Sit-to-stand test as a complementary assessment in patients with cardiovascular disease
DOI:
https://doi.org/10.15649/cuidarte.4864Keywords:
Walk Test, Exercise Test, Cardiovascular DiseasesAbstract
Highlights
- The 1-Minute Sit-to-Stand Test (STS1) and the 6-Minute Walk Test (6MWT) involve simple, everyday movements and are well tolerated by patients.
- The STS1 is a reliable, validated tool that is practical for clinical use in limited spaces.
- As a functional assessment comparable to the 6MWT, the STS1 provides an effective option for monitoring physical status in patients with cardiovascular disease.
- The STS1 assesses lower-extremity muscle strength, a key predictor of mortality in older adults.
Introduction: The 1-Minute Sit to Stand Test (STS1) has gained relevance as a simple, safe, and functional test in patients with cardiovascular disease, especially in settings where the 6-Minute Walk Test (6MWT) is not feasible. Its usefulness in assessing lower- extremity muscle strength makes it a complementary tool of increasing interest that can strengthen functional assessment batteries in this population. Objective: To assess the correlation between the 6MWT and the STS1 as complementary tools in the functional assessment of patients with cardiovascular disease. Materials and Methods: Descriptive, correlational, cross-sectional study conducted in 45 patients enrolled in a cardiac rehabilitation program at a quaternary care clinic in Cali, Colombia. The 6MWT and STS1 were administered, assessing physiological variables and physical performance variables. Pearson’s correlation coefficient was used for bivariate analysis. Results: The mean age was 62.97 ± 12.58 years; 64.4% were women. Coronary artery disease was the most common diagnosis (73.3%). A moderate positive correlation was found between the distance walked in the 6MWT and the number of repetitions in the STS1 (r=0.610; p < 0.001). The 6MWT elicited a greater increase in heart rate (final: 112.7 ± 18.1), whereas the STS1 had a greater impact on systolic blood pressure (final SBP: 146.8 ± 27.9; p < 0.001). Discussion: The results are consistent with studies in other populations and support the use of STS1 as a valid functional assessment option. Conclusion: The STS1 complements the 6MWT in the functional assessment of patients with cardiovascular diseases.
How to cite this article: Ávila-Valencia Juan Carlos, Betancourt-Peña Jhonatan, Saavedra-Orozco Nicol Andrea, Benavides-Cordoba Vicente. Sit-to-Stand test as a complementary assessment in patients with cardiovascular disease. Revista Cuidarte. 2026;17(2):e4864. https://doi.org/10.15649/cuidarte.4864
References
Organización Mundial de la Salud (OMS). Enfermedades cardiovasculares. 11 de junio de 2021. Consulta: Enero 5, 2025. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
Organización Panamericana de la Salud (OPS). La carga de las enfermedades cardiovasculares en la Región de las Américas, 2000-2019. Portal de Datos de NMH. Consulta: Enero 5, 2025. Disponible en: https://www.paho.org/es/enlace/carga-enfermedades-cardiovasculares
Institute for Health Metrics and Evaluation (IHME). Global Burden of Disease 2021: Findings from the GBD 2021 Study. Seattle, WA: IHME; [Internet] 2024. [cited 2025 Jan 5] Available from: https://www.healthdata.org/research-analysis/library/global-burden-disease-2021-findings-gbd-2021-study
Caspersen CJ, Powell KE, Christenson GM. Actividad física, ejercicio y aptitud física: definiciones y distinciones para la investigación relacionada con la salud. Representante de Salud Pública. 1985;100(2):126-31. https://pmc.ncbi.nlm.nih.gov/articles/PMC1424733/
