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Reliability of Two Field Based Tests For Measuring.96973
Reliability of Two Field Based Tests For Measuring.96973
Faculty of Education and Sports Science, Department of Special Didactics, University of Vigo, Vigo, Spain
C
Although it has been demonstrated that it is reliable to eval-
urrently, there is an emerging necessity to assess uate cardiovascular fitness by means of field-based test in
health-related fitness at an early age (19). In this preschool children (28), and despite the fact that both tests
regard, the importance of including cardiorespi- have been used for preschool research (11–13,21), little is
ratory fitness tests in monitoring systems from known about their reliability when administered in this pop-
early ages has been highlighted (7), as it is considered as ulation. This is important because only when test scores are
valid can they be used as the basis for evaluation, and there-
Address correspondence to Carlos Ayán, cayan@uvigo.es. fore, a test cannot be valid unless it is reliable. Under these
29(10)/2874–2880 circumstances, this study is aimed at establishing reliability
Journal of Strength and Conditioning Research evidence for Course-Navette and Mini-Cooper tests in a sam-
Ó 2015 National Strength and Conditioning Association ple composed of children older than 3 and younger than 6
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years old. Based on the past research, it has been hypothe- health-related fitness tests can be affected by systematic bias
sized that Course-Navette and the Mini-Cooper tests are (i.e., participants who show boredom or lack of motivation
accurate and reliable tools for the assessment of cardiovas- when performing the same test on several occasions) and
cular fitness of preschool children, independently of their age random change (random error of measurement, which is
and sex. greater in smaller samples) (19). According to this, it was
decided that the participants should carry out a third car-
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repeated trials on the same individual. In this study, test- sessing cardiorespiratory fitness in kindergarten children
retest reliability was chosen as a method for testing the (24). Therefore, as a way of reinforcing the reliability study
stability and reliability of cardiorespiratory fitness field-based of Course-Navette and Mini-Cooper when administering
tests over time. Test-retest reproducibility or consistency them to young children, the degree of association of both
over time is a key aspect of reliability because it is critical for tests with the 3-minute shuttle run was taken into account.
evaluating whether an observed change is real (14). The Calculation of the potential sample for the reliability study
problem with testing reliability through the test-retest resulted in a sample size of 97 individuals, established
method is the length of time between test administrations. through a reliability level (confidence interval [CI]) of 95%
The length of time should be short enough, so that the (1 2 a), an accuracy of 96% (d), and having considered a 4%
examinees’ skills in the area being assessed have not changed of the proportion. We have taken into account an expected
because of additional learning. However, a very short time 5% loss in the calculation.
interval makes the carryover effects due to memory, practice,
Subjects
or mood more likely. Conversely, a long time interval in-
The participants were 97 healthy Spanish urban children
creases the likelihood that a change in status may occur
between 4 and 5 years old recruited from a kindergarten
(1). In this regard, most researchers have chosen an interval
located in the North of Spain. Those who were enrolled in
ranging from 2 days to 2 weeks. This time frame is generally
the second year of the initial stage of the Spanish Education
believed to be a reasonable compromise between recollec-
Curriculum and did not show any type of pathology that
tion bias and unwanted (on the part of the investigator)
could prevent practice of aerobic physical exercise, as well as
clinical change (20). In this study, it was decided to carry
participation in evaluation tests, were deemed eligible for the
out the measurements using the same cardiorespiratory fit-
study. At the end of the research, data were collected from
ness field-based tests on 3 occasions and 7 days apart. This
48 boys (mean age: 4.4 6 0.5 years; mean body mass index
time interval was chosen because, on functional tests,
[BMI]: 16.04 6 1.52 kg$m22) and 49 girls (mean age: 4.3 6
a period of 1 week was considered sufficient to analyze their
0.4 years; mean BMI: 16.48 6 1.04 kg$m22).
test-retest reliability without introducing additional error due
Parental permission and child assent were obtained after
to maturation (19). Performance of 3 trials was considered
stakeholders were informed that they could decide whether
convenient because, when testing reliability by means of the
or not to take part in the study, what the objectives were,
test-retest method, it increases the potential for learning,
and the possible risks and benefits. The study was conducted
carryover, or recall effects (i.e., the first test may influence
according to the Declaration of Helsinki, and the protocol
the second) (1). Performance of 3 trials seems to be a frequent
was fully approved by the local Research Ethics Committee
choice when analyzing field-based test reliability on pre-
before initiating the assessment.
school children (3,28).
Thus, tests were carried out in three stages. The first stage Procedure
was used for the introduction and explanation of the tests Research took place during the second term of the academic
with the aim of obtaining the right performance on the part year 2013 or 2014, and all tests were carried out during the
of children participants and avoiding a possible learning 2 weekly sessions of psychomotricity in which children were
effect. The results in each test for this first attempt were not participating as part of the preschool academic curriculum in
taken into account for further analysis. The second stage was Spain. Such sessions, which were aimed at the development
used as a test phase and the third stage as a retest phase. of basic motor skills (balancing, throwing, jumping, etc.),
Comparing the scores of the second and third stages for took place three hours after the children started their school
each performance allowed us to analyze the reliability of day and were carried out with a 3-day interval between
cardiorespiratory fitness field-based tests. them. Participants were not allowed to drink or eat two
In this study, the age and sex of the sample have been hours before the assessment sessions, which were performed
considered as independent variables, whereas the cardiore- in groups of 10 children in 6-week blocks. One kindergarten
spiratory fitness level is recognized as the dependent variable teacher and 1 preschool teacher controlled and supervised
assessed through Course-Navette, Mini-Cooper, and the assessment sessions. Two senior students of the Degree
3-minute shuttle run tests. The study of the reliability of in Early Childhood Education were put in charge of test
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Cardiorespiratory Fitness in Preschool
administration. Their speciality was Physical Education; time on 2 successive shuttles or if he or she withdrew vol-
therefore, they were familiar with test protocols. untarily. Scores were recorded as the last level and shuttle
To measure the weight and height of the participants, students could reach in the test and then were converted to
a digital scale (Tefal PP1200VO, Barcelona, Spain) and the number of seconds completed to provide a continuous
a portable statimeter (Seca 225, Hamburg, Germany) were variable for analysis.
used. Body mass index was calculated dividing the body In the case of Mini-Cooper, children had to move around
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weight in kilograms by the height in meters squared a rectangle mark on the ground as fast as possible for
(kg$m22). Measurements took place during the first assess- a 6-minute period. Said rectangle was 18 3 9 m. Both run-
ment session of the first week. For this, children were asked ning and walking were allowed. The test item score was the
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to wear light clothing and remove their shoes. distance (in meters) covered in the 6-minute period. Again,
Throughout the first and the second sessions of the first classes were divided into smaller groups to complete the test.
week, children were told how to perform both the Mini- For the 3-minute shuttle run test, 2 poles (1.5 m in height)
Cooper and the 3-minute shuttle run tests. In the first session were placed 10 m apart to form a straight 10-m-long running
of the second week, the Course-Navette test was explained track. Children had to run from one side to the other, go
and carried out, and during the second session, typical around the pole, and then return to the starting point. The
psychomotricity activities were developed. This first stage score was the distance (in meters) covered in 3 minutes.
was considered as a familiarization phase, which helped to
Statistical Analyses
avoid the learning effect in subsequent assessments. In the
A descriptive analysis (mean 6 SD and median) was applied
first session of the third week, the pupil did the Mini-Cooper
in relation to the age and sex of the participants. Student’s t-
test and, in the second session, the 3-minute shuttle run test.
test for independent data was used to verify differences
During the first session of the fourth week, the Course-
between variables. Intraclass correlation coefficient (ICC)
Navette test was performed. The second research stage was
and CI were used to assess the reliability of the three tests.
regarded as the test phase. The fifth and sixth weeks
Pearson’s correlation analysis, developed by stratifying the
followed the same structure as the third and fourth, which
analysis according to the children’s age, was also applied to
involved Mini-Cooper, 3-minute shuttle run, and Course-
determine the degree of correlation between Mini-Cooper,
Navette in the same order referred earlier. The third research
Course-Navette, and 3-minute shuttle run tests.
stage was considered as the retest phase.
