炎症性肠病健康相关体能的筛查工具和现场测试的标准有效性。

IF 2.5 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Digestive Diseases and Sciences Pub Date : 2024-10-19 DOI:10.1007/s10620-024-08682-5
Karlijn Demers, Bart C Bongers, Sander M J van Kuijk, Guy Plasqui, Daisy M A E Jonkers, Marieke J Pierik, Laurents P S Stassen
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引用次数: 0

摘要

背景:监测健康相关体能(HRPF)可能有利于炎症性肠病(IBD)的前瞻性管理。目的:本研究评估了筛查工具和现场测试与 IBD 患者健康相关体适能金标准测试相比的标准有效性:成年 IBD 患者完成了筛查工具、现场测试和 HRPF 黄金标准测试。通过(类内)相关系数和 Bland-Altman 图检验标准有效性。筛查工具的预测能力通过接收器工作曲线分析进行检验:结果:在纳入的 53 名患者中,与心肺功能测试(CPET)相比,筛查工具对心肺功能的有效性较差到中等。四点皮褶厚度和多频生物阻抗分析(BIA)与氧化氘稀释法(ICC = 0.90,ICC = 0.93)在体脂率方面有很强的相关性,陡坡道测试与 CPET(r = 0.95)在心肺功能方面也有很强的相关性。陡坡道测试还与等速股四头肌力量(r > 0.75)和腘绳肌力量(r > 0.74)密切相关。手持测力和坐立测试与腘绳肌力量有很强的相关性(r > 0.80,r > 0.76)。与等速股四头肌和腘绳肌耐力相比,现场测试的相关性微乎其微:结论:四点皮褶厚度和 BIA 与体脂测量的黄金标准显示出良好的一致性。陡坡道测试与心肺功能、股四头肌和腿筋力量的金标准测试有很强的相关性,而手持测力计和坐立测试与腿筋力量有很强的相关性。
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Criterion Validity of Screening Tools and Field-Based Tests for Health-Related Physical Fitness in Inflammatory Bowel Disease.

Background: Monitoring health-related physical fitness (HRPF) may benefit proactive Inflammatory Bowel Disease (IBD) management. However, knowledge regarding HRPF in patients with IBD is limited and gold standard tests are impractical for widespread use, necessitating simpler methods.

Aim: This study evaluated the criterion validity of screening tools and field-based tests compared to gold standard tests for HRPF in patients with IBD.

Methods: Adult patients with IBD completed screening tools, field-based tests, and gold standard tests for HRPF. Criterion validity was examined through (intraclass) correlation coefficients and Bland-Altman plots. Predictive capacity of the screening tools was examined with receiver operating curve analysis.

Results: Among 53 included patients, screening tools demonstrated poor-to-moderate validity compared to the cardiopulmonary exercise test (CPET) for cardiorespiratory fitness. Very strong correlations were found for four-site skinfold thickness and multi-frequency bioimpedance analysis (BIA) with deuterium oxide dilution for body fat percentage (ICC = 0.90, ICC = 0.93), and between the steep ramp test and CPET (r = 0.95) for cardiorespiratory fitness. The steep ramp test also correlated strongly with isokinetic quadriceps (r > 0.75) and hamstring (r > 0.74) strength. Hand-held dynamometry and the sit-to-stand test showed strong correlations with hamstring strength (r > 0.80, r > 0.76). Negligible correlations were found for field-based tests compared to isokinetic quadriceps and hamstring endurance.

Conclusions: Four-site skinfold thickness and BIA showed good agreement with the gold standard for body fat measurement. The steep ramp test demonstrated strong correlations with the gold standard tests for cardiorespiratory fitness and quadriceps and hamstring strength, while hand-held dynamometry and the sit-to-stand test showed strong correlations with hamstring strength.

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来源期刊
Digestive Diseases and Sciences
Digestive Diseases and Sciences 医学-胃肠肝病学
CiteScore
6.40
自引率
3.20%
发文量
420
审稿时长
1 months
期刊介绍: Digestive Diseases and Sciences publishes high-quality, peer-reviewed, original papers addressing aspects of basic/translational and clinical research in gastroenterology, hepatology, and related fields. This well-illustrated journal features comprehensive coverage of basic pathophysiology, new technological advances, and clinical breakthroughs; insights from prominent academicians and practitioners concerning new scientific developments and practical medical issues; and discussions focusing on the latest changes in local and worldwide social, economic, and governmental policies that affect the delivery of care within the disciplines of gastroenterology and hepatology.
期刊最新文献
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