Correlation of Sit-to-Stand Test and 6-Minute Walk Test to Illustrate Cardiorespiratory Fitness in Systolic Heart Failure Patients

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Ivan Triangto, Aulia Syavitri Dhamayanti, Made Suariastawa Putra, Djoko Witjaksono, Rahmad, Lilik Zuhriyah, Yoga Waranugraha

2025 Annals of Rehabilitation Medicine Vol. 49 Issue 1 Article Cited by 5 Quartile

Abstract

Objective: To prove 5-time sit-to-stand (5-STS) and 30-second sit-to-stand (30sSTS) tests in assessing cardiorespiratory fitness in chronic heart failure (HF) patients with systolic dysfunction. Alternative tests, such as 5-STS and 30sSTS, may be used to assess cardiorespiratory fitness in patients with HF but have not been thoroughly evaluated. Thus, this study aimed to prove 5-STS and 30sSTS tests in assessing cardiorespiratory fitness in chronic HF patients with systolic dysfunction. Methods: A cross-sectional study was done, evaluating chronic HF patients with systolic dysfunction that have received optimal guideline directed medical treatment for at least 3 months. All patients underwent the same intervention on the same day, starting with an initial 5-STS test, followed by a 30sSTS, and a 6-minute walk test (6MWT). Results: A total of 34 patients were enrolled in this study. The median left ventricular ejection fraction was 44% (interquartile range=34%–48%). Mean values of 5-STS, 30sSTS, and 6MWT were 13.90±4.72, 13.29±3.38, and 463.65±87.04, respectively. 5-STS showed moderate correlation with 6MWT (r=-0.436, p=0.01). However, the 30sSTS revealed strong correlation with 6MWT (r=0.629, p<0.001). Conclusion: The 30sSTS test had strong correlation with 6MWT. It could be used to illustrate cardiorespiratory fitness in chronic HF patients with systolic dysfunction. © 2025 by Korean Academy of Rehabilitation Medicine

Affiliations

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia; Department of Physical Medicine and Rehabilitation, Mitra Keluarga Kemayoran, Jakarta, Indonesia; Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Muhammadiyah Malang, Malang, Indonesia; Department of Physical Medicine and Rehabilitation, Premagana Hospital, Bali, Indonesia; Department of Public Health, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia; Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia