Six-min walk test (6MWT) is widely used exercise test for the evalua-tion of interstitial lung disease (ILD). However, the long test duration and need for long and flat surface hinder its routine use. One-min sit-to-stand test (1-STST) is devoid of such limitations, but has been scarcely evaluated. The study was conducted to evaluate the performance of 1-STST by correlating it with 6MWT in ILD patients. Stable ILD patients were prospectively enrolled. After initial spirometry, all patients per-formed 6MWT and 1-STST following the standard recommendations. Exercise capacity and physiological parameters (heart rate, pulse oxy-gen saturation, blood pressure and dyspnea [modified Borg scale]) in-cluding peripheral oxygen saturation (SpO2) were correlated after the tests using Pearson correlation, Intraclass correlation coefficient (ICC) and kappa (κ) coefficient. The results showed that the mean age of the patients (n=60) was 58.8±11.5 years (male:female=1:1). Repetitions af-ter 1-STST showed significant correlation with 6MWT (r=0.48; P<0.001). Changes in the physiological variables were similar (P>0.05) with good consistency (ICC=0.68–0.95) between 6MWT and 1-STST. Both lowest SpO2 and difference in SpO2 also showed good agreement (ICC=0.86; 95% confidence interval [CI], 0.77–0.92 and ICC=0.68; 95% CI, 0.47–0.81 respectively) and significant correlation (r=0.76 and r=0.52, respectively). 1-STST and 6MWT were consistent in identifying patients having oxygen desaturation ≥4% (κ=0.56; 96% CI, 0.30–0.82). The results demonstrated that the performance of 1-STST was consis-tent with 6MWT in terms of exercise capacity and change in physiolog-ical parameters. 1-STST can be a valid alternative to 6MWT in the as-sessment of ILD patients, especially in peripheral health centers.
목차
Abstract INTRODUCTION MATERIALS AND METHODS Statistical analysis RESULTS Effect of exercise tests (6MWT and 1-STST) on cardiorespiratory parameters DISCUSSION CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES
키워드
Six-minute walk testOne-minute sit-to-stand testInterstitial lung diseaseExercise capacity
저자
Ravi Singh [ Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India ]
Deepak Aggarwal [ Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India ]
Corresponding Author
Kashish Dutta [ Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India ]
Surabhi Jaggi [ Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India ]
Mandeep Kaur Sodhi [ Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India ]
Varinder Saini [ Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India ]