Maximum heart rate prediction equations based on field-tests with adequate clinical applicability for aerobic exercise prescription to individuals after stroke.

IF 2.1 4区 医学 Q1 REHABILITATION Disability and Rehabilitation Pub Date : 2024-10-24 DOI:10.1080/09638288.2024.2417034
Maria Teresa Ferreira Dos Reis, Larissa Tavares Aguiar, Paula da Cruz Peniche, Christina Danielli Coelho de Morais Faria
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Abstract

Objectives: 1) to develop two maximum heart rate (HRmax) prediction equations for individuals after stroke; 2) to investigate its validity.

Methods: The HRmax was obtained by a Cardiopulmonary Exercise Test (CPET). Participants also completed the Six-minute Walking Test (6MWT) and the Incremental Shuttle Walking Test (ISWT).

Results: 60 individuals (54(12) years; 64(69) months after stroke) were included. Twenty individuals (58(10) years; 67(61) months after stroke) were included in the cross-validation group. For the first model, the following equation was generated (equation-1): HRmax= 87.655 + 0.726 (HRpeak in the 6MWT) - 0.386 (age in years), (R2=0.53; Standard Error of the Estimate (SEE)= 15.35; p < 0.0001). For the second model, the following equation was generated (equation-2): HRmax= 96.523 + 0.681 (HRpeak in the ISWT) - 0.039 (walking distance in meters in the ISWT) - 0.400 (age in years), (R2=0.53; SEE = 15.51; p < 0.0001). Significant and high magnitude agreement was found between the HRmax obtained by the CPET and the predicted HRmax by equation-1 (ICC= 0.85; 95% CI= 0.63 - 0.94) and equation-2 (ICC= 0.72; 95% CI= 0.29 - 0.89).

Conclusions: Two HRmax prediction equations have been developed and showed adequate validity. Professionals will have the option of choosing one of the two equations to use.

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基于现场测试的最大心率预测方程,对脑卒中患者的有氧运动处方具有充分的临床适用性。
目的1)为中风后的患者制定两个最大心率(HRmax)预测方程;2)研究其有效性:方法:通过心肺运动测试(CPET)获得最大心率。方法:通过心肺运动测试(CPET)获得心率最大值,参与者还完成了六分钟步行测试(6MWT)和增量穿梭步行测试(ISWT):结果:共纳入 60 人(54(12)岁;中风后 64(69)个月)。交叉验证组包括 20 人(58(10)岁;中风后 67(61)个月)。第一个模型的公式如下(公式-1):HRmax= 87.655 + 0.726(6MWT 中的 HR 峰值)- 0.386(年龄(岁)),(R2=0.53;估计标准误差(SEE)= 15.35;p max= 96.523 + 0.681(ISWT 中的 HR 峰值)- 0.039(ISWT 中的步行距离(米))- 0.400(年龄(岁)),(R2=0.53;SEE=15.51;CPET 得出的 p max 与方程-1(ICC=0.85;95% CI=0.63-0.94)和方程-2(ICC=0.72;95% CI=0.29-0.89)预测的 HRmax:结论:已开发出两种心率最大值预测方程,并显示出足够的有效性。结论:已开发出两个心率最大值预测方程,并显示出足够的有效性,专业人员可从两个方程中选择一个使用。
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来源期刊
Disability and Rehabilitation
Disability and Rehabilitation 医学-康复医学
CiteScore
5.00
自引率
9.10%
发文量
415
审稿时长
3-6 weeks
期刊介绍: Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.
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