Resumen
Introducción: Las pruebas funcionales son instrumentos clínicos de gran importancia, ya que constituyen métodos no invasivos, de fácil aplicación y bajo costo, lo que justifica el estudio de sus propiedades psicométricas. Objetivo: Evaluar la confiabilidad del test de marcha de 2 minutos en personas sanas con edades entre los 18 y los 69 años. Metodología: Evaluación psicométrica de la reproducibilidad test-retest e intra e inter-evaluadores y nivel de acuerdo del test de marcha estacionaria de 2 minutos en personas sanas de ambos sexos, en edades entre 18 y 69 años, con un intervalo de 7 días. Se utilizó el coeficiente de correlación intraclase (CCI) y límites de acuerdo de Bland-Altman. Resultados: La muestra del estudio incluyó a 101 participantes, predominantemente hombres, de estrato socioeconómico medio, físicamente activos y con sobrepeso. El test de marcha de 2 minutos demostró una excelente confiabilidad, tanto en la evaluación test-re test (ICC ≥ 0,97) como entre evaluadores (ICC ≥ 0,97). Los límites de acuerdo inferior y superior fueron -26,26 y 19,88, respectivamente, con un 7% de los valores fuera del intervalo de confianza del 95%. Conclusión: El test de marcha de 2 minutos es una medida confiable para evaluar la capacidad aeróbica en personas sanas, tanto en diferentes momentos como entre distintos examinadores.
Referencias
Appelqvist K, Vaara JP, Vasankari T, Häkkinen A, Mäntysaari M, Kyröläinen H. Muscular and cardiorespiratory fitness are associated with health-related quality of life among young adult men. BMC Public Health. 2020; 20(1): 842. doi: https://doi.org/10.1186/s12889-020-08969-y
Patel H, Alkhawam H, Madanieh R, Shah N, Kosmas CE, Vittorio TJ. Aerobic vs anaerobic exercise training effects on the cardiovascular system. World J Cardiol. 2017; 9(2): 134-138. doi: https://doi.org/10.4330/wjc.v9.i2.134
Triantafyllidi H, Benas D, Birba D, Trivilou P, Iliodromitis E. Reference values for aerobic capacity estimated by cardiopulmonary exercise test on a cycle ergometer in a healthy Greek population. Hellenic Journal of Cardiology. 2021; 62(2): 121-126. doi: https://doi.org/10.1016/j.hjc.2019.12.004
Cid S, Reyes JL, Cortés-Télles A, Gochicoa-Rangel L, Mora-Romero U, Silva-Cerón M, Torre-Bouscou L. Prueba cardiopulmonar de ejercicio: Recomendaciones y procedimiento. Neumología y cirugía de tórax. 2015; 74(3): 207-221. https://www.revistanct.org.mx/resumen.php?idArt=62389&idP=6184
Gallo-Villegas JA, Aristizábal-Ocampo D. La prueba de esfuerzo electrocardiográfica: utilidad en el diagnóstico y pronóstico de la enfermedad coronaria. Med Lab. 2015; 21(1-2): 63-84. doi: https://doi.org/10.36384/01232576.110
Ritchie C, Trost SG, Brown W, Armit C. Reliability and validity of physical fitness field tests for adults aged 55 to 70 years. J Sci Med Sport. 2005; 8(1): 61-70. doi: https://doi.org/10.1016/s1440-2440(05)80025-8
Bohannon RW, Wang YC, Gershon RC. Two-Minute Walk Test Performance by Adults 18 to 85 Years: Normative Values, Reliability, and Responsiveness. Archives of Physical Medicine and Rehabilitation. 2015; 96(3): 472-477. doi: https://doi.org/10.1016/j.apmr.2014.10.006
Rikli RE, Jones CJ. Development and Validation of a Functional Fitness Test for Community-Residing Older Adults. Journal of Aging and Physical Activity. 1999; 7(2): 129-161. doi: https://doi.org/10.1123/japa.7.2.129
