Construct validation and intra-rater reproducibility of the 6-minutes step test in healthy children aged 7-11 years

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.15289

Keywords:

Validation; Reproducibility; Step Test; Exercise Tolerance; Field test; Submaximal test.

Abstract

Objective: To validate the six-minute step test (6MST) and evaluate its reproducibility for determining exercise tolerance in healthy children aged 7-11 years. Methods: 66 healthy children, aged between 7 and 11 years old, were included in the research. The volunteers underwent the six-minute walk test (6MWT) and the 6MST. Results: A moderate positive correlation was observed between the distance covered on the 6MWT and the number of climbs on the 6MST (r = 0.43; p <0.001). The reproducibility of the variables in the 6MST was considered excellent in relation to the variables Performance (number of steps) (r = 0.92; CI = 0.87 to 0.87; p <0.001), systolic blood pressure (SBP) immediately after (r = 0, 87; CI = 0.79 to 0.92; p <0.001), SBP-1 'recovery (r = 0.84; CI = 0.74 to 0.90; p <0.001), maximum heart rate (HR) (r = 0 , 90; CI = 0.83 to 0.94; p <0.001), HR-immediately after (r = 0.88; CI = 0.81 to 0.93; p <0.001) and lower limb (LL) fatigue test (3rd min) (0.86; CI = 0.78 to 0.92; p <0.001). They also showed very good reproducibility at SBP-rest (r = 0.75; CI = 0.59 to 0.84; p <0.001), SBP-5 'recovery (r = 0.78; CI = 0.56 at 0.83; p <0.001), diastolic blood pressure (PAD) rest (r = 0.74; CI = 0.58 to 0.84; p <0.001), DBP -immediately after (r = 0.72; CI = 0.55 at 0.83; p <0.001), DBP-1'recovery (r = 0.77; CI = 0.63 to 0.86; p <0.001), DBP-5'recovery (r = 0.73; CI = 0.56 to 0.83; p <0.001), HR-rest (r = 0.73; CI = 0.60 to 0.86; p <0.001), LL fatigue-immediately after (r = 0, 72; CI = 0.54 to 0.83; p <0.001). Conclusion: The 6MST is safe, valid and with good intra-rater reproducibility in the assessment of exercise tolerance in healthy children aged 7-11 years.

References

Andrade, C. H. S. D., Cianci, R. G., Malaguti, C., & Dal Corso, S. (2012). The use of step tests for the assessment of exercise capacity in healthy subjects and in patients with chronic lung disease. Jornal brasileiro de pneumologia, 38(1), 116-124.

Arcuri, J. F., Borghi-Silva, A., Labadessa, I. G., Sentanin, A. C., Candolo, C., & Di Lorenzo, V. A. P. (2016). Validity and reliability of the 6-minute step test in healthy individuals: a cross-sectional study. Clinical journal of sport medicine, 26(1), 69-75.

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. (2002). ATS statement: guidelines for the six-minute walk test. Am J Respir crit care med, 166, 111-117.

Baptista, J. T., Ferreira, S. T. B. P., Bernardino, M. E. C., Silva Magalhães, M. G., Bezerra, P., & Jaguaribe de Lima, A. M. (2020). The three‐minute step test showed good construct validity and intra‐rater reliability in healthy children aged 7‐11 years. Acta paediatrica, 109(11), 2354-2355.

Bohannon, R. W., Bubela, D. J., Wang, Y. C., Magasi, S. S., & Gershon, R. C. (2015). Six-minute walk test versus three-minute step test for measuring functional endurance (Alternative Measures of Functional Endurance). Journal of strength and conditioning research/national strength & conditioning association, 29(11), 3240.

Bongers, B. C., Hulzebos, E. H., Van Brussel, M., & Takken, T. (2012). Pediatric norms for cardiopulmonary exercise testing. Uitgeverij BOXPress, s’-Hertogenbosch, 2(3), 30-34.

Borg, G. A. Psychophysical bases of perceived exertion (1982). Journal of medicine & Science in sports & Exercise, 14 (5), 377-381.

Cacau, L. D. A. P., Carvalho, V. O., dos Santos Pin, A., Daniel, C. R. A., Ykeda, D. S., de Carvalho, E. M., ... & de Santana-Filho, V. J. (2017). Reference Values for the 6-min Walk Distance (6MWT) in Healthy Children Aged 7 to 12 Years in Brazil: Main Results of the TC6minBRASIL Multi-Center Study. Respiratory Care.

Carson, V., Lee, E. Y., Hewitt, L., Jennings, C., Hunter, S., Kuzik, N., ... & Tremblay, M. S. (2017). Systematic review of the relationships between physical activity and health indicators in the early years (0-4 years). BMC public health, 17(5), 33-63.

Da Costa, C. H., da Silva, K. M., Maiworm, A., Raphael, Y., Parnayba, J., Da Cal, M., ... & Rufino, R. (2017). Can we use the 6-minute step test instead of the 6-minute walking test? An observational study. Physiotherapy, 103(1), 48-52.

da Costa, J. N., Arcuri, J. F., Gonçalves, I. L., Davi, S. F., Pessoa, B. V., Jamami, M., & Di Lorenzo, V. A. (2014). Reproducibility of cadence-free 6-minute step test in subjects with COPD. Respiratory care, 59(4), 538-542.

