Comparação das respostas fisiológicas do incremental shuttle walk test e do Glittre-ADL test: instrumentos complementares para avaliação da capacidade funcional
DOI:
https://doi.org/10.1590/1809-2950/19003227012020Palavras-chave:
Consumo de Oxigênio, Teste de Esforço, Atividades Cotidianas, Teste de CaminhadaResumo
O objetivo deste estudo foi avaliar e comparar respostas metabólicas, cardiovasculares e ventilatórias do incremental shuttle walk test (ISWT) e do Glittre activities of daily living test (Glittre-ADL test). Trata-se de um estudo transversal, realizado com indivíduos saudáveis. A capacidade funcional (CF) foi avaliada pela distância percorrida e consumo de oxigênio pico (VO2pico) no ISWT e pelo tempo gasto e VO2 no Glittre-ADL test. Trinta indivíduos percorreram 656,67 (IC95%:608,8-704,5) metros no ISWT e executaram o Glittre-ADL test em 2,4 (IC95%:2,2-2,6) minutos. O VO2 pico do ISWT foi 27,8 (IC95%25,6-29,9) versus 22,2 (IC95%20,5-24,1)mL×kg−1×min−1 (p<0,001) no estado estável (EE) do Glittre-ADL test. As correlações entre distância percorrida no ISWT e o tempo gasto no Glittre-ADL test, o VO2pico do ISWT e o VO2 no EE do Glittre-ADL test e a FC no pico do ISWT e no EE do Glittre-ADL test foram de moderada a alta magnitude. O Glittre-ADL test apresenta menores respostas metabólicas, cardiovasculares e ventilatórias se comparado ao ISWT.
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Referências
Neves CDC, Lacerda ACR, Lage VKS, Lima LP, Fonseca SF,
Avelar NCP, et al. Cardiorespiratory responses and prediction of
peak oxygen uptake during the shuttle walking test in healthy
sedentary adult men. PLoS One. 2015;10(2):e0117563. doi:
1371/journal.pone.0117563
Lewis M, Newall C, Townend J, Hill S, Bonser R. Incremental shuttle
walk test in the assessment of patients for heart transplantation.
Heart. 2001;86(2):183-7. doi: 10.1136/heart.86.2.183
Haskell WL, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA,
et al. Physical activity and public health: updated recommendation
for adults from the American College of Sports Medicine
and the American Heart Association. Med Sci Sports Exerc.
;39(8):1423-34. doi: 10.1249/mss.0b013e3180616b27
Dourado VZ, Guerra RLF, Tanni SE, Antunes LCDO, Godoy I.
Valores de referência para o teste de caminhada com carga
progressiva em indivíduos saudáveis: da distância percorrida
às respostas fisiológicas. J Bras Pneumol. 2013;39(2):190-7. doi:
1590/S1806-37132013000200010
Probst VS, Hernandes NA, Teixeira DC, Felcar JM,
Mesquita RB, Gonçalves CG, et al. Reference values for the
incremental shuttle walking test. Respir Med. 2012;106(2):243-8.
doi: 10.1016/j.rmed.2011.07.023.
Seixas DM, Seixas DMT, Pereira MC, Moreira MM, Paschoal IA.
Dessaturação em indivíduos saudáveis submetidos ao incremental
shuttle walk test. J Bras Pneumol. 2013;39(4):440-6. doi:
1590/S1806-37132013000400007
Oliver N, Onofre T, Carlos R, Barbosa J, Godoy E, Pereira E,
et al. Ventilatory and metabolic response in the incremental
shuttle and 6-min walking tests measured by telemetry
in obese patients prior to bariatric surgery. Obes Surg.
;25(9):1658-65. doi: 10.1007/s11695-014-1548-8
Jürgensen SP, Antunes LCO, Tanni SE, Banov MC,
Lucheta PA, AF Bucceroni, et al. The incremental shuttle walk
test in older Brazilian adults. Respiration. 2011;81(3):223-8.
doi: 10.1159/000319037
Singh SJ, Morgan MD, Scott S, Walters D, Hardman AE.
Development of a shuttle walking test of disability in patients
with chronic airways obstruction. Thorax. 1992;47(12):1019-24.
doi: 10.1136/thx.47.12.1019
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.
;44(6):1428-46. doi: 10.1183/ 09031936.00150314
Singh SJ, Puhan MA, Andrianopoulos V, Hernandes NA,
Mitchell KE, Hill CJ, et al. An official systematic review of the
European Respiratory Society/American Thoracic Society:
measurement properties of field walking tests in chronic
respiratory disease. Eur Respir J. 2014;44(6):1447-78. doi:
1183/09031936.00150414
Parreira VF, Janaudis-Ferreira T, Evans RA, Mathur S,
Goldstein RS, Brooks D. Measurement properties of the
incremental shuttle walk test: a systematic review. Chest.
;145(6):1357-69. doi: 10.1378 / chest.13-2071.
Janaudis-Ferreira T, Beauchamp MK, Robles PG, Goldstein RS,
Brooks D. Measurement of activities of daily living in patients
with COPD: a systematic review. Chest. 2014;145(2):253-71.
doi: 10.1378/chest.13-0016
Reis CMD, Karloh M, Fonseca FR, Biscaro RRM, Mazo GZ,
Mayer AF. Functional capacity measurement: reference equations
for the Glittre activities of daily living test. J Bras Pneumol.