Bohannon RW, Bubela DJ, Wang YC, Magasi SS, Gershon RC. Six-Minute Walk Test Vs. Three-Minute Step Test for Measuring Functional Endurance. J Strength Cond Res. 2015; 29(11): 3240-3244. doi: https://doi.org/10.1519/JSC.0000000000000253
Oliveros MJ, Seron P, Román C, Gálvez M, Navarro R, Latin G, Marileo T.et al. Two-Minute Step Test as a Complement to Six-Minute Walk Test in Subjects With Treated Coronary Artery Disease. Front Cardiovasc Med. 2022;9:848589. doi: https://doi.org/10.3389/fcvm.2022.848589
Coulshed A, Coulshed D, Pathan F. Systematic Review of the Use of the 6-Minute Walk Test in Measuring and Improving Prognosis in Patients With Ischemic Heart Disease. CJC Open. 2023; 5(11): 816-825. doi: https://doi.org/10.1016/j.cjco.2023.08.003
Berlanga LA, Matos-Duarte M, Abdalla P, Alves E, Mota J, Bohn L. Validity of the two-minute step test for healthy older adults. Geriatric Nursing. 2023; 51: 415-421. doi: https://doi.org/10.1016/j.gerinurse.2023.04.009
Nogueira- Aguiar M, Nunes-Almeida T, Silva-Andrade G, Oliveira-Pires F, Dibai-Filho A, Bassi-Dibai D et al. Reliability and Accuracy of 2-Minute Step Test in Active and Sedentary Lean Adults. J Manipulative Physiol Ther. 2021; 44(2): 120-127. doi: https://doi.org/10.1016/j.jmpt.2020.07.013
Braghieri HA, Kanegusuku H, Corso SD, Cucato GG, Monteiro F, Wolosker N, et al. Validity and reliability of 2-min step test in patients with symptomatic peripheral artery disease. J Vasc Nurs. 2021; 39(2): 33-38. doi: https://doi.org/10.1016/j.jvn.2021.02.004
Guedes MBOG, Lopes JM, Andrade AS, Guedes TSR, Ribeiro JM, Cortez LCA. Validation of the two minute step test for diagnosis of the functional capacity of hypertensive elderly persons. Rev bras geriatr gerontol. 2015; 18(4): 921-926. doi: https://doi.org/10.1590/1809-9823.2015.14163
Morais TF, Dibai-Filho AV, de Freitas F, Lima EAA, Cabido CET. Construct validity and reliability of the 2-minute step test in patients with knee osteoarthritis. BMC Musculoskelet Disord. 2022; 23: 159. doi: https://doi.org/10.1186/s12891-022-05114-1
Souza AC, Alexandre NMC, Guirardello EB. Psychometric properties in instruments evaluation of reliability and validity. Epidemiol Serv Saude. 2017; 26(3): 649-659. doi: https://doi.org/10.5123/S1679-49742017000300022
Terwee C. COSMIN checklist with 4-point scale. Published online. 2011. https://www.limbic-cenc.org/wp-content/uploads/COSMIN-checklist-with-4-point-scale-22-juni-2011.pdf
Correa J. Coeficiente de Correlación Intraclase: Aplicaciones para estimar la estabilidad temporal de un instrumento de medida. Ciencias Psicológicas. 2021; 15(2). doi: https://doi.org/10.22235/cp.v15i2.2318
Rojas-Gualdron DF, Segura CA, Cardona AD, Segura CÁ, Garzón DMO. Análisis Rasch del Mini Mental State Examination (MMSE) en adultos mayores de Antioquia, Colombia. CES Psico. 2017; 10(2): 17-27. doi: https://doi.org/10.21615/cesp.10.2.2
Charlson ME, Charlson RE, Peterson JC, Marinopoulos SS, Briggs WM, Hollenberg JP. The Charlson comorbidity index is adapted to predict costs of chronic disease in primary care patients. J Clin Epidemiol. 2008; 61(12): 1234-1240. doi: https://doi.org/10.1016/j.jclinepi.2008.01.006
Axon DR, Jang A, Son L, Pham T. Determining the association of perceived health status among united states older adults with self-reported pain. Aging and Health Research. 2022; 2(1): 100051. doi: https://doi.org/10.1016/j.ahr.2021.100051