Tokmakova M. Cardiopulmonary stress test--general characteristics and clinical value. Folia Med (Plovdiv). 1998;40(3B Suppl 3):38-42. https://pubmed.ncbi.nlm.nih.gov/10205991/
González NF, Anchique CV, Rivas AD. Test de caminata de 6 minutos en pacientes de rehabilitación cardiaca de altitud moderada. Rev Colomb Cardiol. 2017;24(6):626-632. https://www.elsevier.es/es-revista-revista-colombiana-cardiologia-203-articulo-test-caminata-6-minutos-pacientes-S0120563317300128
Csuka M, McCarty DJ. Simple method for measurement of lower extremity muscle strength. Am J Med. enero de 1985;78(1):77-81. https://doi.org/10.1016/0002-9343(85)90465-6
Spence JG, Brincks J, Løkke A, Neustrup L, Østergaard EB. One-minute sit-to-stand test as a quick functional test for people with COPD in general practice. NPJ Prim Care Respir Med. 2023;33:11. https://doi.org/10.1038/s41533-023-00335-w
Zamboti CL, Pimpão HA, Bertin LD, Krinski GG, Garcia T, dos Santos Filho SLS, et al. Functional Measures in Non-COPD Chronic Respiratory Diseases: A Systematic Review. J Clin Med. 2024;13(22):6887. https://doi.org/10.3390/jcm13226887
Zampogna E, Pignatti P, Ambrosino N, Cherubino F, Fadda AM, Zappa M, et al. The 5-Repetition Sit-to-Stand Test as an Outcome Measure for Pulmonary Rehabilitation in Subjects With Asthma. Respir Care. mayo de 2021;66(5):769-76. https://doi.org/10.4187/respcare.08452
Adsett JA, Bowe R, Kelly R, Louis M, Morris N, Hwang R. A Study of the Reliability, Validity, and Physiological Changes of Sit-to-Stand Tests in People With Heart Failure. J Cardiopulm Rehabil Prev. 2023;43(3):214-219. https://doi.org/10.1097/HCR.0000000000000739
Keen C, Smith I, Hashmi-Greenwood M, Sage K, Kiely DG. Pulmonary Hypertension and Measurement of Exercise Capacity Remotely: Evaluation of the 1-min Sit-to-Stand Test (PERSPIRE) - a cohort study. ERJ Open Res. 2023;9(1). https://doi.org/10.1183/23120541.00295-2022
Van Cappellen-van Maldegem SJM, Hoedjes M, Seidell JC, van de Poll-Franse LV, Buffart LM, Mols F, et al. Self-performed Five Times Sit-To-Stand test at home as (pre-)screening tool for frailty in cancer survivors: Reliability and agreement assessment. Journal of Clinical Nursing. 2023;32(7-8):1370-1380. https://doi.org/10.1111/jocn.16299
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):111-7. https://doi.org/10.1164/ajrccm.166.1.at1102
Bohannon RW, Crouch R. 1-Minute Sit-to-Stand Test: systematic review of procedures, performance, and clinimetric properties. J Cardiopulm Rehabil Prev. 2019;39(1):2-8. https://doi.org/10.1097/HCR.0000000000000336
Saavedra-Orozco NA, Avila-Valencia JC, Betancourt-Peña J, Benavides-Cordoba V. Sit-to-stand test como alternativa en la evaluación de pacientes con enfermedad cardiovascular. Mendeley Data. 2025. https://doi.org/10.17632/c266cft26g.1
Machado A, Dias C, Rebelo P, Souto-Miranda S, Mendes MA, Ferreira D, et al. Functional capacity using sit-to-stand tests in people with chronic obstructive pulmonary disease and its relationship with disease severity-a cross-sectional study with matched controls. Braz J Phys Ther. 2024;28(4):101090. https://doi.org/10.1016/j.bjpt.2024.101090
Oliveros MJ, Seron P, Román C, Gálvez M, Navarro R, Latin G, et al. Two-Minute Step Test as a Complement to Six-Minute Walk Test in Subjects With Treated Coronary Artery Disease. Frontiers in Cardiovascular Medicine. 2022;9. https://doi.org/10.3389/fcvm.2022.848589
Wang Z, Yan J, Meng S, Li J, Yu Y, Zhang T, et al. Reliability and validity of sit-to-stand test protocols in patients with coronary artery disease. Front. Cardiovasc. Med. 2022;9. https://doi.org/10.3389/fcvm.2022.841453
Ozel CB, Ozdemir HY, Dural M, Al A, Yalvac HE, Mert GO, et al. The one-minute sit-to-stand test is an alternative to the 6-minute walk test in patients with atrial fibrillation: A cross-sectional study and ROC curve analysis. Int J Cardiol. 2024;419:132713. https://doi.org/10.1016/j.ijcard.2024.132713
