle-Aged Women. J Bone Miner Res. 2017;32(4):708–15. doi:10.1002/jbmr.3028

Alves MAS, Bueno FR, Haraguchi LIH, Corrêa FR, Dourado VZ. Correlação entre a média do número de passos diário e o teste de caminhada de seis minutos em adultos e idosos assintomáticos. Fisioter e Pesqui. 2013;20(2):123–9. doi:10.1590/s1809-29502013000200005

Pitta F, Troosters T, Spruit MA, Probst VS, Decramer M, Gosselink R. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2005;171(9):972–7. doi:10.1164/rccm.200407-855OC

Miller MR. General considerations for lung function testing. Eur Respir J. 2005;26(1):153–61. doi:10.1183/09031936.05.00034505

Pereira CA de C, Sato T, Rodrigues SC. New reference values for forced spirometry in white adults in Brazil. J Bras Pneumol. 2007;33(4):397–406. doi:10.1590/S0104-42302003000300025

Britto RR, Probst VS, Dornelas De Andrade AF, Samora GAR, Hernandes NA, Marinho PEM, et al. Reference equations for the six-minute walk distance based on a Brazilian multicenter study. Brazilian J Phys Ther. 2013;17(6):556–63. doi:10.1590/S1413-35552012005000122

Podsiadlo D, Richardson S. The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons. J Am Geriatr Soc. 1991;39(2):142–8. doi:10.1111/j.1532-5415.1991.tb01616.x

Kon SSC, Patel MS, Canavan JL, Clark AL, Jones SE, Nolan CM, et al. Reliability and validity of 4-metre gait speed in COPD. Eur Respir J. 2013;42:333–40. doi:10.1183/09031936.00162712

Jones SE, Kon SSC, Canavan JL, Patel MS, Clark AL, Nolan CM, et al. The five-repetition sit-to-stand test as a functional outcome measure in COPD. Thorax. 2013;68:1015–20. doi:10.1136/thoraxjnl-2013-203576

Ozalevli S, Ozden A, Itil O, Akkoclu A. Comparison of the Sit-to-Stand Test with 6 min walk test in patients with chronic obstructive pulmonary disease. Respir Med. 2007;101(2):286–93. doi:10.1016/j.rmed.2006.05.007

Crouter SE, Schneider PL, Karabulut M, Bassett DRJ. Validity of 10 electronic pedometers for measuring steps, distance, and energy cost. Med Sci Sports Exerc. 2003;35(8):1455–60. doi:10.1249/01.MSS.0000078932.61440.A2

Tudor-Locke C, Burkett L, Reis JP, Ainsworth BE, Macera CA, Wilson DK. How many days of pedometer monitoring predict weekly physical activity in adults? Prev Med (Baltim). 2005;40(3):293–8. doi:10.1016/j.ypmed.2004.06.003

Schober P, Schwarte LA. Correlation coefficients: Appropriate use and interpretation. Anesth Analg. 2018;126(5):1763–8. doi:10.1213/ANE.0000000000002864

Tudor-Locke C, Craig CL, Brown WJ, Clemes SA, De Cocker K, Giles-Corti B, et al. How many steps/day are enough? For adults. Int J Behav Nutr Phys Act. 2011;8:79. doi:10.1186/1479-5868-8-79

Kamiya K, Hamazaki N, Matsue Y, Mezzani A, Corrà U, Matsuzawa R, et al. Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease. Eur J Prev Cardiol. 2018;25(2):212–9. doi:10.1177/2047487317735715

Karpman C, DePew ZS, LeBrasseur NK, Novotny PJ, Benzo RP. Determinants of gait speed in COPD. Chest. 2014;146(1):104–10. doi:10.1378/chest.13-2017

Eden MM, Tompkins J, Verheijde JL. Reliability and a correlational analysis of the 6MWT, ten-meter walk test, thirty second sit to stand, and the linear analog scale of function in patients with head and neck cancer. Physiother Theory Pract. 2018;34(3):202–11. doi:10.1080/09593985.2017.1390803

Morita AA, Bisca GW, Machado FVC, Hernandes NA, Pitta F, Probst VS. Best Protocol for the Sit-to-Stand Test in Subjects With COPD. Respir Care. 2018;63(8):1040–9. doi:10.4187/respcare.05100

Pedrosa R, Holanda G. Correlação entre os testes da caminhada, marcha estacionária e TUG em hipertensas idosas. Brazilian J Phys Ther. 2009;13:252–6. doi:10.1590/S1413-35552009005000030

Cho B, Scarpace D, Alexander NB. Tests of stepping as indicators of mobility, balance, and fall risk in balance-impaired older adults. J Am Geriatr Soc. 2004;52(7):1168–73. doi:10.1111/j.1532-5415.2004.52317.x

Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1-9 million participants. Lancet Glob Health 2018;6:e1077–86. doi: 10.1016/S2214-109X(18)30357-7

Furlanetto KC, Correia NS, Mesquita R, Morita AA, do Amaral DP, Mont'Alverne DGB, et al. Reference Values for 7 Different Protocols of Simple Functional Tests: A Multicenter Study. Arch Phys Med Rehabil. 2021;10:S0003-9993(21)01418-0. doi: 10.1016/j.apmr.2021.08.009.

van Gestel AJR, Clarenbach CF, Stowhas AC, Rossi VA, Sievi NA, Camen G, et al. Predicting daily physical activity in patients with chronic obstructive pulmonary disease. PLoS One. 2012;7(11):e48081. doi:10.1371/journal.pone.0048081

Downloads

Published

2022-08-08

Issue

Section

Original Research

How to Cite

Do simple and quick functional tests reflect a more comprehensive test or physical activity in daily life in healthy young subjects?. (2022). Fisioterapia E Pesquisa, 29(2), 121-127. https://doi.org/10.1590/1809-2950/200165250522EN