Statistical significance determined a priori was set at p #
When performing Course-Navette, children were
0.05 for all statistical tests. All statistical analyses were per-
required to run and shuttle back between 2 lines placed
formed using Statistical Package for Social Sciences 19 (SPSS
20 m apart, at increasing speeds. The running speed
Inc.; Chicago, IL, USA), and a linear statistical model was
started at 8.5 km h21 and rose gradually at the rate of
considered for the analysis.
0.5 km$h21$min21. Each speed increase corresponded to
a level change. Classes were divided into smaller groups to
complete the test, and the teacher ran with the students in RESULTS
the first level only. The test ended either when the student Descriptive statistics is reported in Table 1. No difference
was not able to reach the end of the track within the given emerged in relation to sex (data not shown).
4 y (n = 62) 5 y (n = 35)
*p # 0.05.
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Mini-Cooper test-retest (m) 0.942 (0.903–0.965) 0.946 (0.893–0.973) The present results showed
3-minute shuttle run 0.818 (0.697–0.890) 0.916 (0.934–0.958) satisfactory test-retest reliabil-
test-retest (m) ity for both the Course-Navette
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Course-Navette test-retest (s) 0.909 (0.849–0.945) 0.889 (0.780–0.944) and Mini-Cooper tests. This
*ICC = intraclass correlation coefficient; CI = confidence interval. study corroborates previous
findings (11,21) and adds fur-
ther information relative to
test-retest reliability. Indeed,
Niederer et al. (21) found that
All tests showed a high reliability (8.18 , ICC . 9.46; p # reliability of the Course-Navette was high for children aged
0.005) as shown in Table 2. 4–6 years old, but they only included 20 people in their pilot
Table 3 refers the degree of association between Mini- study and no further data were provided. Similarly, Reeves
Cooper and Course-Navette tests with respect to the et al. (27) analyzed reliability for the case of Progressive
3-minute shuttle test. Mean scores of the 3-minute shuttle Aerobic Cardiovascular Endurance Run (PACER), an adap-
run test did not show any significant correlation with the ted version of Course-Navette for children aged 5 to 6.
mean scores obtained in Mini-Cooper test and Course- Nevertheless, the authors restricted themselves to reporting
Navette test in the case of 4-year-old children. Comparison that no significant differences had been observed between
of mean scores in the second attempt indicated that Mini- PACER’s test and retest. It should be kept in mind that no
Cooper (retest) and Course-Navette (retest) showed a degree analysis was offered for test reliability, and no comment was
of correlation for the same age group (r = 0.358; sig = 0.004 made concerning the age of the 17 participants. In this line,
and r = 0.397; sig = 0.001, respectively). In the case of 5-year- Fjørtoft et al. (11) study the reliability of Mini-Cooper in
old children, Mini-Cooper and Course-Navette also showed a group of children between 5 and 12 years old. However,
correlation both in the test (r = 0.693; sig = 0.001 or they only included a sample of 21 children aged 5, and no
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Cardiorespiratory Fitness in Preschool
information of test reliability was provided in this specific Similarly, during Mini-Cooper, some children chose to
age group. These findings are of interest for health profes- slow down and run along with another peer, especially if
sionals and preschool teachers. Nevertheless, although it has they were in first place. Keeping this in mind, it could be
been suggested that this kind of tests has a fair amount of discussed whether it is important to raise the children’s
content (logical) validity because of their natural association awareness about the need to evaluate their maximum effort
with aerobic exercise, they may lack evidence of concurrent capacity by telling them that their position, relative to that of
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validity (28). Thus, the important diagnostic information their peers, is going to be assessed (3). Nevertheless, it is
that can be provided by Course-Navette and Mini-Cooper necessary to remark that none of the children disengaged
when administered to preschoolers is limited. running or stopped prematurely during the tests, a situation
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A standard procedure for determining the concurrent that seems likely to occur when assessing cardiorespiratory
validity of a distance run test is to correlate the scores of the fitness with this population (25).
