4. CARDIORESPIRATORY RESPONSE DURING THE 1-MIN SIT TO STAND TEST IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Le Phi Hao1, Nguyen Thi Thu Hang1
1 Hai Duong Medical Technical University

Main Article Content

Abstract

Objective: Describe the changes in cardiovascular and respiratory indices during the 1-minute sit-to-stand test in patients with chronic obstructive pulmonary disease.


Subjects and methods: Cross-sectional study of 122 patients with stable chronic obstructive pulmonary disease. Each participant performed two 1-minute sit-to-stand test tests 30 minutes to 1 hour apart. The measurements recorded during the second test were included in the data analysis. Peripheral oxygen saturation (SpO2) and heart rate were measured using a finger pulse oximeter and the difference between the baseline (before the start of the test) and the final (at the end of the test) values was calculated. Exercise-induced desaturation was considered whenever a decrease in SpO2 of ≥ 4% occurred. Dyspnea was assessed immediately after each test using a modified Borg scale.


Results: After the test, the mean heart rate change was 14.3 ± 3.6 beats, with severe patients having a slightly greater heart rate change than mild patients (difference 1.7 ± 0.7; p = 0.01). Oxygen saturation decreased significantly in the severe group and to a greater extent than in the mild group, p < 0.001.


Conclusions: The 1-minute sit-to-stand test causes less hemodynamic stress for patients with chronic obstructive pulmonary disease.

Article Details

References

[1] Holland A.E, Spruit M.A, Troosters T, Puhan M.A, Pepin V, Saey D, Singh S.J. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. J European Respiratory Journal, 2014, 44 (6), 1428-1446. doi:10.1183/09031936.00150314
[2] Pollock A, Gray C, Culham E, Durward B.R, Langhorne P. Interventions for improving sit-to-stand ability following stroke. The Cochrane database of systematic reviews, May 26 2014, 2014 (5): Cd007232. doi:10.1002/14651858.CD007232.pub4
[3] Bohannon R.W, Crouch R. 1-minute sit-to-stand test: Systematic review of procedures, performance, and clinimetric properties. J Cardiopulm Rehabil Prev, Jan 2019, 39 (1): 2-8. doi:10.1097/hcr.0000000000000336
[4] Ozalevlia S, Ozden A, Itil O, Akkoclu A. Comparison of the sit-to-stand test with 6 min walk test in patients with chronic obstructive pulmonary disease. Respiratory medicine, 2007, 101 (2): 286-293.
[5] Reychler G, Boucard E, Peran L et al. One minute sit-to-stand test is an alternative to 6MWT to measure functional exercise performance in COPD patients. Clin Respir J, Mar 2018, 12 (3): 1247-1256. doi:10.1111/crj.126584
[6] Gephine S, Bergeron S, Tremblay Labrecque P.F, Mucci P, Saey D, Maltais F. Cardiorespiratory Response during the 1-min sit-to-stand test in chronic obstructive pulmonary disease. Med Sci Sports Exerc, Jul 2020, 52 7): 1441-1448.
[7] Morita A.A, Bisca G.W, Machado F.V.C, Hernandes N.A, Pitta F, Probst V.S. Best Protocol for the sit-to-stand test in subjects with COPD. Respir Care, Aug 2018, 63 (8): 1040-1049. doi:10.4187/respcare.05100
[8] Fernandes A.L, Neves I, Luís G et al. Is the 1-minute sit-to-stand test a good tool to evaluate exertional oxygen desaturation in chronic obstructive pulmonary disease? Diagnostics, 2021, 11 (2): 159. doi:10.1249/mss.0000000000002276