Shuttle walking test in obese women: test-retest reliability and concurrent validity with peak oxygen uptake

Clin Physiol Funct Imaging. 2015 Mar;35(2):120-6. doi: 10.1111/cpf.12135. Epub 2014 Mar 3.

Abstract

Objective: The aim of this study was to evaluate the test-retest reliability, concurrent validity and agreement with peak oxygen uptake (VO2 ) obtained during cardiopulmonary exercise testing (CPX) on a treadmill for the incremental shuttle walking test (ISWT) in obese women.

Methods: Prospective study with a convenient sample of 46 community-dwelling obese women (BMI > 30 kg m(-2) ). The main outcome measures were walking distance on the ISWT and peak VO2 .

Results: Test-retest reliability was good to excellent for the exercise tests (ISWT distance ICC: 0.90; and CPX peak VO2 ICC: 0.90). Peak VO2 obtained during CPX correlated significantly with ISWT distance (r = 0.54, P<0.05) and peak VO2 obtained during the ISWT (r = 0.64, P<0.05). Bland and Altman plots demonstrated a high degree of repeatability.

Conclusion: The ISWT had excellent reliability as well as good concurrent validity and agreement. The ISWT may be a potential tool for monitoring clinical status and intervention efficacy (e.g. programmes for weight loss and rehabilitative strategies) in this population.

Keywords: cardiopulmonary response; metabolic stress; obesity; oxygen uptake; physical capacity; submaximal exercise testing; women.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Exercise Test / methods*
  • Exercise Tolerance*
  • Female
  • Humans
  • Middle Aged
  • Obesity / diagnosis*
  • Obesity / physiopathology*
  • Oxygen Consumption*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Walking*
  • Young Adult