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Published in: Current Heart Failure Reports 3/2017

01-06-2017 | Self-Care and Health Outcomes (R. Gallagher and R. Clark, Section Editors)

Six-Minute Walk Test for Assessing Physical Functional Capacity in Chronic Heart Failure

Authors: Huiyun Du, Parichat Wonggom, Jintana Tongpeth, Robyn A. Clark

Published in: Current Heart Failure Reports | Issue 3/2017

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Abstract

Purpose of the Review

The six-minute walk test (6MWT) is a submaximal exercise test for evaluating physical functional capacity. This review aims to report the research on the use of the 6MWT in chronic heart failure (CHF) that has been published in the past 5 years.

Recent Findings

The 6MWT distance does not accurately reflect peak VO2. Minimal clinically important difference in the 6MWT distance, and additional measurements, such as heart rate recovery, can assist in the interpretation of the 6MWT distance, so management decisions can be made. Incorporating mobile apps and information technology in measuring the 6MWT distance extends the usefulness of this simple walk test and improve remote monitoring of patients with CHF.

Summary

The 6MWT is a useful tool in CHF programs. However, interpretation of the 6MWT distance must be with caution. With the advancement in technology, the 6MWT has the potential to facilitate the monitoring of people living in rural and remote areas.
Literature
1.
go back to reference Guyatt GH, Thompson PJ, Berman LB, Sullivan MJ, Townsend M, Jones NL, et al. The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J. 1985;132(8):919.PubMedPubMedCentral Guyatt GH, Thompson PJ, Berman LB, Sullivan MJ, Townsend M, Jones NL, et al. The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J. 1985;132(8):919.PubMedPubMedCentral
2.
go back to reference Enright PL. The six-minute walk test. Respir Care. 2003;48(8):783–5.PubMed Enright PL. The six-minute walk test. Respir Care. 2003;48(8):783–5.PubMed
3.
go back to reference Faggiano P, D’Aloia A, Gualeni A, Brentana L, Cas LD. The 6 minute walking test in chronic heart failure: indications, interpretation and limitations from a review of the literature. Eur J Heart Fail. 2004;6(6):687–91.CrossRefPubMed Faggiano P, D’Aloia A, Gualeni A, Brentana L, Cas LD. The 6 minute walking test in chronic heart failure: indications, interpretation and limitations from a review of the literature. Eur J Heart Fail. 2004;6(6):687–91.CrossRefPubMed
5.
go back to reference Du H, Newton PJ, Salamonson Y, Carrieri-Kohlman VL, Davidson PM. A review of the six-minute walk test: its implication as a self-administered assessment tool. Eur J Cardiovasc Nurs. 2009;8(1):2–8.CrossRefPubMed Du H, Newton PJ, Salamonson Y, Carrieri-Kohlman VL, Davidson PM. A review of the six-minute walk test: its implication as a self-administered assessment tool. Eur J Cardiovasc Nurs. 2009;8(1):2–8.CrossRefPubMed
6.
go back to reference Ingle L, Cleland JG, Clark AL. The long-term prognostic significance of 6-minute walk test distance in patients with chronic heart failure. Biomed Res Int. 2014;2014:505969.CrossRefPubMedPubMedCentral Ingle L, Cleland JG, Clark AL. The long-term prognostic significance of 6-minute walk test distance in patients with chronic heart failure. Biomed Res Int. 2014;2014:505969.CrossRefPubMedPubMedCentral
7.
go back to reference Ingle L, Cleland JG, Clark AL. The relation between repeated 6-minute walk test performance and outcome in patients with chronic heart failure. Ann Phys Rehabil Med. 2014;57(4):244–53.CrossRefPubMed Ingle L, Cleland JG, Clark AL. The relation between repeated 6-minute walk test performance and outcome in patients with chronic heart failure. Ann Phys Rehabil Med. 2014;57(4):244–53.CrossRefPubMed
8.
