Practicality of Veterans Specific Activity Questionnaire in evaluation of exercise capacity of community-dwelling Japanese elderly

Kojima, Shinji; Wang, Da Hong; Tokumori, Kimihiko; Sakano, Noriko; Yamasaki, Yudai; Takemura, Yoko; Kurosawa, Carmen M.; Kanbara, Sakiko; Oka, Takashi; Hara, Kohei; Ikeda, Satoru; Oginö, Kazuhíde

doi:10.1007/bf02898022

Cited by 16 publications

(14 citation statements)

References 21 publications

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“…The data obtained in the present study demonstrated significant correlations between the subjective and objective measurements of cardiorespiratory capacity, considering all individuals. This corroborates a previous research conducted in our laboratory with healthy older adult women 16 , where significant correlations between the VSAQ and the 6-minute walk test, a similar test to assess aerobic resistance in elderly people, were also reported 9,15 . Contrary to our hypothesis, the healthy group showed non-significant correlations between the nomogram VSAQ and the Step test.…”

Section: Discussionsupporting

confidence: 92%

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Assessing cardiorespiratory capacity in older adults with major depression and Alzheimer disease

Zanco

Moraes

Neto

et al. 2016

J. bras. psiquiatr.

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Objective To assess cardiorespiratory capacity through subjective and objective tests in older adults diagnosed with major depression (MDD), Alzheimer disease (AD) and healthy older adults. Methods Fifty seven subjects (72 ± 7.9 years) were divided into three groups: MDD (n = 20), AD (n = 17) and Healthy (n = 20). The subjects answered Hamilton Scale (HAM-D), Mini-Mental State Examination (MMSE), Veterans Specific Activity Questionnaire (VSAQ) and 2-minute Step test. Results MDD and AD showed lower scores than healthy group for Nomogram VSAQ (p < 0.001) and 2-minute Step (p = 0.009; p = 0.008, respectively). Adjusted for age and educational level, no differences among groups were observed for Step (MDD, p = 0.097; AD, p = 0.102). AD group did not present differences to healthy group for Step, when adjusting for MMSE (p = 0.261). Conclusions Despite the lower cardiorespiratory fitness of elderly patients with DM and DA have been found in both evaluations, the results should be viewed with caution, since the tests showed low correlation and different risk classifications of functional loss. In addition, age, level educational and cognitive performance are variables that can influence the performance objective evaluation.

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Section: Discussionsupporting

confidence: 92%

“…. Studies applying the VSAQ show an acceptable prediction of patient exercise capacity 10,13 , a strong prediction of all-cause mortality in patients referred to exercise testing 14 , and significant correlations between estimated METs and the 6-min walk test, an aerobic resistance test 9,15,16 .…”

mentioning

confidence: 99%

Assessing cardiorespiratory capacity in older adults with major depression and Alzheimer disease

Zanco

Moraes

Neto

et al. 2016

J. bras. psiquiatr.

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“… 13 One MET is equal to the consumption of 3.5 mL O 2 per kilogram of body weight per minute. In the general population, numerous studies have validated the use of the VSAQ in the evaluation of exercise capacity, and have shown good correlation with CPET indices 14–16 and mortality. 17 …”

Section: Introductionmentioning

confidence: 99%

Veterans Specific Activity Questionnaire (VSAQ): a new and efficient method of assessing exercise capacity in patients with pulmonary arteriovenous malformations

