Comparison of endurance shuttle walk test and six-minute walk test in older heart failure patients

Kelly Speight, Miles Witham, Roberta Fulton, Derek W Johnston, Chim C Lang, A D Struthers, Marion E T McMurdo

Research output: Contribution to journalMeeting Abstract

Abstract

Introduction: The endurance shuttle walk test (ESWT) is a more responsive test of exercise capacity than the 6 minute walk test (6WT) in patients with chronic lung disease and could therefore provide a useful test of exercise capacity in older heart failure patients. We tested the performance of the endurance shuttle walk test in older patients with heart failure. 
Methods: Secondary analysis of data from a randomised controlled trial of exercise training for older heart failure patients. Baseline and 8 week follow-up data from intervention and control groups were used. Data were analysed using the SPSS-17 statistical package. Baseline distances walked in the two tests were compared using Pearson correlation coefficients. Intraclass Correlation Coefficient was calculated to assess reliability in those without significant change in six minute walk distance. Cohen’s effect sizes were calculated for participants with significant improvement or worsening of walk distance between baseline and 8 weeks. 
Results: Data from 107 patients were analysed. Mean age was 80 years; 72/107 were male. Mean baseline 6WT was 266m; mean baseline ESWT was 318m. There was a significant correlation between distance walked in 6WT and distance walked in ESWT (r= 0.67, p<0.001) and the intraclass correlation coefficient for the ESWT in stable patients was 0.78. 
Conclusion: The usefulness of the ESWT is limited by non-completion and ceiling effects.In older heart failure patients, the ESWT is no more responsive to change than the six minute walk.
Original languageEnglish
Pages (from-to)ii8
Number of pages1
JournalAge and Ageing
Volume40
Issue numbersuppl 2
DOIs
Publication statusPublished - 2011
Externally publishedYes
EventBritish Geriatrics Society Spring Meeting 2011 - Liverpool, United Kingdom
Duration: 4 Apr 20116 Apr 2011

Fingerprint

Heart Failure
Exercise Test
Walk Test
Lung Diseases
Chronic Disease
Randomized Controlled Trials
Exercise
Control Groups

Cite this

Speight, K., Witham, M., Fulton, R., Johnston, D. W., Lang, C. C., Struthers, A. D., & McMurdo, M. E. T. (2011). Comparison of endurance shuttle walk test and six-minute walk test in older heart failure patients. Age and Ageing, 40(suppl 2), ii8. https://doi.org/10.1093/ageing/afr099
Speight, Kelly ; Witham, Miles ; Fulton, Roberta ; Johnston, Derek W ; Lang, Chim C ; Struthers, A D ; McMurdo, Marion E T. / Comparison of endurance shuttle walk test and six-minute walk test in older heart failure patients. In: Age and Ageing. 2011 ; Vol. 40, No. suppl 2. pp. ii8.
@article{18588b6df83a40d2bddd1fac4f7303a9,
title = "Comparison of endurance shuttle walk test and six-minute walk test in older heart failure patients",
abstract = "Introduction: The endurance shuttle walk test (ESWT) is a more responsive test of exercise capacity than the 6 minute walk test (6WT) in patients with chronic lung disease and could therefore provide a useful test of exercise capacity in older heart failure patients. We tested the performance of the endurance shuttle walk test in older patients with heart failure. Methods: Secondary analysis of data from a randomised controlled trial of exercise training for older heart failure patients. Baseline and 8 week follow-up data from intervention and control groups were used. Data were analysed using the SPSS-17 statistical package. Baseline distances walked in the two tests were compared using Pearson correlation coefficients. Intraclass Correlation Coefficient was calculated to assess reliability in those without significant change in six minute walk distance. Cohen’s effect sizes were calculated for participants with significant improvement or worsening of walk distance between baseline and 8 weeks. Results: Data from 107 patients were analysed. Mean age was 80 years; 72/107 were male. Mean baseline 6WT was 266m; mean baseline ESWT was 318m. There was a significant correlation between distance walked in 6WT and distance walked in ESWT (r= 0.67, p<0.001) and the intraclass correlation coefficient for the ESWT in stable patients was 0.78. Conclusion: The usefulness of the ESWT is limited by non-completion and ceiling effects.In older heart failure patients, the ESWT is no more responsive to change than the six minute walk.",
author = "Kelly Speight and Miles Witham and Roberta Fulton and Johnston, {Derek W} and Lang, {Chim C} and Struthers, {A D} and McMurdo, {Marion E T}",
year = "2011",
doi = "10.1093/ageing/afr099",
language = "English",
volume = "40",
pages = "ii8",
journal = "Age and Ageing",
issn = "0002-0729",
publisher = "Oxford University Press",
number = "suppl 2",

