Measurement properties of the Timed Up & Go test in patients with COPD
Rafael Mesquita,Sarah Wilke,Dionne E. Smid,Daisy J.A. Janssen,Frits M.E. Franssen,Vanessa S. Probst,Emiel F.M. Wouters,Johannes Muris,Fabio Pitta,Martijn A. Spruit +9 more
TLDR
The TUG is valid and responsive in COPD and an abnormal result is indicative of poor health outcomes, demonstrating known-groups validity.Abstract:
We aimed to investigate the construct validity of the Timed Up & Go (TUG) test in chronic obstructive pulmonary disease (COPD), to identify characteristics related to an abnormal TUG time and to examine the responsiveness of the TUG to pulmonary rehabilitation (PR). TUG time was assessed before and after comprehensive PR in 500 COPD patients, and compared cross-sectionally in 100 non-COPD subjects. Physical health outcomes, mental health outcomes, symptom-related outcomes and multidimensional indices were assessed in COPD patients only. Good convergent and discriminant validity was demonstrated by fair-to-moderate correlation with physical health outcomes, symptom-related outcomes and multidimensional indices ( rs = 0.18-0.70) and by little correlation with mental health outcomes ( rs = 0.21-0.26). COPD patients had a worse TUG time than non-COPD subjects, demonstrating known-groups validity. A TUG time of 11.2 seconds had good sensitivity (0.75) and specificity (0.83) for identifying patients with a baseline 6-minute walk distance <350 m. TUG time improved after PR ( p < 0.0001) and a change of 0.9-1.4 seconds was identified as clinically important. The TUG is valid and responsive in COPD. An abnormal result is indicative of poor health outcomes. This simple test provides valuable information and can be adopted in clinical and research settings.read more
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Sarcopenia in COPD: a systematic review and meta-analysis.
Elizabeth Benz,Katerina Trajanoska,Lies Lahousse,Lies Lahousse,Josje D. Schoufour,Natalie Terzikhan,Natalie Terzikhan,Emmely W. de Roos,Emmely W. de Roos,Gerdien B. de Jonge,Ross Williams,Oscar H. Franco,Oscar H. Franco,Guy Brusselle,Guy Brusselle,Fernando Rivadeneira +15 more
TL;DR: A high prevalence of sarcopenia is confirmed in patients with COPD, with varying prevalence across population settings, and adhering to the sarc Openia consensus criteria is recommended to systematically evaluate the muscle health of COPD patients.
Journal ArticleDOI
Changes in physical activity and sedentary behaviour following pulmonary rehabilitation in patients with COPD
Rafael Mesquita,Kenneth Meijer,Fabio Pitta,Helena Azcuna,Yvonne M J Goërtz,Johannes M.N. Essers,Emiel F.M. Wouters,Martijn A. Spruit +7 more
TL;DR: Focusing on light physical activities might be a potential strategy to make patients less sedentary, but for this to be achieved prior (or at least parallel) improvements in functional capacity seem to be necessary.
Journal ArticleDOI
Home-based or remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: A rapid review.
Anne E Holland,Carla Malaguti,Mariana Hoffman,Aroub Lahham,Angela T Burge,Leona M. Dowman,Anthony K. May,Anthony K. May,Janet Bondarenko,Marnie Graco,Gabriella Tikellis,Joanna Y T Lee,Narelle S Cox +12 more
TL;DR: The STS, step and TUG tests can be performed at home, but do not accurately document desaturation with walking or allow exercise prescription, and patients at risk of desaturation should be prioritised for centre-based exercise testing when this is available.
Journal ArticleDOI
Activity Levels and Exercise Motivation in Patients With COPD and Their Resident Loved Ones.
Rafael Mesquita,Nienke Nakken,Daisy J.A. Janssen,Esther H.A. van den Bogaart,Jeannet M. Delbressine,Johannes M.N. Essers,Kenneth Meijer,Monique van Vliet,Geeuwke J. de Vries,Jean W M Muris,Fabio Pitta,Emiel F.M. Wouters,Martijn A. Spruit +12 more
TL;DR: Patients with COPD are more physically inactive and sedentary than their loved ones, despite relatively similar exercise motivation, Nevertheless, patients with an active loved one are more active themselves and have a higher likelihood of being active.
Posted ContentDOI
Home-based and remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: a rapid review
Anne E Holland,Carla Malaguti,Mariana Hoffman,Aroub Lahham,Angela T Burge,Leona M. Dowman,Anthony K. May,Janet Bondarenko,Marnie Graco,Gabriella Tikellis,Joanna Y T Lee,Narelle S Cox +11 more
TL;DR: The STS, step and TUG tests can be performed at home, but do not accurately document desaturation with walking or allow exercise prescription, and patients at risk of desaturation should be prioritised for centre-based exercise testing when this is available.
References
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Journal ArticleDOI
Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary.
Jørgen Vestbo,Suzanne S. Hurd,Alvar Agusti,Paul W. Jones,Claus Vogelmeier,Antonio Anzueto,Peter J. Barnes,Leonardo M. Fabbri,Fernando J. Martinez,Masaharu Nishimura,Robert A. Stockley,Don D. Sin,Roberto Rodriguez-Roisin +12 more
TL;DR: It is recommended that spirometry is required for the clinical diagnosis of COPD to avoid misdiagnosis and to ensure proper evaluation of severity of airflow limitation.
Journal ArticleDOI
The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons
TL;DR: This study evaluated a modified, timed version of the “Get‐Up and Go” Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital and suggested that the timed “Up & Go’ test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time.
Journal ArticleDOI
Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM.
TL;DR: In this review, the basics of classic reliability theory are addressed in the context of choosing and interpreting an ICC and how the SEM and its variants can be used to construct confidence intervals for individual scores and to determine the minimal difference needed to be exhibited for one to be confident that a true change in performance of an individual has occurred.
Journal ArticleDOI
Measuring change over time: assessing the usefulness of evaluative instruments.
TL;DR: Responsiveness should join reliability and validity as necessary requirements for instruments designed primarily to measure change over time in psychometric measures.
Journal ArticleDOI
Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes.
TL;DR: It is recommended that the MID is based primarily on relevant patient-based and clinical anchors, with clinical trial experience used to further inform understanding of MID.
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