Validity and Reliability of the 6-minute Pegboard Ring Test in Obese Individuals

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorSelcuk University

About this trial

Obesity is a major public health problem that causes numerous diseases and problems that threaten human health. The prevalence of obesity has increased worldwide in the last \~50 years and has reached pandemic levels. Similar results are seen in Turkey, and according to the results of the Turkey Health Survey, 20.2% of people aged 15 and over were obese and 35.6% were pre-obese in 2022. Obesity represents a major health problem as it significantly increases the risk of diseases such as type 2 diabetes mellitus, fatty liver disease, hypertension, myocardial infarction, stroke, dementia, osteoarthritis, obstructive sleep apnea and various cancers, thus contributing to a decrease in both quality of life and life expectancy. Obesity is also associated with unemployment, social disadvantages and reduced socio-economic productivity, thus representing an increasing economic burden.

Obesity is associated with physiological changes at the muscle level, including a decrease in capillary density and blood flow, thus limiting the supply of oxygen and energy resources. Along with the limited blood flow, muscle cells in obese individuals have a decrease in the relative number and size of mitochondria required for energy supply. This leads to a limitation in upper limb activities.

This activity restriction is related to many activities of daily living that involve unsupported upper extremity movements that lead to dyspnea and fatigue in patients with cardiopulmonary disease. Therefore, determining the strength, endurance and exercise capacity of the upper extremities emerges as an important issue in obesity management. One of the tests that serve this purpose is the 6-minute pegboard ring test (6PBRT), which has been found to be valid and reliable in patients with chronic obstructive pulmonary disease and asthma. However, when the literature is examined, it is seen that 6PBRT has not been studied in obese individuals. Therefore, the aim of the study is to investigate the validity and reliability of 6PBRT in obese individuals.

The main question it aims to answer is:

\- Is 6PBRT a valid and reliable method to assess upper extremity functional capacity in patients wit obesity?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

BMI value of 30 kg/m2 and above,

Ability to ambulate,

Being 18 years of age and above,

Being a volunteer.

Disqualifiers

Use of anti-obesity medication,

Pregnancy,

Latent autoimmune diabetes,

Chronic renal failure,

Trial population

Obese individuals applying to Selçuk University Nutrition and Dietetics Department: Purposive sampling

Trial design

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

  • Patients with obesity

    Other intervention

    Six-Minute Pegboard and Ring Test: It will be used to evaluate upper extremity exercise capacity. There are 20 rings on 4 iron bars on the board used and patients will be asked to attach the rings with both hands, first from top to bottom and then from bottom to top. At the end of the six minutes, the total number of rings attached will be recorded. Heart rate, blood pressure, respiratory rate, dyspnea and fatigue will be evaluated according to the Modified Borg Scale before and after the test.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Six-Minute Pegboard and Ring Test

Used to evaluate upper extremity exercise capacity. There are 20 rings on 4 iron bars on the board used, and patients are asked to attach the rings with both hands, first from top to bottom and then from bottom to top. At the end of six minutes, the total number of rings attached is recorded. Before and after the test, heart rate, blood pressure, respiratory rate, dyspnea and fatigue will be evaluated according to the Modified Borg Scale.

Time frame
1 hour

Secondary outcomes

1

Demographic data and personal characteristics

Demographic information such as sociodemographic characteristics and medications used, comorbidities, education level, occupation, smoking and alcohol use, CV and family history of the individuals included in the study will be recorded in a previously prepared form.

Time frame
Baseline
2

Body composition

Body mass and body composition will be measured with the help of Tanita brand device using bioelectrical impedance method. The variables to be evaluated with this device are; body mass index (BMI = body mass: (kg)/height2 (m)2), fat mass expressed as a percentage of body mass (pFM), fat-free mass (FFM) expressed in kilograms and appendicular skeletal muscle mass (ASMM) and skeletal muscle mass (SMM) expressed in kilograms. The measurements will be recorded on the previously prepared form.

Time frame
Baseline
3

Respiratory muscle strength

They are easy to apply and simple measurements. Maximal voluntary inspiratory and expiratory pressures (MIP and MEP) are the most commonly used noninvasive methods for measuring respiratory muscle strength. They are based on the Müller (maximal inspiration) and Valsalva (maximal expiration) principles. MIP and MEP data will be measured and collected with an intraoral pressure measuring device and the data will be recorded on a previously prepared form.

Time frame
Baseline
4

Extremity Muscle Strength

Hand grip, elbow flexion, shoulder flexion and abduction muscle strengths will be measured with a dynamometer.

Time frame
Baseline

Other outcomes

Sponsors and contacts

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