Reliability, validity, usefulness, and sensitivity of a submaximal test of performing burpees in 3 minutes, in assessing and detecting changes in aerobic fitness of athletes during future prolonged self-isolation in a confined environment.

Abstract

During a prolonged quarantine, there is a need to monitor aerobic fitness levels of trained individuals who are isolated with a simple fitness test that can be performed in confined space of their own homes. This study examined the reliability, validity, usefulness and sensitivity of a novel 3-min submaximal heart rate burpees test (or Sub<inf>HR</inf>3-MBT) to assess and monitor changes in aerobic fitness, of trained athletes. In the Sub<inf>HR</inf>3-MBT, male and female athletes performed 48 and 39 burpees respectively, within 3 min by following a constant beeping pace. The performance criterion of the Sub<inf>HR</inf>3-MBT is the highest heart rate attained (or exercise HR<inf>peak</inf>) at the end of 3-min (wherein a lower exercise HR<inf>peak</inf> indicates a higher level of aerobic fitness). A total of 40 male and female national athletes from various sports volunteered for the study. For reliability (Part 1), the Sub<inf>HR</inf>3-MBT showed good relative and excellent reliability, with intraclass correlation coefficient 0.90 and coefficient of variation 2.6%, respectively. For validity (Part II), there was significant negative correlation between relative exercise HR<inf>peak</inf> with respiratory gas-measured VO<inf>2max</inf> (r=-0.51, large; P<0.001). The test's technical error of measurement of 2.3 is slightly greater than its smallest worthwhile change of 1.5. For sensitivity (Part III), the athletes were tested twice for their Sub<inf>HR</inf>3-MBT and VO<inf>2max</inf>, once at baseline and another at a followed-up test after >10 weeks. There was a significant correlation between the % change in relative exercise HR<inf>peak</inf> with the % change in VO<inf>2max</inf> (r=-0.66, large; P<0.001). The Sub<inf>HR</inf>3-MBT is a reliable, valid, marginally useful test and may be able to track changes in aerobic fitness in trained athletes with moderate levels of sensitivity, in case of future isolation due to pandemic occurrence.