Evans, H. J., Ferrar, K. E., Smith, A. E., Parfitt, G., & Eston, R. G. (2015). A systematic review of methods to predict maximal oxygen uptake from submaximal, open circuit spirometry in healthy adults. Journal of science and medicine in sport, 18(2), 183-188.

Grosbois, J. M., Riquier, C., Chehere, B., Coquart, J., Béhal, H., Bart, F., ... & Chenivesse, C. (2016). Six-minute stepper test: a valid clinical exercise tolerance test for COPD patients. International journal of chronic obstructive pulmonary disease, 11, 657.

Lee, H. T., Roh, H. L., & Kim, Y. S. (2016). Cardiorespiratory endurance evaluation using heart rate analysis during ski simulator exercise and the Harvard step test in elementary school students. Journal of physical therapy science, 28(2), 641-645.

Machado, F. A., & Denadai, B. S. (2011). Validade das equações preditivas da frequência cardíaca máxima para crianças e adolescentes. Arquivos brasileiros de cardiologia, 97(2), 136-140.

Magalhães, M. G. S., Teixeira, J. B., Santos, A. M. B., Clímaco, D. C. S., Silva, T. N. S., & Lima, A. M. J. D. (2020). Construct validity and reproducibility of the six-minute step test in subjects with obstructive sleep apnea treated with continuous positive airway pressure. Jornal brasileiro de pneumologia, 46(3).

Maggio, A. B., Vuistiner, P., Crettenand, A., Tabin, R., Martin, X. E., Beghetti, M., ... & Deriaz, O. (2017). Adapting the" Chester step test" to predict peak oxygen uptake in children. Swiss medical weekly, 147, w14435.

Mänttäri, A., Suni, J., Sievänen, H., Husu, P., Vähä‐Ypyä, H., Valkeinen, H., ... & Vasankari, T. (2018). Six‐minute walk test: a tool for predicting maximal aerobic power (VO 2 max) in healthy adults. Clinical physiology and functional imaging, 38(6), 1038-1045.

Martins R., Gonçalves R.M., Mayer A.F., Schivinsk C.I.S. (2014). Confiabilidade e reprodutibilidade do teste de caminhada de seis minutos em crianças saudáveis. Fisioterapia & pesquisa, 21(3), 279-284.

Matsudo, S., Araújo, T., Marsudo, V., Andrade, D., Andrade, E., & Braggion, G. (2001). Questinário internacional de atividade f1sica (IPAQ): estudo de validade e reprodutibilidade no Brasil. Revista brasileira de atividade física e saúde, 05-18.

Morales-Blanhir, J. E., Palafox Vidal, C. D., Rosas Romero, M. D. J., García Castro, M. M., Londoño Villegas, A., & Zamboni, M. (2011). Six-minute walk test: a valuable tool for assessing pulmonary impairment. Jornal brasileiro de pneumologia, 37(1), 110-117.

Mylius, C. F., Paap, D., & Takken, T. (2016). Reference value for the 6-minute walk test in children and adolescents: a systematic review. Expert review of respiratory medicine, 10(12), 1335-1352.

Pessoa, B. V., Arcuri, J. F., Labadessa, I. G., Costa, J. N., Sentanin, A. C., & Di Lorenzo, V. A. P. (2014). Validity of the six-minute step test of free cadence in patients with chronic obstructive pulmonary disease. Brazilian journal of physical therapy, 18(3), 228-236.

Pianosi, P. T., Liem, R. I., McMurray, R. G., Cerny, F. J., Falk, B., & Kemper, H. C. (2017). Pediatric exercise testing: value and implications of peak oxygen uptake. Children, 4(1), 6.

Reychler, G., Audag, N., Dewulf, S., Mestre, N. M., & Caty, G. (2018). Validation of 6 min step test and 4-m gait speed in children: A randomized cross-over study. Gait & posture, 61, 19-24.

Rodrigues, S. L., Mendes, H. F., & Viegas, C. A. D. A. (2004). Teste de caminhada de seis minutos: estudo do efeito do aprendizado em portadores de doença pulmonar obstrutiva crônica. Jornal brasileiro de pneumologia, 30(2), 121-125.

Souza, A. C. D., Alexandre, N. M. C., & Guirardello, E. D. B. (2017). Propriedades psicométricas na avaliação de instrumentos: avaliação da confiabilidade e da validade. Epidemiologia e serviços de saúde, 26, 649-659.

Takken, T., Bongers, B. C., Van Brussel, M., Haapala, E. A., & Hulzebos, E. H. (2017). Cardiopulmonary exercise testing in pediatrics. Annals of the american thoracic Society, 14(Supplement 1), S123-S128.

Tanaka, H., Monahan, K. D., & Seals, D. R. (2001). Age-predicted maximal heart rate revisited. Journal of the american college of cardiology, 37(1), 153-156.

Weir, J. P. (2005). Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. The Journal of Strength & Conditioning Research, 19(1), 231-240.

Published

17/05/2021

How to Cite

SIQUEIRA, P. P. S. de .; TEIXEIRA, J. B. .; CHAVES, S. Ítalo D. .; LIMA, A. M. J. de . Construct validation and intra-rater reproducibility of the 6-minutes step test in healthy children aged 7-11 years. Research, Society and Development, [S. l.], v. 10, n. 5, p. e58210515289, 2021. DOI: 10.33448/rsd-v10i5.15289. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/15289. Acesso em: 30 jan. 2023.

Issue

Section

Health Sciences