test with an indicator of cardiorespiratory function, such as Finally, it seems necessary to point out that average values
maximal oxygen consumption. To the authors’ knowledge, obtained by preschoolers in this set of field-based tests might
no study regarding the validity of a field-based test for pre- be considered as relatively low, judging by the information
dicting this physiological variable following such procedure that is available on the topic. An instance of this would be the
with children under 6 years old has been published. This fact that the average distance achieved in 3-minute shuttle run
may be due to the inherent difficulties of carrying out this tests was about 30 m below that attested in other research
type of research with children of such a young age, among performed with children of the same age (4,24). This could be
them, parents’ reluctance to allow their children to partici- because of BMI differences between sample populations,
pate in experimental settings when invasive methods are given the inverse relationship of BMI with cardiorespiratory
applied or some attendant risks might be present, children’s fitness level (18). In fact, if Center for Disease Control and
motivation, and that test procedure may not reflect their Prevention growth charts are taken as a reference (23), chil-
naturally intermittent movement pattern. In this research, dren aged 4 and 5 in this study would be placed around
the extent to which Course-Navette and Mini-Cooper percentiles 60 and 75 for the BMI variable. Equivalent sam-
showed some degree of association with the 3-minute shut- ples in the above mentioned pieces of research, however,
tle run test was analyzed to provide further information were around, or even below, percentile 50. Nevertheless, ac-
about their usefulness with preschool children. Although cording to Ballabeina (21), preschoolers who underwent
a familiarization stage has been included, lack of a significant Course-Navette testing reached an average duration of about
association between successive performances of the 3- 3 minutes, which is almost 3 times higher than the result of
minute run test and the other 2 field tests in 4-year-old this study, despite BMI being similar. These differences may
children deserves further consideration. In particular, it has be due to other directly related aspects, such as children’s
been suggested that tolerance level to exercise in very young capacity to pace themselves, motor competence, or motiva-
children may be the result of emotional factors rather than tion, all of them inherent to test administration.
real fatigue (8). Therefore, we can speculate that the There are few field tests aimed at the assessment of
3-minute test could be more feasible and attractive for little cardiorespiratory fitness in children aged four and five.
children than Course-Navette and Mini-Cooper. A possible Despite this, the 3-minute shuttle run, which has been used
explanation for this lack of correlation in the younger group in this study, and the run/walk tests in distances of 1 mile, 3
could be due to difficulties in understanding and correctly quarters of a mile, and half a mile have proved to be
performing both tests in their first attempts. Indeed, this advantageous under certain conditions (28). Although
population would need at least 3 familiarization sessions Course-Navette and Mini-Cooper showed satisfactory levels
before their cardiorespiratory fitness is assessed by means of test-retest reliability, we must acknowledge limitations in
of maximal effort tests (22). Actually, some problems may their validity, a factor that has not yet been sufficiently stud-
also arise when administering field tests in preschool set- ied. Reliability, however, is a key factor in fitness testing.
tings. In particular, during the execution of Course- Both Course-Navette and Mini-Cooper are running perfor-
Navette, some children hardly completed 1 or 2 shuttles, mance tests. Indeed, running performance is a fundamental
perhaps because the 20-m distance is excessive for preschool health component (26), as it provides testers with an accu-
children and not because their cardiorespiratory fitness is in rate measure of physical work capacity. Although this study
any way limited. In this regard, it would be interesting to has not focused on validity analysis, the use of running per-
study the applicability of a shuttle run test over a short dis- formance tests with preschoolers seems to be an appropriate
tance, as it has been proposed with other populations that choice.
presented limitations in the face of longer distances (10). Still, these results are to be interpreted in the light of their
Alternatively, the initial running speed could be lowered limitations, such as the lack of information regarding
without affecting test reliability, as a recent study, which maturity levels of the sample population, and the influence
was published after the present research was concluded, the examiner may have had in test assessment and perfor-
has shown. (6). mance (interrater reliability).
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In closing, the results of this study suggest that Course- predictor for clustering of cardiorespiratory disease risk factors in
Navette and Mini-Cooper are reliable measures of cardiore- children independent of country, age and sex. Eur J Cardiovasc Prev
Rehabil 14: 526–531, 2007.
spiratory fitness that can be used to assess health-related
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fitness in preschool children. Furthermore, studies should of two upper-body strength tests for preschool children. J Strength
aim at identifying the validity of both tests with this type of Cond Res 28: 3224–3333, 2014.
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Cardiorespiratory Fitness in Preschool
21. Niederer, I, Kriemler, S, Gut, J, Hartmann, T, Schindler, C, Barral, J, 25. Ortega, F, Ruiz, J, Castillo, M, and Sjöström, M. Physical fitness in
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