go back to reference Wegrzynowska-Teodorczyk K, Rudzinska E, Lazorczyk M, Nowakowska K, Banasiak W, Ponikowski P, et al. Distance covered during a six-minute walk test predicts long-term cardiovascular mortality and hospitalisation rates in men with systolic heart failure: an observational study. J Physiother. 2013;59(3):177–87.CrossRefPubMed Wegrzynowska-Teodorczyk K, Rudzinska E, Lazorczyk M, Nowakowska K, Banasiak W, Ponikowski P, et al. Distance covered during a six-minute walk test predicts long-term cardiovascular mortality and hospitalisation rates in men with systolic heart failure: an observational study. J Physiother. 2013;59(3):177–87.CrossRefPubMed
9.
go back to reference Nsenga Leunkeu A, Shephard RJ, Ahmaidi S. Six-minute walk test in children with cerebral palsy gross motor function classification system levels I and II: reproducibility, validity, and training effects. Arch Psys Med Rehabil. 2012;93(12):2333–9.CrossRef Nsenga Leunkeu A, Shephard RJ, Ahmaidi S. Six-minute walk test in children with cerebral palsy gross motor function classification system levels I and II: reproducibility, validity, and training effects. Arch Psys Med Rehabil. 2012;93(12):2333–9.CrossRef
10.
go back to reference Pollentier B, Irons SL, Benedetto CM, DiBenedetto AM, Loton D, Seyler RD, et al. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Cardiopulm Phys Ther J. 2010;21(1):13–21.PubMedPubMedCentral Pollentier B, Irons SL, Benedetto CM, DiBenedetto AM, Loton D, Seyler RD, et al. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Cardiopulm Phys Ther J. 2010;21(1):13–21.PubMedPubMedCentral
11.
go back to reference Palau P, Domínguez E, Núñez E, Sanchis J, Santas E, Núñez J. Six-minute walk test in moderate to severe heart failure with preserved ejection fraction: useful for functional capacity assessment? Int J Cardiol. 2016;203:800–2.CrossRefPubMed Palau P, Domínguez E, Núñez E, Sanchis J, Santas E, Núñez J. Six-minute walk test in moderate to severe heart failure with preserved ejection fraction: useful for functional capacity assessment? Int J Cardiol. 2016;203:800–2.CrossRefPubMed
12.
go back to reference •• Maldonado-Martín S, Brubaker PH, Kaminsky LA, Moore JB, Stewart KP, Kitzman DW. Association between six-minute walk distance and objective variables of functional capacity after exercise training in elderly heart failure patients with preserved ejection fraction: a randomized exercise trial. Arch Psys Med Rehabil. 2016; doi:10.1016/j.apmr.2016.08.481. This study was the first to challenge the validity of the 6MWT for its correlation with peak VO 2 . This study measured the correlation between the change in the 6MWT distance and the change in peak VO 2 after an exercise training intervention •• Maldonado-Martín S, Brubaker PH, Kaminsky LA, Moore JB, Stewart KP, Kitzman DW. Association between six-minute walk distance and objective variables of functional capacity after exercise training in elderly heart failure patients with preserved ejection fraction: a randomized exercise trial. Arch Psys Med Rehabil. 2016; doi:10.​1016/​j.​apmr.​2016.​08.​481. This study was the first to challenge the validity of the 6MWT for its correlation with peak VO 2 . This study measured the correlation between the change in the 6MWT distance and the change in peak VO 2 after an exercise training intervention
13.
go back to reference Forman DE, Fleg JL, Kitzman DW, Brawner CA, Swank AM, McKelvie RS, et al. 6-min walk test provides prognostic utility comparable to cardiopulmonary exercise testing in ambulatory outpatients with systolic heart failure. J Am Coll Cardiol. 2012;60(25):2653–61.CrossRefPubMedPubMedCentral Forman DE, Fleg JL, Kitzman DW, Brawner CA, Swank AM, McKelvie RS, et al. 6-min walk test provides prognostic utility comparable to cardiopulmonary exercise testing in ambulatory outpatients with systolic heart failure. J Am Coll Cardiol. 2012;60(25):2653–61.CrossRefPubMedPubMedCentral
14.
