Highlights
- •The Human Activity Profile (HAP) is a clinically applicable way to provide VO2peak.
- •The HAP questionnaire is used to provide a valid value of VO2peak (in mL/kg−1/min−1).
- •The HAP demonstrated adequate validity to assess exercise capacity.
- •The HAP can be used to assess cardiorespiratory fitness when cardiopulmonary exercise testing cannot be performed.
Abstract
Objective
To investigate the concurrent validity of the Human Activity Profile (HAP) in individuals
after stroke to provide the peak oxygen uptake (V̇o2peak) and the construct validity of the HAP to assess exercise capacity, and to provide
equations based on the HAP outcomes to estimate the distance covered in the Incremental
Shuttle Walking Test (ISWT).
Design
Cross-sectional study.
Setting
University laboratory.
Participants
Individuals (N=57) aged 54±11 years who have experienced stroke.
Intervention
Not applicable.
Main Outcome Measures
Agreement between the V̇o2peak provided by the HAP (lifestyle energy consumption [LEC] outcome, in mL/kg−1/min−1) and the criterion standard measure of the V̇o2peak (mL/kg−1/min−1), obtained through the symptom-limited Cardiopulmonary Exercise Test (CPET). Correlation
between the HAP outcomes (LEC, maximum activity score [MAS], and adjusted activity
score [AAS]) and the construct measure: the distance covered (in meters) in the ISWT.
An equation to estimate the distance covered in the ISWT was determined.
Results
High magnitude agreement was found between the V̇o2peak, in mL/kg−1/min−1, obtained by the symptom-limited CPET and the value of V̇o2peak, in mL/kg−1/min−1, provided by the HAP (LEC) (intraclass correlation coefficient, 0.75; P<.001). Low to moderate magnitude correlations were found between the distance covered
in the ISWT and the HAP (LEC/MAS/AAS) (0.34≤ρ≤0.58). The equation to estimate the
distance covered in the ISWT explained 31% of the variability of the ISWT (ISWTestimated, –361.91+(9.646xAAS)).
Conclusion
The HAP questionnaire is a clinically applicable way to provide a valid value of V̇o2peak (in mL/kg−1/min−1) and to assess the exercise capacity of individuals after stroke. Furthermore, an
equation to estimate the distance covered in the submaximal field exercise test (ISWT)
based on the result of the AAS (in points) was provided.
Keywords
List of abbreviations:
6MWT (6-minute walking test), AAS (adjusted activity score), CPET (cardiopulmonary exercise testing), HAP (Human Activity Profile), ISWT (incremental shuttle walk test), LEC (lifestyle energy consumption), MAS (maximum activity score), RER (respiratory exchange ratio), V̇o2peak (peak oxygen uptake)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 27, 2022
Accepted:
January 2,
2022
Received in revised form:
November 18,
2021
Received:
June 17,
2021
Footnotes
Supported by the Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES-Finance code 001), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ), and Pró-reitoria de Pesquisa da Universidade Federal de Minas Gerais (PRPq/UFMG).
Disclosures: none.
Identification
Copyright
© 2022 by the American Congress of Rehabilitation Medicine.
