Association between performance on the Glittre ADL-test and the functional capacity of patients with HF: A cross-sectional study

Physiother Theory Pract. 2022 Feb;38(2):337-344. doi: 10.1080/09593985.2020.1759165. Epub 2020 May 13.

Abstract

Background: The Weber classification based on peak VO2 is a well-established method for categorizing patients with heart failure (HF) regarding severity. However, other submaximal tests such as the Glittre ADL-Test have been gaining prominence in practice due to a coherent and more comprehensive correlation with limitations for performing activities of daily living in patients with heart failure.Objective: To investigate the correlation between the time required to perform the Glittre ADL-Test and the peak VO2 in patients with HF.Methods: A cross-sectional study conducted with 40 adult individuals (21 to 65 years) diagnosed with HF of all etiologies, with LVEF<50% and NYHA II and III.Results: The average time for performing the Glittre ADL-Test was 284.9 seconds, and a significant difference was found between Weber classification classes A and C (p = .01). Significant correlations with peak VO2 were also found (r = -0.424 - p < .01). Thirty (30) patients performed a second test, and the ICC found in the reproducibility analysis was 0.75 (95% CI 0.14-0.91) and p < .01.Conclusion: The Glittre ADL-Test was able to reflect the functional performance of individuals with HF, suggesting that it represents an evaluation tool which can be safely used in clinical practice.

Keywords: Glittre ADL-Test; Heart failure; exercise testing.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Cross-Sectional Studies
  • Exercise Test
  • Heart Failure* / diagnosis
  • Humans
  • Pulmonary Disease, Chronic Obstructive*
  • Reproducibility of Results