go back to reference Deboeck G, Van Muylem A, Vachiéry JL, Naeije R. Physiological response to the 6-minute walk test in chronic heart failure patients versus healthy control subjects. Eur J Prev Cardiol. 2014;21(8):997–1003.CrossRefPubMed Deboeck G, Van Muylem A, Vachiéry JL, Naeije R. Physiological response to the 6-minute walk test in chronic heart failure patients versus healthy control subjects. Eur J Prev Cardiol. 2014;21(8):997–1003.CrossRefPubMed
15.
go back to reference Papathanasiou JV, Ilieva E, Marinov B. Six-minute walk test: an effective and necessary tool in modern cardiac rehabilitation. Hell J Cardiol. 2013;54(2):126–30. Papathanasiou JV, Ilieva E, Marinov B. Six-minute walk test: an effective and necessary tool in modern cardiac rehabilitation. Hell J Cardiol. 2013;54(2):126–30.
16.
go back to reference Pollentier B, Irons SL, Benedetto CM, DiBenedetto AM, Loton D, Seyler RD, et al. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Int J Cardiol. 2010;21(1):13–21. Pollentier B, Irons SL, Benedetto CM, DiBenedetto AM, Loton D, Seyler RD, et al. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Int J Cardiol. 2010;21(1):13–21.
17.
go back to reference Kaminsky LA, Tuttle MS. Functional assessment of heart failure patients. Heart Fail Clin. 2015;11(1):29–36.CrossRefPubMed Kaminsky LA, Tuttle MS. Functional assessment of heart failure patients. Heart Fail Clin. 2015;11(1):29–36.CrossRefPubMed
18.
go back to reference Pepera GK, Sandercock GR, Sloan R, Cleland JJ, Ingle L, Clark AL. Influence of step length on 6-minute walk test performance in patients with chronic heart failure. Physiotherapy. 2012;98(4):325–9.CrossRefPubMed Pepera GK, Sandercock GR, Sloan R, Cleland JJ, Ingle L, Clark AL. Influence of step length on 6-minute walk test performance in patients with chronic heart failure. Physiotherapy. 2012;98(4):325–9.CrossRefPubMed
19.
go back to reference Ross RM, Murthy JN, Wollak ID, Jackson AS. The six minute walk test accurately estimates mean peak oxygen uptake. BMC Pulm Med. 2010;10(1):1.CrossRef Ross RM, Murthy JN, Wollak ID, Jackson AS. The six minute walk test accurately estimates mean peak oxygen uptake. BMC Pulm Med. 2010;10(1):1.CrossRef
20.
go back to reference Ingle L, Goode K, Rigby AS, Cleland JG, Clark AL. Predicting peak oxygen uptake from 6-min walk test performance in male patients with left ventricular systolic dysfunction. Eur J Heart Fail. 2006;8(2):198–202.CrossRefPubMed Ingle L, Goode K, Rigby AS, Cleland JG, Clark AL. Predicting peak oxygen uptake from 6-min walk test performance in male patients with left ventricular systolic dysfunction. Eur J Heart Fail. 2006;8(2):198–202.CrossRefPubMed
21.
go back to reference Cahalin LP, Mathier MA, Semigran MJ, Dec GW, DiSalvo TG. The six-minute walk test predicts peak oxygen uptake and survival in patients with advanced heart failure. Chest. 1996;110(2):325–32.CrossRefPubMed Cahalin LP, Mathier MA, Semigran MJ, Dec GW, DiSalvo TG. The six-minute walk test predicts peak oxygen uptake and survival in patients with advanced heart failure. Chest. 1996;110(2):325–32.CrossRefPubMed
22.
go back to reference Zotter-Tufaro C, Mascherbauer J, Duca F, Koell B, Aschauer S, Kammerlander AA, et al. Prognostic significance and determinants of the 6-min walk test in patients with heart failure and preserved ejection fraction. JACC Heart Fail. 2015;3(6):459–66.CrossRefPubMed Zotter-Tufaro C, Mascherbauer J, Duca F, Koell B, Aschauer S, Kammerlander AA, et al. Prognostic significance and determinants of the 6-min walk test in patients with heart failure and preserved ejection fraction. JACC Heart Fail. 2015;3(6):459–66.CrossRefPubMed
23.