Meriem M, Cherif J, Toujani S, Ouahchi Y, Hmida AB, Beji M. Sit-to-stand test and 6-min walking test correlation in patients with chronic obstructive pulmonary disease. Annals of Thoracic Medicine. 2015;10(4):269-273. https://doi.org/10.4103/1817-1737.165289
Watson K, Winship P, Cavalheri V, Vicary C, Stray S, Bear N, et al. In adults with advanced lung disease, the 1-minute sit-to-stand test underestimates exertional desaturation compared with the 6-minute walk test: an observational study. Journal of Physiotherapy. 2023:69(2):108-113. https://doi.org/10.1016/j.jphys.2023.02.001
Tanriverdi A, Kahraman BO, Ozpelit E, Savci S. Test Retest Reliability and Validity of 1-Minute Sit-to-Stand Test in Patients With Chronic Heart Failure. Heart Lung and Circulation. 2023;32(4):518-524. https://doi.org/10.1016/j.hlc.2023.01.008
Anuku R, Intarakamhang P, Phongamwong C, Meesuksabai P. Comparison of the Sit-to-Stand Test with the 6-Minute Walk Test in Post-Coronary Artery Bypass Graft Patients. J Rehabil Med. 2024;34(3):138-41. https://he01.tci-thaijo.org/index.php/aseanjrm/article/view/269483
Ozalevli S, Ozden A, Itil O, Akkoclu A. Comparison of the Sit-to-Stand Test with 6min walk test in patients with chronic obstructive pulmonary disease. Respiratory Medicine. 2007;101(2):286-293. https://doi.org/10.1016/j.rmed.2006.05.007
Velilla-Zancada SM, Prieto-Díaz MA, Escobar-Cervantes C, Manzano-Espinosa L. La hipotensión ortostática, esa gran desconocida. SEMERGEN Medicina de Familia. 2017;43(7):501-510. https://doi.org/10.1016/j.semerg.2016.09.006
Hadayá J, Ardell JL. Autonomic Modulation for Cardiovascular Disease. Front Physiol. 2020;11. https://doi.org/10.3389/fphys.2020.617459
Triangto I, Dhamayanti AS, Putra MS, Witjaksono D, Rahmad R, Zuhriyah L, et al. Correlation of Sit-to-Stand Test and 6-Minute Walk Test to Illustrate Cardiorespiratory Fitness in Systolic Heart Failure Patients. Annals of Rehabilitation Medicine. 2025;49(1):23-29. https://doi.org/10.5535/arm.240057
Crook S, Büsching G, Schultz K, Lehbert N, Jelusic D, Keusch S, et al. A multicentre validation of the 1-min sit-to-stand test in patients with COPD. European Respiratory Journal. 2017;49(3):1601871. https://doi.org/10.1183/13993003.01871-2016
Reychler G, Boucard E, Peran L, Pichon R, Le Ber-Moy C, Ouksel H, et al. One minute sit-to-stand test is an alternative to 6MWT to measure functional exercise performance in COPD patients. The Clinical Respiratory Journal. 2017;12(3):1247-56. https://doi.org/10.1111/crj.12658
Anbumaran PM, Swetha S, Prasanth G, Sakthi Sangeetha V, Gangadharan V. Correlation between six-minute walk test and sit-to-stand test in COPD patients. Biomedicine. 2022;42(3):600-4. https://biomedicineonline.org/article/correlation-between-six-minute-walk-test-and-sit-to-stand-test-in-copd-patients/
Thu HNT, Le Khac B, Poncin W. Reliability of the 1-minute sit-to-stand test in chronic obstructive pulmonary disease. Annals of Physical Rehabilitation Medicine. 2024;67(7):101866. https://doi.org/10.1016/j.rehab.2024.101866
Meghashri V, Raveesha A, Mehta C, Deepthi M. Correlation of Six Minute Walking Test, Sit to Stand Test and Pulmonary Function Test in Patients with Chronic Obstructive Pulmonary Disease. Journal of Clinical & Diagnostic Research. 2023;17(1). https://doi.org/10.7860/jcdr/2023/58723.17229
Downloads
Published
How to Cite
Downloads
Issue
Section
Categories
License
Copyright (c) 2026 Revista Cuidarte

This work is licensed under a Creative Commons Attribution 4.0 International License.
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.

