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Habitual physical activity score as a predictor of the 6-min walk test distance in healthy adults
Authors:Debabani Biswas  Atin Dey  Mukul Chakraborty  Subir K. Dey  Amitabha Sengupta  Soumya Bhattacharjee  Susmita Kundu  Subrata Rath
Affiliation:1. Department of Chest Medicine, College of Medicine and Sagar Datta Hospital, Kolkata 700058, India;2. Department of Chest Medicine, Calcutta National Medical College, 24 Gorachand Road, Kolkata 700014, India;3. Department of Chest Medicine, Nilratan Sarkar Medical College, 138 AJC Bose Road, Kolkata 700014, India;4. Department of Chest Medicine, Radha Gobinda Kar Medical College, 1 Khudiram Bose Sarani, Kolkata 700004, India;5. Head, SQC&OR Unit, Indian Statistical Institute, Pune, India;1. Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan;2. First Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, 830-0011 Kurume, Japan;3. Department of Pulmonary Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan;1. Division of Respiratory and Allergy Medicine, Komaki City Hospital, Komaki, 1-20, Johbushi, Komaki City 485-8520, Japan;2. Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, 6-16-1 Tomioka-Higashi, Kanazawa-ku, Yokohama City 236-0051, Japan;1. Department of Physical Therapy/Motion Analysis Center, Central Michigan University, United States;2. Department of Health Sciences, Central Michigan University,United States;1. Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan;2. Department of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan;3. Departments of Integrated Diagnostics and Therapeutics, National Taiwan University Hospital, Taipei, Taiwan;4. Department of Dietetic, National Taiwan University Hospital, Taipei, Taiwan;5. Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA
Abstract:BackgroundThe 6-min walk test (6MWT) is a simple, inexpensive test of functional exercise capacity. The 6MWT distance (6MWD) in healthy adults varies geographically, emphasizing the need for population-specific reference equations. The purpose of the present study was to investigate the influences of the habitual physical activity (HPA) score and other anthropometric and demographic parameters on the variability of the 6MWD among healthy adults and to propose a reference equation.MethodsThis was a prospective, cross-sectional, observational study. The 6MWT was conducted in a 30-m hospital corridor on 201 healthy volunteers, 125 men and 76 women, aged 20–60 years. The HPA in the previous 6 months was assessed using Baecke's questionnaire. Univariate analysis followed by multiple regression analysis was performed to analyze the significance levels of different probable predictors.ResultsThe 6MWD was significantly greater in more active than in less active subjects (663.8±55.4 m vs. 599.9±67.8 m, p<0.001). The regression analysis showed that the subject's age in years (p=0.017), gender (p=0.006), height in cm (p=0.004), weight in kg (p<0.001), total activity score (TS) (p<0.001), and absolute difference in heart rate before and after exercise (p<0.001) could explain 48.9% of the variability in the 6MWD in healthy adults.ConclusionsThe HPA score is probably the most appropriate variable to include in the reference equation predicting the 6MWD in healthy adults from the Indian subcontinent.
Keywords:6-min walk test  Habitual physical activity score  Anthropometric parameter  Absolute difference in heart rate  Reference equation
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