go back to reference Vieira FC, Melo Marinho PÉ, Brandão DC, Silva OB. Respiratory muscle strength, the six-minute walk test and quality of life in Chagas cardiomyopathy. Physiother Res Int. 2014;19(1):8–15.CrossRefPubMed Vieira FC, Melo Marinho PÉ, Brandão DC, Silva OB. Respiratory muscle strength, the six-minute walk test and quality of life in Chagas cardiomyopathy. Physiother Res Int. 2014;19(1):8–15.CrossRefPubMed
24.
go back to reference O’Keeffe ST, Lye M, Donnellan C, Carmichael DN. Reproducibility and responsiveness of quality of life assessment and six minute walk test in elderly heart failure patients. Heart. 1998;80(4):377–82.CrossRefPubMedPubMedCentral O’Keeffe ST, Lye M, Donnellan C, Carmichael DN. Reproducibility and responsiveness of quality of life assessment and six minute walk test in elderly heart failure patients. Heart. 1998;80(4):377–82.CrossRefPubMedPubMedCentral
25.
go back to reference Wyrwich KW, Nienaber NA, Tierney WM, Wolinsky FD. Linking clinical relevance and statistical significance in evaluating intra-individual changes in health-related quality of life. Med Care. 1999;37(5):469–78.CrossRefPubMed Wyrwich KW, Nienaber NA, Tierney WM, Wolinsky FD. Linking clinical relevance and statistical significance in evaluating intra-individual changes in health-related quality of life. Med Care. 1999;37(5):469–78.CrossRefPubMed
26.
go back to reference Wyrwich KW, Tierney WM, Wolinsky FD. Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. J Cli. Epidemiol. 1999;52(9):861–73.CrossRef Wyrwich KW, Tierney WM, Wolinsky FD. Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. J Cli. Epidemiol. 1999;52(9):861–73.CrossRef
27.
28.
go back to reference Bohannon RW, Crouch R. Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: a systematic review. J Eval Clin Pract. 2016;4:4. Bohannon RW, Crouch R. Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: a systematic review. J Eval Clin Pract. 2016;4:4.
29.
go back to reference Ingle L, Shelton RJ, Rigby AS, Nabb S, Clark AL, Cleland JG. The reproducibility and sensitivity of the 6-min walk test in elderly patients with chronic heart failure. Eur Heart J. 2005;26(17):1742–51.CrossRefPubMed Ingle L, Shelton RJ, Rigby AS, Nabb S, Clark AL, Cleland JG. The reproducibility and sensitivity of the 6-min walk test in elderly patients with chronic heart failure. Eur Heart J. 2005;26(17):1742–51.CrossRefPubMed
30.
go back to reference Dolmage TE, Hill K, Evans RA, Goldstein RS. Has my patient responded? Interpreting clinical measurements such as the 6-minute-walk test. Am J Respir Crit Care Med. 2011;184(6):642–6.CrossRefPubMed Dolmage TE, Hill K, Evans RA, Goldstein RS. Has my patient responded? Interpreting clinical measurements such as the 6-minute-walk test. Am J Respir Crit Care Med. 2011;184(6):642–6.CrossRefPubMed
31.
go back to reference Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Cli Epidemiol. 2007;60(1):34–42. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Cli Epidemiol. 2007;60(1):34–42.
32.
go back to reference Chan KS, Pfoh ER, Denehy L, Elliott D, Holland AE, Dinglas VD, et al. Construct validity and minimal important difference of 6-minute walk distance in survivors of acute respiratory failure. Chest. 2015;147(5):1316–26.CrossRefPubMedPubMedCentral Chan KS, Pfoh ER, Denehy L, Elliott D, Holland AE, Dinglas VD, et al. Construct validity and minimal important difference of 6-minute walk distance in survivors of acute respiratory failure. Chest. 2015;147(5):1316–26.CrossRefPubMedPubMedCentral
33.
go back to reference Barbosa R, Pagotti M, Paula T, Jacques T, Serpa R, Calil O, et al. Impact of heart failure clinic on six-minute walk test. Int J Cardiovasc Sci. 2015;28(6):451–9. Barbosa R, Pagotti M, Paula T, Jacques T, Serpa R, Calil O, et al. Impact of heart failure clinic on six-minute walk test. Int J Cardiovasc Sci. 2015;28(6):451–9.
