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

Current Heart Failure Reports

Volumn 14, Issue 3, 2017, Pages 158-166

  Du, Huiyun ^a   Wonggom, Parichat ^a   Tongpeth, Jintana ^a   Clark, Robyn A ^a  

^a FLINDERS UNIVERSITY   (Australia)

Author keywords

Functional capacity; Heart failure; Heart rate recovery; Peak VO2; Six minute walk test

Indexed keywords

ATRIAL FIBRILLATION; BODY MASS; CARDIOPULMONARY EXERCISE TEST; CARDIOPULMONARY FUNCTION; CHRONIC OBSTRUCTIVE LUNG DISEASE; COGNITION; CORONARY ARTERY DISEASE; EXERCISE; HEART FAILURE; HEART FAILURE WITH PRESERVED EJECTION FRACTION; HEART FAILURE WITH REDUCED EJECTION FRACTION; HEART LEFT VENTRICLE EJECTION FRACTION; HEART RATE; HUMAN; MOBILE APPLICATION; NEW YORK HEART ASSOCIATION CLASS; OXYGEN CONSUMPTION; PHYSICAL ACTIVITY; PHYSICAL CAPACITY; PULMONARY HYPERTENSION; REVIEW; SIX MINUTE WALK TEST; SYSTEMATIC REVIEW (TOPIC); CHRONIC DISEASE; PATHOPHYSIOLOGY; PHYSIOLOGY; WALK TEST;

CHRONIC DISEASE; HEART FAILURE; HEART RATE; HUMANS; OXYGEN CONSUMPTION; WALK TEST;

EID: 85017612619     PISSN: 15469530     EISSN: 15469549     Source Type: Journal    
DOI: 10.1007/s11897-017-0330-3     Document Type: Review

References (54)

1. 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.
2. Enright PL. The six-minute walk test. Respir Care. 2003;48(8):783–5.
3. 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.
4. Zielińska D, Bellwon J, Rynkiewicz A, Elkady MA. Prognostic value of the six-minute walk test in heart failure patients undergoing cardiac surgery: a literature review. Rehabil Res Pract. 2013; doi:10.1155/2013/965494.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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.
10. 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.
11. 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.
12. 2 after an exercise training intervention
13. 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.
14. 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.
15. 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. 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. Kaminsky LA, Tuttle MS. Functional assessment of heart failure patients. Heart Fail Clin. 2015;11(1):29–36.
18. 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.
19. 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.
20. 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.
21. 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.
22. 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.
23. 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.
24. 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.
25. 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.
26. 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.
27. Lydick E, Epstein R. Interpretation of quality of life changes. Qual Life Res. 1993;2(3):221–6.
28. 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. 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.
30. 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.
31. 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. 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.
33. 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. 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.
35. 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.
36. 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.
37. 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.
38. 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.
39. 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.
40. 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.
41. 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.
42. 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.
43. 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.
44. 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.
45. 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.
46. 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. 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.
48. 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.
49. •• 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]
50. Barnett CT, Bisele M, Jackman JS, Rayne T, Moore NC, Spalding JL, et al. Gait Posture. 2016;44:221–6.
51. De Maeyer C, Beckers P, Vrints CJ, Conraads VM. Exercise training in chronic heart failure. Ther Adv Chronic Dis. 2013;4(3):105–17.
52. 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.
53. 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.
54. 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.