;44(5):370-7. doi: 10.1590/S1806-37562017000000118
Skumlien S, Hagelund T, Bjørtuft Ø, Ryg MS. A field test
of functional status as performance of activities of daily
living in COPD patients. Respir Med. 2006;100(2):316-23.
doi: 10.1016/j.rmed.2005.04.022
Fernandes-Andrade AA, Britto RR, Soares DCM, Velloso M,
Pereira DAG. Evaluation of the Glittre-ADL test as an
instrument for classifying functional capacity of individuals
with cardiovascular diseases. Rev Bras Fisioter. 2017;21(5):321-8.
doi: 10.1016/j.bjpt.2017.06.001
Martins R, Assumpção MSD, Bobbio TG, Mayer AF, Schivinski
C. The validity and reliability of the ADL-Glittre test for
children. Physiother Theory Pract. 2018;35(8):773-80.
doi: 10.1080/09593985.2018.1457747
José A, Dal Corso S. Reproducibility of the six-minute walk
test and Glittre ADL-test in patients hospitalized for acute
and exacerbated chronic lung disease. Rev Bras Fisioter.
;19(3):235-42. doi: 10.1590/bjpt-rbf.2014.0092
Corrêa KS, Karloh M, Martins LQ, Santos KD, Mayer AF. Can the
Glittre-ADL test differentiate the functional capacity of COPD
patients from that of healthy subjects? Rev Bras Fisioter.
;15(6):467-73. doi: 10.1590/S1413-35552011005000034
World Health Organization. Global database on body mass
index [Internet]. 2006 [cited 17 Feb 2020]. Available from:
Pereira CA, 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/
S1806-37132007000400008
Franco Parreira V, França D, Zampa C, Fonseca M, Tomich G,
Britto R. Pressões respiratórias máximas: valores encontrados
e preditos em indivíduos saudáveis. Rev Bras Fisioter.
;11(5):361-8. doi: 10.1590/S1413-35552007000500006
Sociedade Brasileira de Cardiologia, Sociedade Brasileira de
Hipertensão, Sociedade Brasileira de Nefrologia. VI diretrizes
brasileiras de hipertensão. Arq Bras Cardiol [Internet]. 2010
[cited 17 Feb 2020];95 Suppl 1:S1-S51. Available from: https://
bit.ly/2SW67qI
Goldstein R, De Rosie J, Long S, Dolmage T, Avendano MA.
Applicability of a threshold loading device for inspiratory
muscle testing and training in patients with COPD. Chest.
;96(3):564-71. doi: 10.1378/chest.96.3.564
American Thoracic Society, European Respiratory Society.
Statement on respiratory muscle testing. Am J Respir Crit
Care Med. 2002;166(4):518-624. doi: 10.1164/rccm.166.4.518
Portney LG, Watkins MP. Correlation. In: Portney LG,
Watkins MP. Foundations of clinical research applications
to practic. New Jersey: Pearson; 2009. p. 523-38.
Tanaka H, Monahan KD, Seals DR. Age-predicted maximal
heart rate revisited. J Am Coll Cardiol. 2001;37(1):153-6. doi:
1016/S0735-1097(00)01054-8
Pereira CDC, Jansen J, Barreto SM, Marinho J, Sulmonett N,
Dias R. Espirometria. J Pneumol [Internet]. 2002 [cited 18 Feb
;28 Suppl 3:S1-S82. Available from: https://bit.ly/32aGhDp
Souza AC, Magalhães LDC, Teixeira-Salmela LF. Adaptação
transcultural e análise das propriedades psicométricas
da versão brasileira do Perfil de Atividade Humana.
Cad Saúde Pública. 2006;22(12):2623-36. doi: 10.1590/
S0102-311X2006001200012
Macfarlane DJ, Wong P. Validity, reliability and stability of the
portable Cortex MetaMax 3B gas analysis system. Eur J Appl
Physiol. 2012;112(7):2539-47. doi: 10.1007/s00421-011-2230-7
Almeida AE, Stefani CM, Nascimento JA, Almeida NM,
Santos AC, Stein R. An equation for the prediction of oxygen
consumption in a Brazilian population. Arq Bras Cardiol.
;103(4):299-307. doi: 10.5935/abc.20140137
Latorre MRD, Cardoso MRA. Análise de séries temporais
em epidemiologia: uma introdução sobre os aspectos
metodológicos. Rev Bras Epidemiol. 2001;4(3):145-52.
doi: 10.1590/S1415-790X2001000300002
Dechman G, Scherer SA. Outcome measures in
cardiopulmonary physical therapy: focus on the Glittre
ADL-Test for people with chronic obstructive pulmonary
disease. Cardiopulm Phys Ther J. 2008;19(4):115. doi:
1097/01823246-200819040-00003
Balady GJ, Arena R, Sietsema K, Myers J, Coke L, Fletcher GF,
et al. Clinician’s guide to cardiopulmonary exercise testing
in adults a scientific statement from the American heart
association. Circulation. 2010;122(2):191-225. doi: 10.1161/
cir.0b013e3181e52e69
Couser Junior JI, Martinez FJ, Celli BR. Respiratory response and
ventilatory muscle recruitment during arm elevation in normal
subjects. Chest. 1992;101(2):336-40. doi: 10.1378/chest.101.2.336
Velloso M, Stella SG, Cendon S, Silva AC, Jardim JR. Metabolic and
ventilatory parameters of four activities of daily living accomplished
with arms in COPD patients. Chest. 2003;123(4):1047-53.
doi: 10.1378/chest.123.4.1047
Karloh M, Karsten M, Pissaia FV, Araujo CL, Mayer AF.
Physiological responses to the Glittre-ADL test in patients
with chronic obstructive pulmonary disease. J Rehabil Med.
;46(1):88-94. doi: 10.2340/16501977-1217
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Copyright (c) 2020 Dayane Montemezzo, Danielle Aparecida Gomes Pereira, Giane Amorim Ribeiro-Samora, Sabrina Costa Lima, Bianca Louise Carmona Rocha, Marcelo Velloso, Raquel Rodrigues Britto
Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.