34.
go back to reference Shoemaker MJ, Curtis AB, Vangsnes E, Dickinson MG. Triangulating clinically meaningful change in the six-minute walk test in individuals with chronic heart failure: a systematic review. Cardiopulm Phys Ther J. 2012;23(3):5–15.PubMedPubMedCentral Shoemaker MJ, Curtis AB, Vangsnes E, Dickinson MG. Triangulating clinically meaningful change in the six-minute walk test in individuals with chronic heart failure: a systematic review. Cardiopulm Phys Ther J. 2012;23(3):5–15.PubMedPubMedCentral
35.
go back to reference Täger T, Hanholz W, Cebola R, Fröhlich H, Franke J, Doesch A, et al. Minimal important difference for 6-minute walk test distances among patients with chronic heart failure. Int J Cardiol. 2014;176(1):94–8.CrossRefPubMed Täger T, Hanholz W, Cebola R, Fröhlich H, Franke J, Doesch A, et al. Minimal important difference for 6-minute walk test distances among patients with chronic heart failure. Int J Cardiol. 2014;176(1):94–8.CrossRefPubMed
36.
go back to reference Shoemaker MJ, Curtis AB, Vangsnes E, Dickinson MG. Clinically meaningful change estimates for the six-minute walk test and daily activity in individuals with chronic heart failure. Cardiopulm Phys Ther J. 2013;24(3):21–9.PubMedPubMedCentral Shoemaker MJ, Curtis AB, Vangsnes E, Dickinson MG. Clinically meaningful change estimates for the six-minute walk test and daily activity in individuals with chronic heart failure. Cardiopulm Phys Ther J. 2013;24(3):21–9.PubMedPubMedCentral
37.
go back to reference Guazzi M, Bandera F. Predictive value of 6-min walk test distance versus cardiopulmonary exercise testing in systolic heart failure: same value for different approaches? J Am Coll Cardiol. 2013;61(20):2112.CrossRefPubMed Guazzi M, Bandera F. Predictive value of 6-min walk test distance versus cardiopulmonary exercise testing in systolic heart failure: same value for different approaches? J Am Coll Cardiol. 2013;61(20):2112.CrossRefPubMed
38.
go back to reference Swigris JJ, Olson AL, Shlobin OA, Ahmad S, Brown KK, Nathan SD. Heart rate recovery after six-minute walk test predicts pulmonary hypertension in patients with idiopathic pulmonary fibrosis. Respirology. 2011;16(3):439–45.CrossRefPubMedPubMedCentral Swigris JJ, Olson AL, Shlobin OA, Ahmad S, Brown KK, Nathan SD. Heart rate recovery after six-minute walk test predicts pulmonary hypertension in patients with idiopathic pulmonary fibrosis. Respirology. 2011;16(3):439–45.CrossRefPubMedPubMedCentral
39.
go back to reference Minai OA, Gudavalli R, Mummadi S, Liu X, McCarthy K, Dweik RA. Heart rate recovery predicts clinical worsening in patients with pulmonary arterial hypertension. Am J Respir Crit Care Med. 2012;185(4):400–8.CrossRefPubMed Minai OA, Gudavalli R, Mummadi S, Liu X, McCarthy K, Dweik RA. Heart rate recovery predicts clinical worsening in patients with pulmonary arterial hypertension. Am J Respir Crit Care Med. 2012;185(4):400–8.CrossRefPubMed
40.
go back to reference Cahalin LP, Arena R, Labate V, Bandera F, Lavie CJ, Guazzi M. Heart rate recovery after the 6 min walk test rather than distance ambulated is a powerful prognostic indicator in heart failure with reduced and preserved ejection fraction: a comparison with cardiopulmonary exercise testing. Eur J Heart Fail. 2013;15(5):519–27.CrossRefPubMed Cahalin LP, Arena R, Labate V, Bandera F, Lavie CJ, Guazzi M. Heart rate recovery after the 6 min walk test rather than distance ambulated is a powerful prognostic indicator in heart failure with reduced and preserved ejection fraction: a comparison with cardiopulmonary exercise testing. Eur J Heart Fail. 2013;15(5):519–27.CrossRefPubMed
41.
