Research article - (2015)14, 708 - 715
Validity and Reproducibility of an Incremental Sit-To-Stand Exercise Test for Evaluating Anaerobic Threshold in Young, Healthy Individuals
Keisuke Nakamura1,2,, Masayoshi Ohira3, Yoshiharu Yokokawa3, Yuya Nagasawa1
1Department of Rehabilitation, Matsumoto City Hospital, Matsumoto, Nagano, Japan
2Department of Health Sciences, Graduate School of Medicine, Shinshu University, Matsumoto, Japan
3Department of Physical Therapy, School of Health Sciences, Shinshu University, Matsumoto, Japan

Keisuke Nakamura
✉ Department of Rehabilitation, Matsumoto City Hospital, 4417-180 Hata, Matsumoto, Nagano,390-1401, Japan
Email: keipons55@yahoo.co.jp
Received: 08-04-2015 -- Accepted: 28-07-2015
Published (online): 24-11-2015

ABSTRACT

Sit-to-stand exercise (STS) is a common activity of daily living. The objectives of the present study were: 1) to assess the validity of aerobic fitness measurements based on anaerobic thresholds (ATs), during incremental sit-to-stand exercise (ISTS) with and without arm support compared with an incremental cycle-ergometer (CE) test; and 2) to examine the reproducibility of the AT measured during the ISTSs. Twenty-six healthy individuals randomly performed the ISTS and CE test. Oxygen uptakes at the AT (AT-VO2) and heart rate at the AT (AT-HR) were determined during the ISTSs and CE test, and repeated-measures analyses of variance and Tukey’s post-hoc test were used to evaluate the differences between these variables. Pearson correlation coefficients were used to assess the strength of the relationship between AT-VO2 and AT-HR during the ISTSs and CE test. Data analysis yielded the following correlations: AT-VO2 during the ISTS with arm support and the CE test, r = 0.77 (p < 0.05); AT-VO2 during the ISTS without arm support and the CE test, r = 0.70 (p < 0.05); AT-HR during the ISTS with arm support and the CE test, r = 0.80 (p < 0.05); and AT-HR during the ISTS without arm support and the CE test, r = 0.66 (p < 0.05). The AT-VO2 values during the ISTS with arm support (18.5 ± 1.9 mL·min-1·kg-1) and the CE test (18.4 ± 1.8 mL·min-1·kg-1) were significantly higher than those during the ISTS without arm support (16.6 ± 1.8 mL·min-1·kg-1; p < 0.05). The AT-HR values during the ISTS with arm support (126 ± 10 bpm) and the CE test (126 ± 13 bpm) were significantly higher than those during the ISTS without arm support (119 ± 9 bpm; p < 0.05). The ISTS with arm support may provide a cardiopulmonary function load equivalent to the CE test; therefore, it is a potentially valid test for evaluating AT-VO2 and AT-HR in healthy, young adults.

Key words: Sit-to-stand, cycle ergometer, anaerobic threshold, correlations, reproducibility, validity

Key Points
  • The ISTS is a simple test that varies only according to the frequency of standing up, and requires only a small space and a chair.
  • The ISTS with arm support is valid and reproducible, and is a safe test for evaluating AT in healthy young adults.
  • For evaluating the AT, the ISTS may serve as a valid alternative to conventional CPX, using either a cycle ergometer or treadmill, in cases where the latter methods are difficult to implement.








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