Dalarna University's logo and link to the university's website

du.sePublications
System disruptions
There are recurring service disruptions on some of the search portals due to high traffic. We are working to resolve the issue, you may temporarily encounter an error message.
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Criterion validation of two submaximal aerobic fitness tests, the self-monitoring Fox-walk test and the Åstrand cycle test in people with rheumatoid arthritis
Show others and affiliations
2014 (English)In: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 15, no 1Article in journal (Refereed) Published
Abstract [en]

Background: Aerobic capacity tests are important to evaluate exercise programs and to encourage individuals to have a physically active lifestyle. Submaximal tests, if proven valid and reliable could be used for estimation of maximal oxygen uptake (VO2max). The purpose of the study was to examine the criterion-validity of the submaximal self-monitoring Fox-walk test and the submaximal Åstrand cycle test against a maximal cycle test in people with rheumatoid arthritis (RA). A secondary aim was to study the influence of different formulas for age predicted maximal heart rate when estimating VO2maxby the Åstrand test.; Methods. Twenty seven subjects (81% female), mean (SD) age 62 (8.1) years, diagnosed with RA since 17.9 (11.7) years, participated in the study. They performed the Fox-walk test (775 meters), the Åstrand test and the maximal cycle test (measured VO2maxtest). Pearson’s correlation coefficients were calculated to determine the direction and strength of the association between the tests, and paired t-tests were used to test potential differences between the tests. Bland and Altman methods were used to assess whether there was any systematic disagreement between the submaximal tests and the maximal test.; Results: The correlation between the estimated and measured VO2maxvalues were strong and ranged between r = 0.52 and r = 0.82 including the use of different formulas for age predicted maximal heart rate, when estimating VO2maxby the Åstrand test. VO2maxwas overestimated by 30% by the Fox-walk test and underestimated by 10% by the Åstrand test corrected for age. When the different formulas for age predicted maximal heart rate were used, the results showed that two formulas better predicted maximal heart rate and consequently a more precise estimation of VO2max.; Conclusions: Despite the fact that the Fox-walk test overestimated VO2maxsubstantially, the test is a promising method for self-monitoring VO2maxand further development of the test is encouraged. The Åstrand test should be considered as highly valid and feasible and the two newly developed formulas for predicting maximal heart rate according to age are preferable to use when estimating VO2maxby the Åstrand test. © 2014 Nordgren et al.; licensee BioMed Central Ltd.

Place, publisher, year, edition, pages
BioMed Central Ltd. , 2014. Vol. 15, no 1
Keywords [en]
Adult; Aged; Arthritis, Rheumatoid; Exercise; Exercise Test; Female; Humans; Male; Middle Aged; Oxygen Consumption; Physical Fitness; Self Care; Walking; adult; aerobic capacity; age; aged; Article; astrand rhyming nomogram; clinical article; criterion related validity; exercise test; fatigue; female; Health Assessment Questionnaire; health status; heart rate; human; leg pain; lung gas exchange; male; maximal cycle test; maximal oxygen uptake; nomogram; oxygen consumption; rheumatoid arthritis; self monitoring; stanford health assessment questionnaire; submaximal astrand cycle test; submaximal self monitoring fox walk test; visual analog scale; Arthritis, Rheumatoid; exercise; exercise test; fitness; metabolism; middle aged; physiology; procedures; self care; standards; validation study; walking
National Category
Physiotherapy Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:du-51777DOI: 10.1186/1471-2474-15-305Scopus ID: 2-s2.0-84907264375OAI: oai:DiVA.org:du-51777DiVA, id: diva2:2014133
Available from: 2025-11-17 Created: 2025-11-17 Last updated: 2025-11-17Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textScopus

Authority records

Grooten, Wim

Search in DiVA

By author/editor
Grooten, Wim
In the same journal
BMC Musculoskeletal Disorders
PhysiotherapySport and Fitness Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 18 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf