scholarly journals Study to assess exercise capacity in patients with copd on pulmonary rehabilitation through six minute walk test

2019 ◽  
Vol 4 (3) ◽  
pp. 181-184
Author(s):  
Kanabur Prashanth ◽  
Kolla Vinod ◽  
K N. Mohan Rao ◽  
Rohit R Chandran ◽  
K Thirthashree
Keyword(s):  
Exercise Capacity ◽  
Pulmonary Rehabilitation ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk

Changes in physiological variables in patients with diffuse interstitial lung disease in the six-minute walk test

2021 ◽  
Vol 17 ◽  
Author(s):  
Jhonatan Betancourt-Peña ◽  
Daniela Domínguez-Muñoz ◽  
Paola Salazar ◽  
Juan Carlos Ávila-Valencia
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Aerobic Capacity ◽  
Pulmonary Rehabilitation ◽  
Lower Limbs ◽  
Walk Test ◽  
Physiological Variables ◽  
Six Minute Walk Test ◽  
Informed Consent Form ◽  
Minute Walk

Objective: Diffuse Interstitial Lung Disease (DILD) is a pathology with a high mortality rate in Colombia as well as around the world. Linking patients to pulmonary rehabilitation programs is essential to improve their quality of life and aerobic capacity; thus, all patients perform the six-minute walk test (6-MWT). This study aimed to describe the changes in physiological and aerobic capacity-related variables in patients with DILD in the 6-MWT at admission to a pulmonary rehabilitation program and determine possible differences between patients with idiopathic pulmonary fibrosis (IPF) and other DILDs. Methods: This is a cross-sectional descriptive study on patients with DILD who performed the 6-MWT between January 2017 and February 2019. Sociodemographic, clinical, physiological, and exercise tolerance variables were taken into account at four different times of the 6-MWT: Rest time, the end, and the first and the fifth minute after the end of the test. The Human Ethics Committee endorsed the study, and all participants signed the informed consent form. Results: There were 64 patients with DILD. The average age was 60.84 years, 53.1% were female, 73.4% required home oxygen, and 53.1% had a diagnosis of IPF. There were no statistically significant differences in the heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO2), Borg scale, and fatigue in lower limbs at the four evaluated moments of the test for both groups of patients with DILD (p=0.000); moreover, the FEV1/FVC ratio for patients with other DILD was higher (p=0.000). The distance traveled for IPF was 339.26±124.84, while for other DILDs, it was 365.63±113.00 (p=0.382). Conclusions: Patients with other DILDs have better FEV1/FVC and travel longer distances with less dyspnea and fatigue than patients with IPF during the 6-MWT. Both groups' HR, RR, SpO2, Borg, and fatigue variables presented significant changes during the 6-MWT.

Abstract 005: Six-Minute Walk Test Predicts Heart Failure, Myocardial Infarction, and Death in Patients with Stable Ischemic Heart Disease: Data from the Heart and Soul Study

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Alexis L Beatty ◽  
Nelson B Schiller ◽  
Mary A Whooley
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Exercise Capacity ◽  
Treadmill Exercise ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
6Mwt Distance ◽  
Minute Walk

Background: The six-minute walk test (6MWT) is commonly used to assess functional exercise capacity in patients with heart or lung disease. However, its ability to predict events in patients with stable ischemic heart disease (IHD) is unknown. Methods: We measured 6MWT distance and treadmill exercise capacity in 556 outpatients with stable IHD between September 2000 and December 2002. Participants were followed for an average of 7.7 years to determine cardiovascular (CV) events (myocardial infarction, heart failure, or death). We used Cox proportional hazards models to evaluate 6MWT distance and treadmill exercise capacity as predictors of subsequent events. Results: Among the 556 patients, there were 82 heart failure hospitalizations, 63 myocardial infarctions, and 184 deaths from any cause. Patients in the lowest quartile of 6MWT distance (284-1375 ft) were 3 times as likely as patients in the highest quartile (1786-2746 ft) to experience CV events (62% vs. 22%, age-adjusted HR 3.15, 95%CI 1.98-5.03, p<0.0001). Each standard deviation (SD) decrease in 6MWT distance (342 ft) was associated with an 86% greater risk of heart failure (age-adjusted HR 1.86, 95%CI 1.51-2.31, p<0.0001), a 47% greater risk of myocardial infarction (age-adjusted HR 1.47, 95%CI 1.15-1.89, p=0.002), a 54% greater risk of death (age-adjusted HR 1.54, 95%CI 1.32-1.80, p<0.0001), and a 55% greater risk of any event (age-adjusted HR 1.55, 95%CI 1.35-1.78, p<0.0001). After adjustment for traditional risk factors and measures of cardiac disease severity (left ventricular ejection fraction, inducible ischemia, diastolic dysfunction, NT-proBNP and CRP), each SD decrease in 6MWT remained associated with a 38% greater risk of CV events (HR 1.38, 95%CI 1.10-1.74, p=0.005). 6MWT distance was similar to treadmill exercise capacity for predicting CV events (age-adjusted c-statistics 0.72 vs. 0.71, p=0.73 for comparison). Conclusions: Distance walked on 6MWT is as good as treadmill exercise capacity for predicting CV events in patients with stable IHD.

scholarly journals Self-reported physical activity versus physical function capacity: alternatives for energy expenditure estimation

2017 ◽  
Vol 20 (4) ◽  
pp. 4-12
Author(s):  
Chidozie E. Mbada ◽  
Temitope A. Osifeso ◽  
Olubusola E. Johnson ◽  
Adaobi M. Okonji ◽  
Emmanuel A. Odeyemi
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Energy Expenditure ◽  
Physical Function ◽  
Exercise Capacity ◽  
Self Report ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
The Mean ◽  
Minute Walk

The extent to which self-report activity measured by the International Physical Activity Questionnaire (IPAQ) can substitute performance-based functional capacity measured by the Six-Minute Walk Test (6MWT) remains inconclusive. This study assessed Physical Activity (PA) and Functional Exercise Capacity (FEC); and also determined the relationship between PA and FEC in apparently healthy young adults. A total of 342 (145 males and 197 females) undergraduates of Obafemi Awolowo University, Ile-Ile, Nigeria participated in the study. The IPAQ was used to assess PA, while FEC was assessed using the 6MWT, and expressed in terms of the Six-Minute Walk Distance (6MWD), Six-Minute Walk Work (6MWW), Maximum Oxygen Uptake (VO2max) and Metabolic Equivalent (METS). Anthropometric and cardiovascular parameters were measured following standardized procedures. Data was analyzed using descriptive and inferential statistics. The alpha level was set at 0.05. The mean age of the participants was 22.0±2.87 years. The mean IPAQ score of all participants was 1471.4±1086.93. The percentage for low, moderate and high PA was 19% (65), 41.2% (141) and 39.8% (136), respectively. The mean 6MWD, 6MWW, VO2max and METS were 639.47 ±66.6 m, 41805.0 ±8520.6 kg·m, 28.9 ±1.92 mlO2k-1min-1, 4.05 ±0.32 mL/kg, respectively. There were signifi cant positive correlations between PA and each of the 6MWD (r=0.268; p=0.001), 6MWW (r=0.219; p=0.001), VO2max (r=0.268; p=0.001), METS (r=0.268; p=0.001). Measures of exercise capacity were not signifi cantly correlated with the anthropometric variables (p>0.05). Self-report of physical activity in healthy young adults does not adequately substitute the results of the Six-Minute Walk Test. Mbada Ch.E., Osifeso T.A., Johnson O.E., Okonji A.M., Odeyemi E.A. Self-reported physical activity versus physical function capacity: alternatives for energy expenditure estimation. Med Rehabil 2016; 20(4): 4-12. DOI: 10.5604/01.3001.0009.5479 null

scholarly journals Six Minute Walk Test as a Monitoring tool in Chronic Obstructive Pulmonary Disease on Pulmonary Rehabilitation

2013 ◽  
Vol 2 (2) ◽  
pp. 35-41
Author(s):  
Vignan Kumar Gali Prakash ◽  
Sujath Gogineni ◽  
Rajesh Kumar ◽  
Mahaboob V Shaik
Keyword(s):  
Pulmonary Rehabilitation ◽  
Forced Expiratory Volume ◽  
Chronic Obstructive ◽  
Walk Test ◽  
Walk Distance ◽  
Obstructive Pulmonary Disease ◽  
Six Minute Walk Test ◽  
The Mean ◽  
Minute Walk Distance ◽  
Minute Walk

Background and Aims- The six minute walk test is widely used as an outcome measure in pulmonary rehabilitation programs. The objective of this study is to report the magnitude of change in the six minute walk test with test repetition in patients with chronic obstructive pulmonary disease on pulmonary rehabilitation program. Methods: A prospective study of 51 patients with moderate to very severe COPD was carried out. Clinical examination, spirometry, six minute walk distance were done. All were advised regular follow up visits at three, six and twelve months. Results: Four (8%) very severe cases completed all visits and one in those showed improvement in Forced Expiratory Volume in 1 second by 6% and six minute walk distance by 71 metres. Seven (31.37%) severe cases completed all visits; showed improvement in Forced Expiratory Volume in 1 second by 2.5%; the distance walked was a mean 381.5 metres and this was 2.5 % improvement over base line walking distance. Six (11%) moderately severe cases completed the study; the mean distance walked at the end of the study was 451 metres, which is an improvement of 53% and the mean change in Forced expiratory volume in 1 second was <2%. Totally, the mean of modified Burden of Lung disease Dyspnoea scale was 1.7 (baseline) and 4 (after the test). Conclusions: These findings support the recommendation of practice six minute walk test at baseline assessment in order to provide an accurate measure of the effects of rehabilitation on six minute walk distance.DOI: http://dx.doi.org/10.3126/jaim.v2i2.8774 Journal of Advances in Internal Medicine 2013;02(02):35-41.

