ArticleIrish journal of medical science2026
The Glittre-ADL test cut off value to discriminate functional status in individuals with heart failure.
Article in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe Glittre activity of daily living (TGlittre) is a functional test that aligns with daily tasks, clinically useful, and is well-tolerated by patients.
aimsThe study aimed to establish the cut-off point for TGlittre test corresponding to the six-minute walk test (6MWT) threshold value of 400 m for determining impaired functional status in heart failure (HF) cases.
methodsIn the cross-sectional study, seventy-eight HF cases (mean age:63.61±11.55, 67.9 % male, LVEF: 35.41±7.60 %, NYHA FC II: 62.8%, FCIII: 37.2%) performed the 6MWT and TGlittre test in a random order. Also, each patient was administered with the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and Minnesota Living with Heart Failure Questionnaire (MLHF-Q) questionnaires. The cut-off value for the TGlittre test was determined with Receiver operating characteristics analysis.
resultsThe equivalent TGlittre cut-off for the <400 m 6MWT threshold was 5.05 minutes (sensitivity: 88%, specificity: 81%, and area under the curve: 0.92(95 % confidence interval 0.87-0.98). The participants performing ≥5.05 minutes had lower levels of physical activity and higher MLHF-Q scores. Furthermore, the most of them were in NYHA FCIII (51.2%), and the mean LVEF % (33.12±7.75) was lower in this group.
conclusion5.05 minutes is a sensitive and specific cut-off point for TGlittre test in identifying impaired functional status in HF populations. The determined cut-off point also indicates a deterioration in the clinical features of the cases. This study suggests the TGlittre test as a clinically useful, objective, test for determining functional status in the HF population, including elderly patients.
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