Ann Rehabil Med.  2025 Feb;49(1):23-29. 10.5535/arm.240057.

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

• Triangto I
• Dhamayanti AS
• Putra MS
• Witjaksono D
• R
• Zuhriyah L
• Waranugraha Y

• KMID: 2565456
• DOI: http://doi.org/10.5535/arm.240057

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.

Keyword

Heart failure; Sit-to-stand test; 6-Minute walk test

Figure

• 

  Fig. 1. The 5-time sit-to-stand (5-STS) and 30-second sit-to-stand (30sSTS) tests require specific equipment: a standardized 43.0 cm high chair without armrests and a stopwatch. Instruct participant to sit in a chair with both knees and hips flexed at a 90-degree angle, feet flat on the floor, and arms crossed over their chest. For the 5-STS test, direct participant to stand up and sit down as quickly as possible for 5 repetitions with the option to stop at any time. Meanwhile, for the 30sSTS test, instruct participant to perform the same action for a duration of 30 seconds, also with the option to stop at any point. Scoring involved measuring the time taken to complete 5 repetitions in the 5-STS, while the 30sSTS, each sit-to-stand cycle completed within the 30-second timeframe is counted.

• 

  Fig. 2. Scatter plot showing the correlation of (A) 5-time sit-to-stand (5-STS) and (B) 30-second sit-to-stand (30sSTS) with 6-minute walk test (6MWT).

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