Activity level predicts 6-minute walk distance in healthy older females: an observational study

Background

The 6-minute walk test (6MWT) is widely used in clinical practice and research. Few studies have investigated activity level as a predictor of 6-minute walk distance (6MWD), and existing predictive models do not allow for activity level.

Objectives

To evaluate if knowledge of the level of physical activity enhanced the ability to predict 6MWD, and if the inclusion of activity level added to the predictive accuracy of existing models for the 6MWT in healthy older women; and to validate existent predictive models for 6MWD in a new sample.

Design

Cross-sectional, observational study.

Setting

Four elderly communities.

Participants

A convenience sample of healthy active and sedentary older non-smoking females with no musculoskeletal or lung disorders.

Main outcome measures

Age, height, weight, spirometric values and 6MWD.

Results

Seventy-seven out of 154 females met the inclusion criteria [mean age 66 (standard deviation 6.5) years]: 46 were active and composed the active group and 31 were sedentary and composed the sedentary group. The active group had significantly greater 6MWD than the sedentary group (mean 44m; 95% confidence interval 14 to 73m; P<0.01). Previous published models that did not allow for activity level either over or underestimated the 6MWD in this sample. The activity level was shown to be an important independent predictor of 6MWD.

Conclusion

This study demonstrates the importance of considering the level of physical activity when predicting 6MWD in older women.

Activity level predicts 6-minute walk distance in healthy older females: an observational studyl. Physiotherapy - March 2013 (Vol. 99, Issue 1, Pages 21-26, DOI: 10.1016/j.physio.2011.11.004)
Daniel Steffens, Paula R. Beckenkamp, Mark Hancock, Dulciane Nunes Paiva, Jennifer A. Alison, Sergio Saldanha Menna-Barreto