Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation
OBJECTIVES The six-minute walk test (6MWT) is widely used in exercise based cardiac rehabilitation (EBCR) for assessment of functional capacity. The purpose of this study was to assess the effect of structured exercise in an EBCR program on 6MWT change and to determine the significance of age, gende...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sapientia Publishing Group
2022-03-01
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| Series: | Exercise Medicine |
| Subjects: | |
| Online Access: | http://www.exercmed.org/upload/pdf/em-2022-002.pdf |
| _version_ | 1797821982488657920 |
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| author | John R. Wicks Grant T. Turner Sharon L. Leslie Rohan Jayasinghe |
| author_facet | John R. Wicks Grant T. Turner Sharon L. Leslie Rohan Jayasinghe |
| author_sort | John R. Wicks |
| collection | DOAJ |
| description | OBJECTIVES The six-minute walk test (6MWT) is widely used in exercise based cardiac rehabilitation (EBCR) for assessment of functional capacity. The purpose of this study was to assess the effect of structured exercise in an EBCR program on 6MWT change and to determine the significance of age, gender, body mass index (BMI), pathology and exercise attendance on influencing this outcome. METHODS Data from a single centre 6-week (twice weekly exercise and education of one-hour duration) exercise-based cardiac rehabilitation program were analysed. Between 2006 and 2019, 2524 patients (males 1923, females 601, mean age 63.5 ± 11.2 years) with cardiovascular disease completed a pre and post 6MWT. Analysis included the effect of age, gender, pathology, BMI and exercise attendance on 6MWT outcome. RESULTS The group mean improvement in the 6MWT was 21.8% (pre 6MWT 432 ± 83, post 6MWT 527 ± 102 metres). The age-related improvement showed that both males and females achieved a post 6MWT results equivalent to the pre 6MWT result of patients two decades younger with improvement in the 6MWT unrelated to exercise attendance. CONCLUSIONS The 6MWT provides simple safe method for assessment of functional capacity in an out-of-hospital environment being suitable for all ages. The post EBCR 6MWT results showed a group mean improvement in excess of 20% for both sexes. The decline per decade in 6MWT distance is less than 20 metres up to the sixth decade with a more marked decline from the sixth to the eighth decade, the decline being approximately 40-metres for both sexes in the eighth decade. |
| first_indexed | 2024-03-13T10:02:04Z |
| format | Article |
| id | doaj.art-50507bc5a41149a9b48486185a9b0da3 |
| institution | Directory Open Access Journal |
| issn | 2508-9056 |
| language | English |
| last_indexed | 2024-03-13T10:02:04Z |
| publishDate | 2022-03-01 |
| publisher | Sapientia Publishing Group |
| record_format | Article |
| series | Exercise Medicine |
| spelling | doaj.art-50507bc5a41149a9b48486185a9b0da32023-05-23T04:55:51ZengSapientia Publishing GroupExercise Medicine2508-90562022-03-01610.26644/em.2022.00242Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac RehabilitationJohn R. Wicks0Grant T. Turner1Sharon L. Leslie2Rohan Jayasinghe3 Department of Rehabilitation, Robina Hospital, Robina, Queensland, Australia Chronic Disease & Post-Acute Programs, Integrated and Ambulatory Care Services, Robina Precinct, Robina, Queensland, Australia Chronic Disease & Post-Acute Programs, Integrated and Ambulatory Care Services, Robina Precinct, Robina, Queensland, Australia Medical Director, Cardiology Department, Gold Coast University Hospital, Southport, Queensland, AustraliaOBJECTIVES The six-minute walk test (6MWT) is widely used in exercise based cardiac rehabilitation (EBCR) for assessment of functional capacity. The purpose of this study was to assess the effect of structured exercise in an EBCR program on 6MWT change and to determine the significance of age, gender, body mass index (BMI), pathology and exercise attendance on influencing this outcome. METHODS Data from a single centre 6-week (twice weekly exercise and education of one-hour duration) exercise-based cardiac rehabilitation program were analysed. Between 2006 and 2019, 2524 patients (males 1923, females 601, mean age 63.5 ± 11.2 years) with cardiovascular disease completed a pre and post 6MWT. Analysis included the effect of age, gender, pathology, BMI and exercise attendance on 6MWT outcome. RESULTS The group mean improvement in the 6MWT was 21.8% (pre 6MWT 432 ± 83, post 6MWT 527 ± 102 metres). The age-related improvement showed that both males and females achieved a post 6MWT results equivalent to the pre 6MWT result of patients two decades younger with improvement in the 6MWT unrelated to exercise attendance. CONCLUSIONS The 6MWT provides simple safe method for assessment of functional capacity in an out-of-hospital environment being suitable for all ages. The post EBCR 6MWT results showed a group mean improvement in excess of 20% for both sexes. The decline per decade in 6MWT distance is less than 20 metres up to the sixth decade with a more marked decline from the sixth to the eighth decade, the decline being approximately 40-metres for both sexes in the eighth decade.http://www.exercmed.org/upload/pdf/em-2022-002.pdfcardiovascular diseasecardiorespiratory fitnessexercise based cardiac rehabilitationminimal clinically important differencesix minute walk test |
| spellingShingle | John R. Wicks Grant T. Turner Sharon L. Leslie Rohan Jayasinghe Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation Exercise Medicine cardiovascular disease cardiorespiratory fitness exercise based cardiac rehabilitation minimal clinically important difference six minute walk test |
| title | Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation |
| title_full | Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation |
| title_fullStr | Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation |
| title_full_unstemmed | Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation |
| title_short | Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation |
| title_sort | changes observed in the 6 minute walk test in response to exercise based cardiac rehabilitation |
| topic | cardiovascular disease cardiorespiratory fitness exercise based cardiac rehabilitation minimal clinically important difference six minute walk test |
| url | http://www.exercmed.org/upload/pdf/em-2022-002.pdf |
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