{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T08:52:13Z","timestamp":1780044733881,"version":"3.53.1"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Investigation"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Importance<\/jats:title><jats:p>The 3\u2010min step test is a simple option to monitor submaximal exercise capacity, although its use via remote video monitoring has not been investigated in children with cystic fibrosis (CF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to assess the feasibility and reproducibility of performing the 3\u2010min step test with remote supervision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study including CF patients (6\u201318 years) from two CF services were performed. Demographic, anthropometric, clinical, and lung function data were collected and two 3\u2010min step tests were performed: (i) in\u2010person supervision, and (ii) remotely supervised by video monitoring. Before and after the tests, heart rate (HR), oxygen saturation (SpO<jats:sub>2<\/jats:sub>), and the Borg score for dyspnea and lower limb fatigue were monitored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010three patients (10.7 \u00b1 3.7 years) with a mean FEV<jats:sub>1<\/jats:sub> of 89.5% \u00b1 23.2% were included. There were no significant differences between tests, with mean differences (95% confidence intervals) in final HR of \u20133.3 (\u20138.9, 2.4), change in HR of \u20131.9 (\u20136.1, 2.1), final SpO<jats:sub>2<\/jats:sub> of 0.3 (\u20130.4, 1.0), and final dyspnea of 0.1 (\u20130.8, 0.9). The intraclass correlation coefficient was 0.852 (final HR), 0.762 (final SpO<jats:sub>2<\/jats:sub>), and 0.775 (final lower limb fatigue). Significant and moderate correlations were found between tests for final HR (<jats:italic>r<\/jats:italic> = 0.75), change in HR (<jats:italic>r<\/jats:italic> = 0.61), and final SpO<jats:sub>2<\/jats:sub> (<jats:italic>r<\/jats:italic> = 0.61). The Bland\u2013Altman analysis showed a mean difference in final SpO<jats:sub>2<\/jats:sub> between tests of 0.3% (limit of agreement \u20133.0%, 3.5%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Physiological responses between tests were similar, indicating it was feasible to perform the 3\u2010min step test with remote supervision in CF children.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ped4.12436","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T03:42:56Z","timestamp":1718250176000},"page":"83-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Feasibility of performing the 3\u2010minute step test with remote supervision in children and adolescents with cystic fibrosis: A comparative study"],"prefix":"10.1002","volume":"8","author":[{"given":"Fernanda Maria","family":"Vendrusculo","sequence":"first","affiliation":[{"name":"Laboratory of Pediatric Physical Activity, Infant Center Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul (PUCRS)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisele Apolin\u00e1rio","family":"da Costa","sequence":"additional","affiliation":[{"name":"Laboratory of Pediatric Physical Activity, Infant Center Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul (PUCRS)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Am\u00e9lia","family":"Bagatini","sequence":"additional","affiliation":[{"name":"Laboratory of Pediatric Physical Activity, Infant Center Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul (PUCRS)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda Maria Henrique Maia","family":"Lemes","sequence":"additional","affiliation":[{"name":"Hospital Infantil Jo\u00e3o Paulo II \u2013 Funda\u00e7\u00e3o Hospitalar do Estado de Minas Gerais (FHEMIG)  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Aguiar","family":"Faria","sequence":"additional","affiliation":[{"name":"Hospital Infantil Jo\u00e3o Paulo II \u2013 Funda\u00e7\u00e3o Hospitalar do Estado de Minas Gerais (FHEMIG)  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa Carvalhaes","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Hospital Infantil Jo\u00e3o Paulo II \u2013 Funda\u00e7\u00e3o Hospitalar do Estado de Minas Gerais (FHEMIG)  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evanirso da Silva","family":"Aquino","sequence":"additional","affiliation":[{"name":"Hospital Infantil Jo\u00e3o Paulo II \u2013 Funda\u00e7\u00e3o Hospitalar do Estado de Minas Gerais (FHEMIG)  Belo Horizonte Brazil"},{"name":"Departament of Physiotherapy Pontif\u00edcia Universidade Cat\u00f3lica de Minas Gerais (PUCMG) \u2013 Campus Betim  Betim Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8836-9109","authenticated-orcid":false,"given":"M\u00e1rcio Vin\u00edcius Fagundes","family":"Donadio","sequence":"additional","affiliation":[{"name":"Laboratory of Pediatric Physical Activity, Infant Center Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul (PUCRS)  Porto Alegre Brazil"},{"name":"Department of Physiotherapy, Faculty of Medicine and Health Sciences Universitat Internacional de Catalunya (UIC)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200304\u2010505SO"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806\u201037562017000000065"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806\u20103713\/e20170351"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2016.08.011"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.22658"},{"key":"e_1_2_7_7_1","unstructured":"GBEFC \u2010 Grupo Brasileiro de Estudos de Fibrose C\u00edstica [Internet]. 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