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Timed up and go test associated and may predict peak vo2
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Abstract
Funding Acknowledgements
Type of funding sources: None. Main funding source(s): No funding.
Background
the Timed Up And Go test (TUG) is a form of mobility and functional capacity evaluation, but is still not well studied in cardiac patients.
Objective
test TUG association and prediction capacity for peak VO2.
Methods
cross sectional study. Patients with cardiophaties, admitted to a cardiac rehabilitation facility, who were submitted to TUG and a cardiopulmonary exercise test (CPET). Pearson correlation, multiple linear regression, ROC curves and Bland-Altman analysis were applied. From the total 2/3 were designated to the creation and 1/3 to the validation population. A p value < 0.05 was admitted as significant.
Results
201 patients, mean age of 67±13 years, 30% were female, 70% had ischaemic cardiopathy. Heart failure was present in 30%, 53% were NYHA I, 37% NYHA II, the mean left ventricle ejection fraction was 56±16%. Mean peak VO2 was 17±6 ml.kg-1.min-1 and mean TUG was 7±2.5 seconds (s). The correlation between TUG and peak VO2 was: r= -0.53 (IC95%= -0.62 -0.42; p<0.001) with a R² of 0.28. The AUC to predict a peak VO2 ≥20 ml.kg-1.min-1 based on TUG was 0.80 (IC95% 0.74-0.86; p<0.001) and the best cut point ≤5.47s (sensitivity 83% and specificity 63%). Based in 134 patients (2/3 of the total), the following equation was described to peak VO2 prediction based in TUG results: peak VO2= 33.553+ (-0.149*age) + (-0.738*TUG) + (-2.870*sex); male=0, female=1. In the validation population (1/3 of the total), the peak VO2 estimated by TUG was 18.8±3.2 ml.kg-1.min-1 and the CPET measured was 18.1±5.9 ml.kg-1.min-1 (p > 0.05).
Conclusion
TUG and peak VO 2 were moderately but significantly associated. A equation to predict peak VO2 based on TUG was described and validated with good performance. Achieving 5.47s or less in TUG was related levels of peak VO2 that are related to better prognosis.
Oxford University Press (OUP)
Title: Timed up and go test associated and may predict peak vo2
Description:
Abstract
Funding Acknowledgements
Type of funding sources: None.
Main funding source(s): No funding.
Background
the Timed Up And Go test (TUG) is a form of mobility and functional capacity evaluation, but is still not well studied in cardiac patients.
Objective
test TUG association and prediction capacity for peak VO2.
Methods
cross sectional study.
Patients with cardiophaties, admitted to a cardiac rehabilitation facility, who were submitted to TUG and a cardiopulmonary exercise test (CPET).
Pearson correlation, multiple linear regression, ROC curves and Bland-Altman analysis were applied.
From the total 2/3 were designated to the creation and 1/3 to the validation population.
A p value < 0.
05 was admitted as significant.
Results
201 patients, mean age of 67±13 years, 30% were female, 70% had ischaemic cardiopathy.
Heart failure was present in 30%, 53% were NYHA I, 37% NYHA II, the mean left ventricle ejection fraction was 56±16%.
Mean peak VO2 was 17±6 ml.
kg-1.
min-1 and mean TUG was 7±2.
5 seconds (s).
The correlation between TUG and peak VO2 was: r= -0.
53 (IC95%= -0.
62 -0.
42; p<0.
001) with a R² of 0.
28.
The AUC to predict a peak VO2 ≥20 ml.
kg-1.
min-1 based on TUG was 0.
80 (IC95% 0.
74-0.
86; p<0.
001) and the best cut point ≤5.
47s (sensitivity 83% and specificity 63%).
Based in 134 patients (2/3 of the total), the following equation was described to peak VO2 prediction based in TUG results: peak VO2= 33.
553+ (-0.
149*age) + (-0.
738*TUG) + (-2.
870*sex); male=0, female=1.
In the validation population (1/3 of the total), the peak VO2 estimated by TUG was 18.
8±3.
2 ml.
kg-1.
min-1 and the CPET measured was 18.
1±5.
9 ml.
kg-1.
min-1 (p > 0.
05).
Conclusion
TUG and peak VO 2 were moderately but significantly associated.
A equation to predict peak VO2 based on TUG was described and validated with good performance.
Achieving 5.
47s or less in TUG was related levels of peak VO2 that are related to better prognosis.
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