Canadian Home Fitness Test Research Articles

Current status of the step test in field evaluation of aerobic fitness: The Canadian home fitness test and its analogues

The development and current status of the Canadian Home Fitness Test and its analogues are briefly reviewed. Although originally designed to motivate subjects to greater physical activity, there have been persistent attempts to use the test for screening and exercise prescription. The prediction of maximal oxygen uptake obtained by the original test and its various modifications has much the same reliability and validity as other submaximal procedures for the estimation of peak aerobic power. Useful information can be derived regarding the fitness of large populations, but in the individual no more than a very crude categorization of fitness is possible.

A new approach to the interpretation of Canadian Home Fitness Test scores.

A modification of the Astrand (1960) nomogram procedure was applied to Canadian Home Fitness Test data obtained on 13,258 subjects, ages 15 to 69 years, during the 1981 Canada Fitness Survey. Norms were developed to allow an empirical five-level categorization of aerobic fitness, based on the attained rate of stepping and the recovery pulse count 5 to 15 s following exercise. Because of uncertainties regarding the net mechanical efficiency of stepping and the selective recruitment of fit older subjects, the apparent rate of aerobic fitness decrease with aging was no more than half of that seen in laboratory measurements, and the sex differential at any given age (about 25%) was larger than expected. The new approach thus does not claim a high level of accuracy for the predicted peak MET values. Nevertheless, it has an inherent advantage over the equation of Jetté et al. (1976) in that it takes more direct account of variations in pulse count when categorizing fitness. Moreover, there is no artificial ceiling that limits scores for very fit subjects. Tests are now needed to assess the accuracy of the proposed fitness categorizations relative to laboratory determinations of maximal oxygen intake.

The Canadian Home Fitness Test

The Canadian Home Fitness Test

PAR-Q, Canadian Home Fitness Test and exercise screening alternatives.

Procedures for the preliminary screening of asymptomatic adults who wish to exercise are reviewed with particular reference to experience gained through the mass use of the physical activity readiness questionnaire (PAR-Q) and the Canadian Home Fitness Test (CHFT). It is argued that both a brief submaximal exercise test and a subsequent moderate increase of habitual activity are extremely safe tactics to recommend to a symptom-free adult. There are some useful minor modifications which could be made to the PAR-Q instrument, but its sensitivity and specificity relative to such criteria as medical examination, hypertension, CHFT completion and exercise-induced ECG abnormalities compare favourably with alternative self-administered procedures. The basic difficulty of screening an asymptomatic population (highlighted by Bayes theorem) is the high percentage of false positive and false negative test results. One remedy would be to stratify the population in terms of known cardiac risk factors and to restrict detailed pre-exercise screening to the high risk segment of the population.

Tests of maximum oxygen intake. A critical review.

The determinants of endurance effort vary, depending upon the extent of the muscle mass that is activated. Large muscle work, such as treadmill running, is halted by impending circulatory failure; lack of venous return may compound the basic problem of an excessive cardiac work-load. If the task calls for use of a smaller muscle mass, there is ultimately difficulty in perfusing the active muscles, and glycolysis is halted by an accumulation of acid metabolites. Simple field tests of endurance, such as Cooper's 12-minute run and the Canadian Home Fitness Test, have some value in the rapid screening of large populations, but like other submaximal tests of human performance they lack the precision needed to advise the individual. The directly measured maximum oxygen intake (VO2 max) varies with the type of exercise. The highest values are obtained during uphill treadmill running, but well trained athletes often approach these values during performance of sport-specific tasks. Limitations of methodology and wide interindividual variations of constitutional potential limit the interpretation of maximum oxygen intake data in terms of personal fitness, exercise prescription and the monitoring of training responses. The main practical value of VO2 max measurement is in the functional assessment of patients with cardiorespiratory disease, since changes are then large relative to the precision of the test.

Reliability of a test of cardiovascular fitness.

The reliability of a simple, cheap and portable test for estimating cardio-respiratory fitness (the Canadian Home Fitness Test) was assessed by the test/retest method. Substantial intra-subject variation was demonstrated which was between 49% and 85% of the observed group variation. At the 95% confidence level, this intra-subject variation represented an error of between 19.2% and 25.9% on the key measurement (mean post-exercise heart rate) depending on the degree of work done. The probable reason for this poor repeatability was observer error and this is discussed. It is concluded that this test is not suitable for either clinical or population research and alternative methods, such as historical review of physical activity, may be more useful.

A longitudinal study of changes in aerobic fitness, body composition, and energy intake in primigravid patients

Sixteen primigravid patients were studied on four occasions (once in each trimester and again at 4 weeks' post partum) for predicted VO2 max (Canadian Home Fitness Test), body weight, and percentage of body fat (skin folds) and caloric intake (3 day food diary). The VO2 max declined significantly from first to second to third trimester and rose post partum to the second-trimester level. Energy intake was constant but body weight and fat rose progressively until after birth. When subjects were divided into “fit” (n = 8) and “unfit” (n = 8) groups, the fit group had significantly greater VO2 max, lower heart rate and diastolic pressure, and less body fat. These differences were not present at third trimester but were present again in the postpartum data. There were no differences in delivery or neonatal data.

The current status of the Canadian home fitness test.

The current status of the Canadian Home Fitness Test is reviewed. This simple procedure was originally conceived for the mass testing of fitness levels and for home use as a motivational tool in exercise programmes. The test is carried out on a double 8 inch step (such as a domestic staircase) at an age and sex-specific rhythm set by a long-playing record. Fitness is assessed from a combination of test-duration and the radial or carotid pulse count immediately following exercise. Use of the procedure by upwards of 500,000 Canadians is reviewed in relaltion to its safety, validity and practicality. To date, there have been no serious complications. In home use, there is inevitably limited precision, although with practice subjects can learn to count their pulse rate and step in time to the music; further, the test seems well received, achieving its prime objective of stimulating an interest in physical activity and endurance fitness. When the procedure is carried out by a paramedical worker, with e.c.g. recording of the exercise heart rate, it provides at least as good an estimate of maximum oxygen intake as other sub-maximal procedure; the main area of current controversy is interpretation of abnormal stress e.c.g. records, and it is suggested this problem could be resolved by the appropriate training and certification of interested family physicans and paramedical workers.