Author/Authors :
Costa, Henrique Silveira School of Medicine - Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil , Alves, Rafael Leite School of Medicine - Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil , Silva, Stela Alves da School of Medicine - Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil , Alencar, Maria Clara Noman School of Medicine - Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil , Nunes, Maria do Carmo Pereira School of Medicine - Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil , Lima, Márcia Maria Oliveria Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais, Brazil , Rocha, Manoel Otávio da Costa School of Medicine - Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
Abstract :
Background: The cardiopulmonary exercise test (CPET) is considered to be the gold standard to evaluate functional capacity (FC) in patients with heart failure. However, field tests such as the 6‑min walk test (6MWT)
and the incremental shuttle walk test (ISWT) are simple and effective in evaluating the same. Despite the increasing use of ISWT, no studies that used the test in patients with Chagas heart disease (CHD) were found and only few studies have evaluated the health‑related quality‑of‑life (HRQoL) in this population. The objective of this study was to correlate the distance walked in the ISWT with distance walked by 6MWT and peak oxygen uptake (VO2peak) by CPET and HRQoL in patients with CHD.
Methods: A total of 35 patients with CHD were evaluated according to the FC and HRQoL. The FC was assessed by CPET, 6MWT and ISWT. HRQoL was assessed by the generic short‑form health survey (SF‑36) and Minnesota Living with Heart Failure Questionnaire (MLHFQ). Descriptive data were shown as mean and standard deviation or median and interquartile range. The correlation was carried out with Pearson or Spearman correlation test. A receiver operating characteristic (ROC) curve was constructed to investigate the accuracy of ISWT for predicting low values of VO2peak.
Results: The distance walked in ISWT correlated with VO2peak (r = 0.587; P < 0.001), distance walked in 6MWT (r = 0.484; P = 0.003), MLWHFQ scores (r = −0.460; P = 0.006) and physical functioning and role physical domains of the SF‑36 scores (r = 0.435, P = 0.009; r = 0.477, P = 0.008, respectively). There was no significant difference between the distances walked in field tests (P = 0.694). The area under the ROC curve was 0.871 for ISWT in predicts a VO2peak value of, at least, 25 mL/kg/min.
Conclusions: The ISWT showed to be effective in evaluating the FC in CHD and in demonstrate the impact of disease on some aspects of the HRQoL of these patients.
Keywords :
6‑min walk test , cardiopulmonary exercise test , chagas heart disease , functional capacity , health‑related quality‑of‑life , incremental shuttle walk test