go back to reference Peçanha T, Silva-Júnior ND, Forjaz CLM. Heart rate recovery: autonomic determinants, methods of assessment and association with mortality and cardiovascular diseases. Clin Physiol Funct Imaging. 2014;34(5):327–39.CrossRefPubMed Peçanha T, Silva-Júnior ND, Forjaz CLM. Heart rate recovery: autonomic determinants, methods of assessment and association with mortality and cardiovascular diseases. Clin Physiol Funct Imaging. 2014;34(5):327–39.CrossRefPubMed
42.
go back to reference Lindemberg S, Chermont S, Quintão M, Derossi M, Guilhon S, Bernardez S, et al. Heart rate recovery in the first minute at the six-minute walk test in patients with heart failure. Arq Bras Cardiol. 2014;102(3):279–87.PubMedPubMedCentral Lindemberg S, Chermont S, Quintão M, Derossi M, Guilhon S, Bernardez S, et al. Heart rate recovery in the first minute at the six-minute walk test in patients with heart failure. Arq Bras Cardiol. 2014;102(3):279–87.PubMedPubMedCentral
43.
go back to reference Zhou S, Chen P, Li H, Zeng C, Fang Y, Shi W, Yang C. Noninvasive measurement of cardiac output during 6-minute walk test by inert gas rebreathing to evaluate heart failure. Acta Cardiol. 2016;71(2):199–203.PubMed Zhou S, Chen P, Li H, Zeng C, Fang Y, Shi W, Yang C. Noninvasive measurement of cardiac output during 6-minute walk test by inert gas rebreathing to evaluate heart failure. Acta Cardiol. 2016;71(2):199–203.PubMed
44.
go back to reference Vegh EM, Kandala J, Orencole M, Upadhyay GA, Sharma A, Miller A, et al. Device-measured physical activity versus six-minute walk test as a predictor of reverse remodeling and outcome after cardiac resynchronization therapy for heart failure. Am J Cardiol. 2014;113(9):1523–8.CrossRefPubMed Vegh EM, Kandala J, Orencole M, Upadhyay GA, Sharma A, Miller A, et al. Device-measured physical activity versus six-minute walk test as a predictor of reverse remodeling and outcome after cardiac resynchronization therapy for heart failure. Am J Cardiol. 2014;113(9):1523–8.CrossRefPubMed
45.
go back to reference Brooks GC, Vittinghoff E, Iyer S, Tandon D, Kuhar P, Madsen KA, et al. Accuracy and usability of a self-administered 6-minute walk test smartphone application. Circ Heart Fail. 2015;8(5):905–13.CrossRefPubMedPubMedCentral Brooks GC, Vittinghoff E, Iyer S, Tandon D, Kuhar P, Madsen KA, et al. Accuracy and usability of a self-administered 6-minute walk test smartphone application. Circ Heart Fail. 2015;8(5):905–13.CrossRefPubMedPubMedCentral
46.
go back to reference Frederix I, Van Driessche N, Hansen D, Berger J, Bonne K, Alders T, et al. Increasing the medium-term clinical benefits of hospital-based cardiac rehabilitation by telerehabilitation in coronary artery disease patients. 2013. Frederix I, Van Driessche N, Hansen D, Berger J, Bonne K, Alders T, et al. Increasing the medium-term clinical benefits of hospital-based cardiac rehabilitation by telerehabilitation in coronary artery disease patients. 2013.
