Health and Sports Science Center, Physiotherapy Department, Santa Catarina State University, Florianópolis, Brazil.
Texas A&M University, College Station, Texas.
Respir Care. 2019 Aug;64(8):937-944. doi: 10.4187/respcare.06619. Epub 2019 Apr 16.
The ADL-Glittre test (TGlittre) was initially proposed to evaluate the activities of daily life (ADL) of adults with COPD that involve activities with the upper limbs in addition to walking. Recently, the test has been adapted for children (TGlittre-P), but no reference values have been proposed for its use in this population. The main objective of this study was to develop reference equations for the pediatric adaptation of the TGlittre.
A cross-sectional study carried out over a period of 19 months. Children 6-14 y old participated in the study. The study was rigorously controlled based on the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire and on normal spirometry. Study subjects were evaluated for their biometric data (ie, weight, height, body mass index, body surface area, and length of the lower limbs) and spirometric data. Subjects then performed 2 TGlittre-P tests with an interval of 30 min between them. Statistical analysis included a Pearson correlation test to verify a correlation between time spent on the TGlittre-P and biometric variables such as gender and age. Subsequently, a multiple regression analysis was conducted for those variables. The level of signficance was set at a P of 0.05.
Eighty-seven children (44 girls) participated in the study. Age was the predictive variable with the greatest influence on the time spent on the TGlittre-P (male: adjusted R = 39.6%; female: adjusted R = 25.2%). The following equations were established: time spent on the TGlittre-P = 3.781 - 0.083 × age (female), and time spent on the TGlittre-P = 4.025 - 0.123 × age (male).
TGlittre-P reference equations were developed for females and males, with age being the most influential predictive variable in the test performed by children.
ADL-Glittre 测试（TGlittre）最初是为了评估患有 COPD 的成年人的日常生活活动（ADL）而提出的，该测试除了行走外还涉及上肢活动。最近，该测试已被改编用于儿童（TGlittre-P），但尚未为其在该人群中的使用提出参考值。本研究的主要目的是为 TGlittre 的儿科改编制定参考方程。
这是一项为期 19 个月的横断面研究。6-14 岁的儿童参加了这项研究。该研究严格按照国际儿童哮喘和过敏研究（ISAAC）问卷和正常肺功能检查进行控制。研究对象评估了他们的生物计量数据（即体重、身高、体重指数、体表面积和下肢长度）和肺功能数据。然后，受试者进行了 2 次 TGlittre-P 测试，两次测试之间间隔 30 分钟。统计分析包括皮尔逊相关检验，以验证 TGlittre-P 上花费的时间与生物计量变量（如性别和年龄）之间的相关性。随后，对这些变量进行了多元回归分析。显著性水平设为 P < 0.05。
87 名儿童（44 名女孩）参加了研究。年龄是对 TGlittre-P 上花费的时间影响最大的预测变量（男性：调整后的 R = 39.6%；女性：调整后的 R = 25.2%）。建立了以下方程：TGlittre-P 上花费的时间= 3.781 - 0.083 ×年龄（女性），TGlittre-P 上花费的时间= 4.025 - 0.123 ×年龄（男性）。
为女性和男性制定了 TGlittre-P 参考方程，年龄是儿童进行测试时最具影响力的预测变量。
