Concurrent validity and intra-rater reliability of the Glittre ADL-Test in obstructive sleep apnea
DOI:
https://doi.org/10.33233/rbfex.v20i3.4244Keywords:
obstructive sleep apnea; exercise tolerance; exercise testAbstract
Objective: To evaluate the concurrent validity and intrarater reliability of the Glittre-ADL test to determine exercise capacity in subjects with obstructive sleep apnea (OSA). Methods: Twenty-two (22) subjects with mild to severe OSA (50.7 ± 11.2 years, 32.0 ± 4.0 kg/m2) performed the Glittre-ADL test and the cardiopulmonary exercise testing (CPET). The tests were carried out in two different days, twice a day, and the order was determined by randomization. Results: The maximum HR (HRmax) in the Glittre-ADL test was 130.6 ± 13.3 bpm. Regarding the variables related to CPET, the volunteers had values of maximal oxygen consumption (VO2max) of 25.4 ± 5.3 ml/kg/min, VO2 on the first threshold of 19.4 ± 3.9 ml/kg/min and maximum HR of 161.3 ± 15.2 bpm. A moderate negative correlation was found between the Glittre-ADL test performance time and VO2max (r = -0.424; p = 0.049). Excellent agreement and consistency between measurements was observed in analyzing the test-retest reliability of the total performance time of the Glittre-ADL test (intraclass correlation coefficient (ICC) = 0.865, 95% CI: 0.379-0.965 (p ≤ 0.0001). Conclusion: According to the results of the present study, Glittre-ADL test is reliable and valid for evaluating functional exercise capacity in patients with moderate and severe OSA. Furthermore, it also could be considered as a submaximal clinical exercise tolerance test for this population.
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