}

Speight, K, Witham, M, Fulton, R, Johnston, DW, Lang, CC, Struthers, AD & McMurdo, MET 2011, 'Comparison of endurance shuttle walk test and six-minute walk test in older heart failure patients', Age and Ageing, vol. 40, no. suppl 2, pp. ii8. https://doi.org/10.1093/ageing/afr099

Comparison of endurance shuttle walk test and six-minute walk test in older heart failure patients. / Speight, Kelly; Witham, Miles; Fulton, Roberta; Johnston, Derek W; Lang, Chim C; Struthers, A D; McMurdo, Marion E T.

In: Age and Ageing, Vol. 40, No. suppl 2, 2011, p. ii8.

Research output: Contribution to journalMeeting Abstract

TY - JOUR

T1 - Comparison of endurance shuttle walk test and six-minute walk test in older heart failure patients

AU - Speight, Kelly

AU - Witham, Miles

AU - Fulton, Roberta

AU - Johnston, Derek W

AU - Lang, Chim C

AU - Struthers, A D

AU - McMurdo, Marion E T

PY - 2011

Y1 - 2011

N2 - Introduction: The endurance shuttle walk test (ESWT) is a more responsive test of exercise capacity than the 6 minute walk test (6WT) in patients with chronic lung disease and could therefore provide a useful test of exercise capacity in older heart failure patients. We tested the performance of the endurance shuttle walk test in older patients with heart failure. Methods: Secondary analysis of data from a randomised controlled trial of exercise training for older heart failure patients. Baseline and 8 week follow-up data from intervention and control groups were used. Data were analysed using the SPSS-17 statistical package. Baseline distances walked in the two tests were compared using Pearson correlation coefficients. Intraclass Correlation Coefficient was calculated to assess reliability in those without significant change in six minute walk distance. Cohen’s effect sizes were calculated for participants with significant improvement or worsening of walk distance between baseline and 8 weeks. Results: Data from 107 patients were analysed. Mean age was 80 years; 72/107 were male. Mean baseline 6WT was 266m; mean baseline ESWT was 318m. There was a significant correlation between distance walked in 6WT and distance walked in ESWT (r= 0.67, p<0.001) and the intraclass correlation coefficient for the ESWT in stable patients was 0.78. Conclusion: The usefulness of the ESWT is limited by non-completion and ceiling effects.In older heart failure patients, the ESWT is no more responsive to change than the six minute walk.

AB - Introduction: The endurance shuttle walk test (ESWT) is a more responsive test of exercise capacity than the 6 minute walk test (6WT) in patients with chronic lung disease and could therefore provide a useful test of exercise capacity in older heart failure patients. We tested the performance of the endurance shuttle walk test in older patients with heart failure. Methods: Secondary analysis of data from a randomised controlled trial of exercise training for older heart failure patients. Baseline and 8 week follow-up data from intervention and control groups were used. Data were analysed using the SPSS-17 statistical package. Baseline distances walked in the two tests were compared using Pearson correlation coefficients. Intraclass Correlation Coefficient was calculated to assess reliability in those without significant change in six minute walk distance. Cohen’s effect sizes were calculated for participants with significant improvement or worsening of walk distance between baseline and 8 weeks. Results: Data from 107 patients were analysed. Mean age was 80 years; 72/107 were male. Mean baseline 6WT was 266m; mean baseline ESWT was 318m. There was a significant correlation between distance walked in 6WT and distance walked in ESWT (r= 0.67, p<0.001) and the intraclass correlation coefficient for the ESWT in stable patients was 0.78. Conclusion: The usefulness of the ESWT is limited by non-completion and ceiling effects.In older heart failure patients, the ESWT is no more responsive to change than the six minute walk.

U2 - 10.1093/ageing/afr099

DO - 10.1093/ageing/afr099

M3 - Meeting Abstract

VL - 40

SP - ii8

JO - Age and Ageing

JF - Age and Ageing

SN - 0002-0729

IS - suppl 2

ER -