Reference values for the incremental shuttle walk test in patients with cardiovascular disease entering exercise-based cardiac rehabilitation

Cardoso, Fernando; Almodhy, Meshal; Pepera, Garyfallia; Stasinopoulos, Dimitrios; Sandercock, Gavin

doi:10.1080/02640414.2016.1151925

Cited by 19 publications

(26 citation statements)

References 23 publications

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“…Although the ISWT does not represent a ‘criterion maximal test’, of exercise capacity it is a recommended submaximal surrogate measure of exercise capacity13 that is positively validated against CPET 14. Some studies have used the ISWT to investigate potential determinants of walking fitness in conventional cardiac patients15 16 identifying age, height, body mass index (BMI) and the presence of diabetes as significant predictors of distanced achieved. The New York Heart Association (NYHA) Functional Classification is an established symptom and function-aligned measure, classifying the extent of HF severity in patients, yet has not been investigated for its role in determining walking fitness as measured by the ISWT in HF.…”

Section: Introductionmentioning

confidence: 99%

Determinants of walking fitness in patients with heart failure attending cardiac rehabilitation

2019

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IntroductionPatients with heart failure (HF) attending cardiac rehabilitation (CR) benefit in terms of improved quality of life, physical fitness and reduced hospital admissions. Too few patients with HF attend CR and little data exist on the characteristics of those who do especially in respect of physical fitness. This study evaluates the extent by which clinical and demographic factors determine walking fitness in patients with a primary diagnosis of HF.MethodsClinical data from the British Heart Foundation National Audit of Cardiac Rehabilitation identified 1519 patients with HF who completed an incremental shuttle walk test (ISWT). Stepwise regression accounting for age, gender and multiple potential confounders assessed their contribution to total walking distance.ResultsMean age was 64.5 (SD 12.70) years with a range of ISWT distances across gender and associated comorbidities from 215 to 282 m. Walking distance reduced by 4.9 m for each year increase in age above mean age (p<0.001). After accounting for confounders, females walked 42.1 m less than males (p≤ 0.001). Pulmonary disease and the existence of depression was associated with a 39.3 and 52.2 m reduction in walking distance, respectively. Body mass index >30 was associated with 28.5 m reduction in walking distance (p<0.001). HF severity failed to improve the regression model fit or achieve significance in the analysisConclusionsAge, gender and the presence of pulmonary disease or depression were highly significant factors in predicting walking fitness in patients with HF. The study also produced a set of reference values based on these four factors to aid the interpretation of walking fitness in patients with HF.

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Section: Introductionmentioning

confidence: 99%

Determinants of walking fitness in patients with heart failure attending cardiac rehabilitation

2019

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“…Similar to previous studies [28–29], this approach allows participants more scope to develop a rationale for their opinions through conversation. Open-ended questions promoted consistent discussion to identify the key attributes participants value when identifying talented youth players for selection into a regional representative team to compete at the national championships, including technical, physiological, anthropometric, psychological and tactical attributes (e.g., when you are identifying talent at an Under 13 level what is it you are looking for?).…”

Section: Methodsmentioning

confidence: 94%

“…Thus, the Delphi method provides more in depth and reliable analysis of the research questions and is more effective than a single interview or questionnaire [28]. For the current study the modified Delphi method [28–29] was adopted. This design entailed an initial interview followed by two rounds of questionnaires.…”

Section: Methodsmentioning

confidence: 99%

“…The Delphi method requires purposeful sampling of a small panel of domain-specific experts to achieve reliable responses, as a result a strict selection criterion was enforced for participant selection [28–29, 31]. Participant selection was based upon the unique perspectives and experiences in elite youth soccer coaching within Australia.…”

Section: Methodsmentioning

confidence: 99%

“…The justification for the ranking provided by the participants in the questionnaire was also compiled. Example of the justification that best reflects the participant’s perceptions are provided to support all numerical values [29]. …”

Section: Methodsmentioning

confidence: 99%

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Talent identification and recruitment in youth soccer: Recruiter’s perceptions of the key attributes for player recruitment

2017

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Using the modified Delphi method, we aimed to understand the attributes youth coaches and recruiters perceive as important when identifying skilled youth performance at the entry level of representative soccer in Australia (i.e., Under 13 years). Furthermore, we also aimed to describe the current methods youth coaches and recruiters use to assess and identify these attributes in youth players. Australian regional youth technical directors and coaches (n = 20) completed a three stage process, including an initial interview and two subsequent questionnaires, whereby attributes and qualities associated with talent identification were rated and justified according to the importance for youth player performance and talent identification. Results indicate a hierarchy of attributes recruiters perceive as important for Under 13 soccer performance, including technical (i.e., first touch, striking the ball, one-versus-one ability, and technical ability under pressure), tactical (i.e., decision-making ability) and psychological attributes (i.e., coachability and positive attitude). In addition, the findings indicated attributes and qualities not emphasised within the talent identification process including, physiological, anthropometrical, sociological and several psychological attributes. It is suggested talent recruiters apply a holistic multidisciplinary approach to talent identification, with the current findings potentially providing initial evidence to suggest recruiters do consider numerous attributes when selecting and identifying youth players.

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Exercise capacity and its determinants among postcardiac rehabilitation patients with coronary heart disease

Chair

Leung

et al. 2022

Nursing Open

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Aim To investigate the determinants of exercise capacity in postcardiac rehabilitation patients with coronary heart disease (CHD). Design A cross‐sectional design was used. Methods This study analysed the cross‐sectional data from the baseline assessment of 130 CHD patients who participated in a longitudinal randomized controlled trial of music‐paced physical activity intervention for CHD patients (ChiCTR‐IOR‐17011015) (September 2017 to February 2019). Exercise capacity was measured by using the 10‐metre incremental shuttle‐walk test. The amount of physical activity, exercise self‐determination and exercise self‐efficacy were measured by validated instruments. Participants' anthropometric parameters (body mass index, body fat mass percentage and waist circumference) were measured. Hierarchical regression analyses were used to identify the factors influencing exercise capacity. Results The mean incremental shuttle‐walk test distance was 493.00 ± 180.04 m. The factors significantly associated with exercise capacity were age (β = −.42), female (β = −.35), body mass index (β = −.25) and exercise self‐efficacy (β = −.20). These factors accounted for 56.5% of the total variance of exercise capacity.

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Reference values for the incremental shuttle walk test in patients with cardiovascular disease entering exercise-based cardiac rehabilitation

Cited by 19 publications

References 23 publications

Determinants of walking fitness in patients with heart failure attending cardiac rehabilitation

Determinants of walking fitness in patients with heart failure attending cardiac rehabilitation

Talent identification and recruitment in youth soccer: Recruiter’s perceptions of the key attributes for player recruitment

Exercise capacity and its determinants among postcardiac rehabilitation patients with coronary heart disease

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