scholarly journals EXERCISE CAPACITY IN CHILDREN AND ADOLESCENTS WITH POST-INFECTIOUS BRONCHIOLITIS OBLITERANS: A SYSTEMATIC REVIEW

2019 ◽  
Vol 37 (2) ◽  
pp. 234-240
Author(s):  
Camila Menna Barros Rodrigues ◽  
Daniele Schiwe ◽  
Natália Evangelista de Campos ◽  
Fabiana Niederauer ◽  
João Paulo Heinzmann-Filho
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Exercise Capacity ◽  
Bronchiolitis Obliterans ◽  
Methodological Quality ◽  
Walk Test ◽  
Cardiopulmonary Exercise ◽  
Six Minute Walk Test ◽  
Minute Walk ◽  
Post Infectious

ABSTRACT Objective: To evaluate exercise capacity in children and adolescents with post-infectious bronchiolitis obliterans. Data source: This is a systematic review based on data from PubMed, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Electronic Library Online (SciELO), and Physiotherapy Evidence Database (PEDro). We used the following search strategy: “Exercise capacity OR Exercise Test OR Physical fitness OR Functional capacity OR Six-minute walk test OR Shuttle walk test OR Cardiopulmonary exercise test AND Bronchiolitis obliterans.” We selected studies that evaluated exercise capacity through maximal/submaximal testing in children and adolescents with post-infectious bronchiolitis obliterans, and no other associated disease. We searched articles in English, Portuguese, and Spanish, without restrictions regarding the period of publication. The methodological quality was assessed by the Agency for Healthcare Research and Quality (AHRQ) protocol. Data synthesis: Out of the 81 articles found, only 4 were included in this review. The studies totaled 135 participants (121 with post-infectious bronchiolitis obliterans and 14 healthy), with sample sizes between 14 and 58 subjects. All patients underwent spirometry to evaluate pulmonary function, indicating an obstructive ventilatory pattern. Among them, 3/4 had their physical performance assessed by the six-minute walk test and 2/4 by the cardiopulmonary exercise testing. These test results were compared to those of a control group (1/4) and presented as percentage of predicted and/or in meters (3/4). Lastly, 3/4 of the studies showed reduced exercise capacity in this population. The studies included were classified as having high methodological quality. Conclusions: Findings of the study demonstrate that children and adolescents with post-infectious bronchiolitis obliterans have reduced exercise capacity.

scholarly journals Utility of the six-minute walk test in patients with idiopathic pulmonary fibrosis

2018 ◽  
Vol 13 ◽  
Author(s):  
Lisa Lancaster
Keyword(s):  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Exercise Capacity ◽  
Supplemental Oxygen ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Number Of Factors ◽  
Functional Exercise ◽  
Functional Exercise Capacity ◽  
Minute Walk

The six-minute walk test (6MWT) is a simple test that is widely used to assess functional exercise capacity in patients with idiopathic pulmonary fibrosis (IPF). Patients with IPF have reduced exercise capacity due to a number of factors, such as impaired respiratory mechanics and circulatory problems. As a self-paced and usually submaximal exercise test, the 6MWT reflects the exercise level of everyday activities. Variables measured during the 6MWT, such as six-minute walk distance (6MWD) and desaturation, are strong predictors of mortality in patients with IPF. However, the results of a 6MWT are affected by numerous factors, including age, body size, comorbidities and the use of supplemental oxygen during the test, and these need to be borne in mind when interpreting the results of individual and serial tests. Clinical studies, including trials of potential therapies for IPF, have differed in the methodology used to implement the 6MWT, hindering the comparison of results across studies. In this review, I describe the utility of the 6MWT in patients with IPF and provide recommendations for standardisation of the test for use both in clinical practice and research. A brief video

Is the one-minute sit-to-stand test an appropriate replacement for the six-minute walk test in community pulmonary rehabilitation programmes?

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e222
Author(s):  
D. Chen ◽  
J. Curtis ◽  
L. Braithwaite ◽  
S. Van Der Pol ◽  
M. Epton ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Walk Test ◽  
Stand Test ◽  
Six Minute Walk Test ◽  
Sit To Stand ◽  
The One ◽  
Minute Walk
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