Determination of the Validity of One-Minute Sit-to-Stand Test in Obese and Overweight Children and Adolescents

Obese individuals need to be evaluated comprehensively before exercise programs are determined. Determination of exercise intolerance is important for the detection of functional limitations. One minute sit to stand test (1MSTST) can be used as an alternative to cardiopulmonary exercise tests (CPET) or field tests. It is easy to use, quick to apply, valid and reliable, and applicable even in small areas. In addition, it is a simple assessment adequate for children's needs and behaviors and can be easily applied both in the clinic and at home, making it easier to use in children. Studies have shown that 1MSTST is a valid test in chronic obstructive pulmonary disease (COPD), cystic fibrosis, interstitial lung disease, and, healthy children and adolescents. However, no study has been found regarding the validity of its use in obese children and adolescents.The aim of our study is to investigate the validity and reliability of 1MSTST in overweight-obese children and adolescents.

Study Overview

• Status: Recruiting
• Conditions: Adolescent Obesity; Obese; Child Obesity; Exercise Capacity
• Intervention / Treatment: Other: assessment study

• Study Type: Observational
• Enrollment (Anticipated): 28

Contacts and Locations

• Study Contact: Name: Nesrine Benkhalifa, PT; Phone Number: +905418191403; Email: nesrine.benkhalifa@ogr.iuc.edu.tr
• Study Contact Backup: Name: Cigdem Emirza, PT, MSc; Phone Number: +902123115136; Email: cgdemrza@gmail.com

Study Locations

• Turkey
  • Istanbul, Turkey, 34500
    • Recruiting
    • Istanbul University-Cerrahpasa
    • Contact: Nesrine Benkhalifa, PT; Phone Number: +905418191403; Email: noussabk93@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 8 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Overweight or obese children and adolescents

Description

Inclusion Criteria:

• Being in the 8-18 age range.
• Being overweight (between 85 and 95 according to the Body Mass Index percentile).
• Being obese (over 95 based on the Body Mass Index percentile).
• Not doing any vigorous exercise two hours before the test.

Exclusion Criteria:

• History of hospitalization in the last month for a reason that may affect physical performance.
• Having neurological, musculoskeletal disease that prevents exercise tests.
• Uncontrollable medical conditions (Cardiovascular, pulmonary disease, etc.).
• Visual and/or vestibular disorders.

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Obese children and adolescents; Obese children and adolescent patients	Other: assessment study; there is no intervention in this study

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
1 min sit to stand test	Only a chair and a stopwatch are needed to apply the test. It is recommended to use a chair with a height of 45-48 cm, preferably against the wall, fixed, without arm support. The patients will sit with their feet flat on the ground and cross their arms over the chest. The patient will be asked to get up from the chair and sit down as fast as he/she can for 1 minute. The number of standing up will be recorded.	Baseline
6 minute walk test	The patient's exercise capacity will be determined by the six minute walk test. The test will be applied in a corridor 30 meters long. The patient will be asked to walk as fast as possible for six minutes. The patient can stop during the test if they needed. The total time, the number of times it has stopped and the total distance traveled will be recorded. Oxygen saturation, heart rate, and blood pressure measurements will be taken before and after the test. According to the modified Borg scale, dyspnea, leg fatigue and general fatigue will be questioned.	Baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Waist circumference	Waist circumference will be measured using a tape measure from the midpoint between the lowest rib and the iliac crest, when the patient is standing .	Baseline
Hip circumference	Hip circumference will be measured parallel to the ground with a tape measure at the level of the trochanter major.	Baseline
Body fat percentage	Body fat percentage will be analyzed with the BIA instrument (Tanita MC 780 MA Body Composition Analysis, Amsterdam, Netherlands).	Baseline
Body muscle percentage	Body muscle percentage will be analyzed with the BIA instrument (Tanita MC 780 MA Body Composition Analysis, Amsterdam, Netherlands).	Baseline

Collaborators and Investigators

• Sponsor: Istanbul University - Cerrahpasa (IUC)
• Investigators: Study Director: Goksen Kuran Aslan, PT, phD, Istanbul University - Cerrahpasa (IUC)

Publications and helpful links

General Publications

• ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7. doi: 10.1164/ajrccm.166.1.at1102. No abstract available. Erratum In: Am J Respir Crit Care Med. 2016 May 15;193(10):1185.
• Bohannon RW, Crouch R. 1-Minute Sit-to-Stand Test: SYSTEMATIC REVIEW OF PROCEDURES, PERFORMANCE, AND CLINIMETRIC PROPERTIES. J Cardiopulm Rehabil Prev. 2019 Jan;39(1):2-8. doi: 10.1097/HCR.0000000000000336.
• Ozgen IT, Cakir E, Torun E, Gules A, Hepokur MN, Cesur Y. Relationship Between Functional Exercise Capacity and Lung Functions in Obese Chidren. J Clin Res Pediatr Endocrinol. 2015 Sep;7(3):217-21. doi: 10.4274/jcrpe.1990.

Helpful Links

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Study record dates

Study Major Dates

• Study Start (Anticipated): July 8, 2022
• Primary Completion (Anticipated): October 2, 2022
• Study Completion (Anticipated): November 2, 2022

Study Registration Dates

• First Submitted: May 15, 2022
• First Submitted That Met QC Criteria: May 23, 2022
• First Posted (Actual): May 26, 2022

Study Record Updates

• Last Update Posted (Actual): July 8, 2022
• Last Update Submitted That Met QC Criteria: July 7, 2022
• Last Verified: July 1, 2022

More Information

Terms related to this study

• Keywords: validity; reliability; obese patient; functional test
• Additional Relevant MeSH Terms: Overnutrition; Nutrition Disorders; Body Weight; Obesity; Pediatric Obesity; Overweight
• Other Study ID Numbers: 2022/37

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No