2019

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IntroductionAssessment of performance status is an important component of clinical management of patients with pulmonary arteriovenous malformations (PAVMs). Usual methods are time-consuming and insensitive to variations within normal or supranormal exercise capacity.MethodsThe Veterans Specific Activity Questionnaire (VSAQ) was modified to facilitate completion by patients independently. Patient-reported activity limitations were converted to the Medical Research Council (MRC) Dyspnoea Scale, New York Heart Association (NYHA) classification and metabolic equivalents (METs) in which 1 MET equals the consumption of 3.5 mL O2 per kilogram of body weight per minute.ResultsThe study population consisted of 71 patients with PAVMs aged 20–85 (median 52) years. Oxygen saturation (SaO2) was 80%–99.5 % (median 96%), and haemoglobin was 73–169 g/L in women and 123–197 g/L in men (p<0.0001). Arterial oxygen content (CaO2) (1.34 × [haemoglobin × SaO2]/100) was maintained unless iron deficiency was present. Most patients (49/71, 69%) did not need to stop until activities more energetic than walking briskly at 4 mph were achieved (6.4 km per hour, VSAQ >5, MRC Dyspnoea Scale 1 or 2, NYHA class I). SaO2 was inversely associated with the MRC Dyspnoea Scale and NYHA class, but not the VSAQ. Raw VSAQ scores captured a marked difference between men and women. METs were also higher in men at 3.97–15.55 (median 8.84) kcal/kg/min, compared with 1.33–14.4 (median 8.25) kcal/kg/min (p=0.0039). There was only a modest association between METs and SaO2 (p=0.044), but a stronger association between METs and haemoglobin (p =0.001). In crude and sex-adjusted regression, the CaO2 was more strongly associated with METs than either SaO2 or haemoglobin in isolation.ConclusionThe VSAQ, capturing patient-reported outcome measures, is an efficient and quantifiable measure of exercise capacity that can be readily employed in clinical services particularly where patients have normal to high exercise tolerance. In the PAVM population, exercise capacity reflects haemoglobin and CaO2 more than SaO2, even where SaO2 measurements are low.

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“…14 After the application of the Japanese version, it was observed that the activities included between 5 and 8 METs were not even once indicated by the patients; in addition, although certain patients had responded that they were not able to perform some group activities between 09-12 METs, they identifi ed activities of 13 METs as possible to be performed. This range of intensity included activities such as dancing and car washing, common in the Western-American lifestyle, although not frequent in the Japanese 14 concluded that activities ≥ 5 METs should have been modifi ed for greater adequacy to the Japanese culture. In the present study, items not compatible with the Brazilian culture were replaced in the step of cultural adaptation, seeking to prevent the problem of underestimation or overestimation of the group of activities representing different MET levels.…”

Section: Discussionmentioning

confidence: 99%

“…24 Due to its applicability, this instrument was validated in other cultures, such as the Japanese population. 14 The VSAQ is a short questionnaire, designed to determine the maximum level of daily physical activity according to the occurrence of cardiovascular symptoms, being originally applied to patients referred to the exercise test for clinical reasons. The VSAQ consists in a list of activities shown in progressive order, according to their Metabolic Equivalents of Task (MET).…”

Section: Introductionmentioning

confidence: 99%

Adaptação cultural de instrumento para avaliação da capacidade física em cardiopatas

et al. 2011

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OBJECTIVE:To validate the content and to evaluate the reliability of the Veterans Specifi c Activity Questionnaire instrument, culturally adapted for use in the Brazilian population of cardiac patients. METHODS:The instrument was translated and back-translated and subsequently analyzed by a committee of judges to evaluate its semanticidiomatic and cultural equivalences. Physical activities were replaced when indicated in the instrument, but uncommon in the daily life of the target population. Another committee of specialists analyzed the metabolic equivalence of replaced activities. The proportion of agreement of evaluation of the judges was quantifi ed by the Content Validity Index. The pre-test was performed in two stages (n1 and n2=15). Reliability was assessed using the test-retest (interval of 7-15 days, n = 50). RESULTS:In the evaluation of semantic-idiomatic and cultural equivalences, items with a Content Validity Index < 1 were reviewed until consensus among the judges was obtained. The second committee found 100% of agreement in the analysis of metabolic equivalence between original and replaced activities. Test-retest analysis indicated a Kappa coeffi cient of agreement (k = 0.86; (p<0.001), suggesting temporal stability of the instrument. CONCLUSIONS:The Brazilian version of the Veterans Specifi c Activity Questionnaire showed evidence of reliability, according to the temporal stability criterion and adequate cultural content.

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Practicality of Veterans Specific Activity Questionnaire in evaluation of exercise capacity of community-dwelling Japanese elderly

Abstract: These findings imply that the modified VSAQ is useful in evaluating the exercise capacity of Japanese elderly adequately and is a practical scale for safe exercise.

Cited by 16 publications

References 21 publications

Assessing cardiorespiratory capacity in older adults with major depression and Alzheimer disease

Assessing cardiorespiratory capacity in older adults with major depression and Alzheimer disease

Veterans Specific Activity Questionnaire (VSAQ): a new and efficient method of assessing exercise capacity in patients with pulmonary arteriovenous malformations

Adaptação cultural de instrumento para avaliação da capacidade física em cardiopatas

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