Organización Mundial de la Salud. Directrices de la OMS Sobre Actividad Física y Comportamientos Sedentarios. In: Directrices de la OMS Sobre Actividad Física y Comportamientos Sedentarios. Vol 1. World Health Organization; 2021: 1-24. https://www.ncbi.nlm.nih.gov/books/NBK581973/ [Accessed 14 December 2024]
Navarrete PJ, Loayza Alarico MJ, Velasco Guerrero JC, Huatuco Collantes ZA, Abregú Meza RA. Índice de masa corporal y niveles séricos de lípidos. Horizonte Médico (Lima). 2016; 16(2): 13-18. https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/419
Martínez JA, Pérez Martin PS. Coeficiente de correlación intraclase. Medicina de Familia SEMERGEN. 2023; 49(3): 101907. doi: https://doi.org/10.1016/j.semerg.2022.101907
Liljequist D, Elfving B, Roaldsen KS. Intraclass correlation – A discussion and demonstration of basic features. PLOS One. 2019; 14(7): e0219854. doi: https://doi.org/10.1371/journal.pone.0219854
Poncumhak P, Amput P, Sangkarit N, Promsrisuk T, Srithawong A. Predictive Ability of the 2-Minute Step Test for Functional Fitness in Older Individuals with Hypertension. Ann Geriatr Med Res. 2023; 27(3): 228-234. doi: https://doi.org/10.4235/agmr.23.0070
Costa SF, Bassi-Dibai D, Pontes-Silva A, Araujo AS, Silva AFF, Veneroso CE, et al. Construct validity and reliability of the 2-Minute Step Test (2MST) in individuals with low back pain. BMC Musculoskelet Disord. 2022; 23: 1062. doi: https://doi.org/10.1186/s12891-022-06050-w
Srithawong A, Poncumhak P, Manoy P, Manoy P, Kumfu S, Prasertsri T, et al. The optimal cutoff score of the 2-min step test and its association with physical fitness in type 2 diabetes mellitus. J Exerc Rehabil. 2022; 18(3): 214-221. doi: https://doi.org/10.12965/jer.2244232.116
Chaturvedhi A. Validation of the Two Minute Step Test as Predictor of Aerobic Capacity in Institutionalized Elderly for Neurological Rehabilitation. J Neurol Neurosci. 2021; 12: No.8:385. https://www.itmedicalteam.pl/articles/validation-of-the-two-minute-step-test-as-predictor-of-aerobic-capacity-in-institutionalized-elderly-for-neurological-rehabilitati.pdf
Willi R, Widmer M, Merz N, Bastiaenen CHG, Zörner B, Bolliger M. Validity and reliability of the 2-minute walk test in individuals with spinal cord injury. Spinal Cord. 2023; 61(1): 15-21. doi: https://doi.org/10.1038/s41393-022-00847-1
Rikli RE, Jones CJ. Development and Validation of Criterion-Referenced Clinically Relevant Fitness Standards for Maintaining Physical Independence in Later Years. The Gerontologist. 2013; 53(2): 255-267. doi: https://doi.org/10.1093/geront/gns071
Bohannon RW, Crouch RH. Two-Minute Step Test of Exercise Capacity: Systematic Review of Procedures, Performance, and Clinimetric Properties. Journal of Geriatric Physical Therapy. 2019; 42(2): 105. doi: https://doi.org/10.1519/JPT.0000000000000164
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166(1): 111-117. doi: https://doi.org/10.1164/ajrccm.166.1.at1102
Rikli RE, Jones CJ. Functional Fitness Normative Scores for Community-Residing Older Adults, Ages 60-94. Journal of Aging and Physical Activity. 1999; 7(2): 162-181. doi: https://doi.org/10.1123/japa.7.2.162

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2025 Víctor Hugo Arboleda-Campo, Eliana Camila González-Satizábal, Jhon Alejandro Sánchez-Solarte , Paola Andrea Chavarro-Ortiz, José Julián Bernal-Sánchez, Esther Cecilia Wilches-Luna