Validity of the two-minute step test for healthy older adults

Luis A Berlanga; Michelle Matos-Duarte; Pedro Abdalla; Emília Alves; Jorge Mota; Lucimere Bohn

doi:10.1016/j.gerinurse.2023.04.009

Validity of the two-minute step test for healthy older adults

Geriatr Nurs. 2023 May-Jun:51:415-421. doi: 10.1016/j.gerinurse.2023.04.009. Epub 2023 May 3.

Authors

Luis A Berlanga¹, Michelle Matos-Duarte², Pedro Abdalla³, Emília Alves⁴, Jorge Mota⁵, Lucimere Bohn⁶

Affiliations

¹ Department of Physical Activity and Sport, Centro de Estudios Universitarios Cardenal Spínola CEU, Sevilla, Spain; Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain.
² Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain. Electronic address: michelle.matos@ufv.es.
³ Study and Research Group in Anthropometry, Training, and Sport (GEPEATE), School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil; Research Center in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto (FADEUP), Porto, Portugal.
⁴ Departament of Sport, Higher Institute of Educational Sciences of the Douro, Penafiel, Portugal; Research Center in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto (FADEUP), Porto, Portugal.
⁵ Research Center in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto (FADEUP), Porto, Portugal; Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, Porto, Portugal.
⁶ Lusofona University, Faculty of Psychology, Education and Sport, Porto, Portugal Research Center in Physical Activity, Health and Leisure (CIAFEL) and Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal Faculty of Sports; University of Porto, Porto, Portugal.

PMID: 37146558
DOI: 10.1016/j.gerinurse.2023.04.009

Abstract

Background: In healthy older adults, the two-minute step test (2MST) does not have its concurrent validity tested against the six-minute walk test (6MWT), which is a valid cardiorespiratory fitness test frequently applied in geriatric samples.

Objective: To derive an equation to predict 6MWT from 2MST and to observe the agreement between observed and estimated 6MWT distances.

Methods: 6MWT and 2MST were measured in 51 older adults (72.9±4.6 years) from community multicomponent exercise programs. Multiple linear regression derives the predictive equation of 6MWT walked distance (dependent outcome) from steps obtained in 2MST, age, sex, and body mass index (independent outcomes).

Results: Correlation between 6MWT and 2MST was strong (r=0.696, p<0.001). The regression equation showed good agreement with measured values, when 6MWT was below 600 m.

Conclusion: The equation stands as a novel approach to obtaining a valid 6MWT estimation from the 2MST. 2MST is easier and faster, representing an alternative approach when time and space are limited.

Keywords: Cardiorespiratory fitness; Geriatric assessment; Walk test.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Exercise Test*
Health Status
Humans
Walking*