PMID- 31022005
OWN - NLM
STAT- MEDLINE
DCOM- 20200720
LR  - 20200720
IS  - 1932-751X (Electronic)
IS  - 1932-7501 (Linking)
VI  - 39
IP  - 3
DP  - 2019 May
TI  - Validity of the Incremental Shuttle Walk Test to Assess Exercise Safety When 
      Initiating Cardiac Rehabilitation in Low-Resource Settings.
PG  - E1-E7
LID - 10.1097/HCR.0000000000000412 [doi]
AB  - 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.
FAU - Lelis, Joana D'arc
AU  - Lelis JD
AD  - Rehabilitation Science Graduate Program, Universidade Federal de Minas Gerais 
      (UFMG), Belo Horizonte, Minas Gerais, Brazil (Ms D'arc Lelis and Drs Chaves and 
      Britto); Cardiovascular Prevention and Rehabilitation Program, University Health 
      Network, University of Toronto, Toronto, Ontario, Canada (Drs Ghisi and Grace); 
      and School of Kinesiology and Health Science, York University, Toronto, Ontario, 
      Canada (Drs Ghisi and Grace).
FAU - Chaves, Gabriela
AU  - Chaves G
FAU - Ghisi, Gabriela Lima de Melo
AU  - Ghisi GLM
FAU - Grace, Sherry L
AU  - Grace SL
FAU - Britto, Raquel Rodrigues
AU  - Britto RR
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Cardiopulm Rehabil Prev
JT  - Journal of cardiopulmonary rehabilitation and prevention
JID - 101291247
SB  - IM
MH  - Cardiac Rehabilitation/economics/*methods
MH  - Coronary Artery Disease/economics/physiopathology/*rehabilitation
MH  - Costs and Cost Analysis
MH  - Cross-Sectional Studies
MH  - Exercise Tolerance/*physiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Oxygen Consumption
MH  - Reproducibility of Results
MH  - Risk Factors
MH  - Walk Test/economics/*methods
EDAT- 2019/04/26 06:00
MHDA- 2020/07/21 06:00
CRDT- 2019/04/26 06:00
PHST- 2019/04/26 06:00 [entrez]
PHST- 2019/04/26 06:00 [pubmed]
PHST- 2020/07/21 06:00 [medline]
AID - 01273116-201905000-00013 [pii]
AID - 10.1097/HCR.0000000000000412 [doi]
PST - ppublish
SO  - J Cardiopulm Rehabil Prev. 2019 May;39(3):E1-E7. doi: 
      10.1097/HCR.0000000000000412.