Evidence map›Paper›PMID 37669286›Full record

ArticlePloS one2023

Normative reference values, determinants and regression equations for the incremental shuttle walk test (ISWT) in healthy Asian population aged 21 to 80 years.

Muhammad Zulhaziq Bin Azman, Katherin S Huang, Wei Jun Koh, Sarah S Leong, Benjamin Ong, Johanna L Soon, Sherman W Tan, Melissa Y Chan, Mingxing Yang, Meredith T Yeung

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Factors responsible for the decline in physical fitness during neoadjuvant chemotherapy in older patients with esophageal cancer: an exploratory prospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Muhammad Zulhaziq Bin AzmanHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.
Katherin S HuangHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.ORCID 0000-0003-4649-8038
Wei Jun KohHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.
Sarah S LeongHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.
Benjamin OngHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.
Johanna L SoonHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.
Sherman W TanHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.ORCID 0000-0002-8252-892X
Melissa Y ChanHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.
Mingxing YangDepartment of Physiotherapy, Singhealth Polyclinics, Singapore, Singapore.
Meredith T YeungHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.ORCID 0000-0002-4294-4187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe validated Incremental Shuttle Walk Test (ISWT) is widely used for evaluating maximal exercise capacity, with the distance-walked (IWSD) as the primary outcome. However, there are no normative reference values (NRV) and reference equations to predict ISWD for the Singaporean population.

objectivesThis study aims to establish the NRV and reference equations for ISWD in healthy Singaporeans aged 21 to 80 and investigate the determining variables during ISWT.

methodsThis cross-sectional study recruited community-dwelling healthy subjects aged 21-80 from the community via convenience sampling. Each subject completed two trials of the ISWT according to the standard protocol. Variables measured during the trials included ISWD, pre-and post-test heart rate (HR), oxygen saturation, blood pressure (BP), modified Borg's dyspnoea score and Borg's rate of perceived exertion (RPE).

results199 healthy Singaporean (females = 114, males = 85) participated in the study. The overall median ISWD was 660.0 metres (m) [interquartile range (IQR):440.0-850.0]. The age-stratified mean ISWD ranged from 430.0 m (IQR:350.0-450.0) (aged 60-80) to 480.0 m (IQR:438.0-650.0) (aged 40-59) to 780.0 m (IQR:670.0-960.0) (aged 21-39). Gender, age, weight, height and HR change (highest post-test HR minus pre-test HR) were the most significant variables (p < 0.001). IWSD (m) = 651.4(Height, m) +89.7(Gender, male = 1; female = 0) -6.31(Age, years) -3.61(Weight, kilograms) +2.54(HR change, beats per minute); R2 = 0.741. Previously published ISWT reference equations cannot accurately predict the ISWD in the Singaporean population.

conclusionsThis study investigated the ISWD NRV and established reference equations for healthy Singaporeans aged 21-80. The information would be beneficial in setting performance benchmarks to guide physical assessment, intervention and rehabilitation.

Indexed as

AsianWalk TestAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHeart RateHumansMaleMiddle AgedReference ValuesYoung Adult

Identifiers

PMID37669286
PMCPMC10479918

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.