47.
go back to reference Guazzi M, Dickstein K, Vicenzi M, Ross A. Six-minute walk test and cardiopulmonary exercise testing in patients with chronic heart failure: a comparative analysis on clinical and prognostic insights. Circ Heart Fail. 2009;2(6):549–55.CrossRefPubMed Guazzi M, Dickstein K, Vicenzi M, Ross A. Six-minute walk test and cardiopulmonary exercise testing in patients with chronic heart failure: a comparative analysis on clinical and prognostic insights. Circ Heart Fail. 2009;2(6):549–55.CrossRefPubMed
48.
go back to reference Rasekaba T, Lee AL, Naughton MT, Williams TJ, Holland AE. The six-minute walk test: a useful metric for the cardiopulmonary patient. Intern Med. 2009;39(8):495–501.CrossRef Rasekaba T, Lee AL, Naughton MT, Williams TJ, Holland AE. The six-minute walk test: a useful metric for the cardiopulmonary patient. Intern Med. 2009;39(8):495–501.CrossRef
49.
go back to reference •• Prescher S, Schoebel C, Koehler K, Deckwart O, Wellge B, Honold M, et al. Prognostic value of serial six-minute walk tests using tele-accelerometry in patients with chronic heart failure: a pre-specified sub-study of the TIM-HF-trial. Eur J Prev Cardiol. 2016;23(2 suppl):21–6. This study evaluated the use of tele-accelerometer for conducting the 6MWT, over a 12-month follow-up period. Baseline 6MWTD was significantly different between the group who had at least one events (death or hospitalisation), and group who had no event [418.8 (95.6); 353.2 (82.4); p ≤ 0.001] CrossRefPubMed •• Prescher S, Schoebel C, Koehler K, Deckwart O, Wellge B, Honold M, et al. Prognostic value of serial six-minute walk tests using tele-accelerometry in patients with chronic heart failure: a pre-specified sub-study of the TIM-HF-trial. Eur J Prev Cardiol. 2016;23(2 suppl):21–6. This study evaluated the use of tele-accelerometer for conducting the 6MWT, over a 12-month follow-up period. Baseline 6MWTD was significantly different between the group who had at least one events (death or hospitalisation), and group who had no event [418.8 (95.6); 353.2 (82.4); p ≤ 0.001] CrossRefPubMed
50.
go back to reference Barnett CT, Bisele M, Jackman JS, Rayne T, Moore NC, Spalding JL, et al. Gait Posture. 2016;44:221–6.CrossRefPubMed Barnett CT, Bisele M, Jackman JS, Rayne T, Moore NC, Spalding JL, et al. Gait Posture. 2016;44:221–6.CrossRefPubMed
52.
go back to reference Zainuldin R, Mackey MG, Alison JA. Prescription of walking exercise intensity from the 6-minute walk test in people with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev. 2015;35(1):65–9.CrossRefPubMed Zainuldin R, Mackey MG, Alison JA. Prescription of walking exercise intensity from the 6-minute walk test in people with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev. 2015;35(1):65–9.CrossRefPubMed
53.
go back to reference Marzolini S, Oh P, Corbett D, Dooks D, Calouro M, MacIntosh BJ, et al. Prescribing aerobic exercise intensity without a cardiopulmonary exercise test post stroke: utility of the six-minute walk test. Stroke Cerebrovasc Dis. 2016;25:2222–31.CrossRef Marzolini S, Oh P, Corbett D, Dooks D, Calouro M, MacIntosh BJ, et al. Prescribing aerobic exercise intensity without a cardiopulmonary exercise test post stroke: utility of the six-minute walk test. Stroke Cerebrovasc Dis. 2016;25:2222–31.CrossRef
54.
go back to reference Bellet RN, Adams L, Morris NR. The 6-minute walk test in outpatient cardiac rehabilitation: validity, reliability and responsiveness—a systematic review. Physiotherapy. 98(4):277–86. Bellet RN, Adams L, Morris NR. The 6-minute walk test in outpatient cardiac rehabilitation: validity, reliability and responsiveness—a systematic review. Physiotherapy. 98(4):277–86.
Metadata
Title
Six-Minute Walk Test for Assessing Physical Functional Capacity in Chronic Heart Failure
Authors
Huiyun Du
Parichat Wonggom
Jintana Tongpeth
Robyn A. Clark
Publication date
01-06-2017
Publisher
Springer US
Published in
Current Heart Failure Reports / Issue 3/2017
Print ISSN: 1546-9530
Electronic ISSN: 1546-9549
DOI
https://doi.org/10.1007/s11897-017-0330-3

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