Literature DB >> 31040514

Developing and Validating a Step Test of Aerobic Fitness among Elementary School Children.

Rebecca M Hayes1, Dylan Maldonado2, Tyler Gossett3, Terry Shepherd3, Saurabh P Mehta4, Susan L Flesher5.   

Abstract

Purpose: The tests to estimate aerobic fitness among children require substantial space and maximum effort, which is often difficult for children. We developed a simple submaximal step test (Step Test of Endurance for Pediatrics, or STEP) and assessed its reliability, validity, and ability to estimate aerobic fitness among elementary school children. Method: Children aged 5-10 years completed the STEP with a protocol consisting of 0.1-, 0.2-, and 0.3-metre (4, 8, and 12 in.) step heights. Participants underwent treadmill testing with open circuit spirometry to determine actual maximal oxygen consumption (V̇o2max). Intra-class correlation coefficients (ICCs) assessed test-retest reliability of the STEP and its component tests. Multivariate linear regression assessed the associations between the STEP and V̇o2max, adjusting for potential covariates such as age, sex, BMI, and comorbidity count.
Results: The STEP showed excellent reliability (ICC ≥ 0.92; N = 170), irrespective of effort level during testing. Significant effort issues and collinearity among the independent variables led us to exclude children aged 5-6 years (n = 45) from the regression analysis. The final regression model for children aged 7-10 years with adequate effort (n = 111), as defined by a respiratory exchange ratio of 1.0 or more, showed that the STEP, sex, and BMI were significantly predictive of V̇o2max (R 2 = 0.51). Conclusions: This new, effort-independent step test can estimate the aerobic fitness of children aged 7-10 years. Regression equations to estimate V̇o2max from the STEP were provided.

Entities:  

Keywords:  V̇o2; cardiorespiratory fitness; paediatrics; physical fitness; reproducibility of results; validation

Year:  2019        PMID: 31040514      PMCID: PMC6484966          DOI: 10.3138/ptc.2017-44.pp

Source DB:  PubMed          Journal:  Physiother Can        ISSN: 0300-0508            Impact factor:   1.037


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10.  A simple height-specific and rate-specific step test for children.

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1.  Clinician's Commentary on Hayes et al.

Authors:  Désirée B Maltais
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Review 2.  Obesity and Cardiometabolic Risk Factors: From Childhood to Adulthood.

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