Metz Lore, Thivel David, Peirrera Bruno, Richard Ruddy, Julian Valérie, Duclos Martine
a Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont Auvergne University , Clermont-Ferrand , France.
b Biostatistics Unit (DRCI) , Clermont-Ferrand University Hospital , Clermont-Ferrand , France.
Disabil Rehabil. 2018 Jul;40(14):1702-1707. doi: 10.1080/09638288.2017.1304582. Epub 2017 Mar 27.
The 6-min walking test (6 MWT) is commonly used to assess obese patients' aerobic fitness, but it has rarely been compared with a direct measurement of maximal aerobic capacities (VO or VO) in obese adults. The aim of this study was to investigate the relationship between the distance covered during a 6 MWT with objectively measured VO and to propose a new equation to predict VO from this walking test in obese patients.
One hundred and thirty-seven obese patients (45.6 ± 12.5 years) admitted to our hospital for a multidisciplinary rehabilitation program were enrolled. After assessment of their body composition, the participants were asked to perform a 6 MWT and their maximal aerobic capacities (VO) were measured.
There is a significant linear relation between VO and the distance covered during the 6 MWT (p < 0.001; r = 0.349). The determinant of VO was body mass index, waist-to-hip ratio, fat free mass, leading to the follow prediction equation VO such as VO (l/min) = (body mass index ×0.0150065) - (waist-to-hip-ratio × 0.8595088) + (fat-free-mass × 0.0295478) + (6-min walk test ×0.0020672) - 0.5853372.
The 6-min walk test is a reliable method to reflect obese women's aerobic capacities and the distance covered can be used to accurately estimate VO according to our newly proposed equation. Implication for rehabilitation Obesity is a worldwide disease and physical capacity evaluation is a key point for rehabilitation. The six minutes' walk test is commonly used in obese people to assess aerobic fitness. This study proposes a new equation using 6 MWT performance to estimate VO.
6分钟步行试验(6MWT)常用于评估肥胖患者的有氧适能,但在肥胖成年人中,它很少与最大有氧能力(VO₂或VO)的直接测量结果进行比较。本研究的目的是探讨6MWT期间行走的距离与客观测量的VO₂之间的关系,并提出一个新的方程,用于根据该步行试验预测肥胖患者的VO₂。
纳入137名因多学科康复计划入住我院的肥胖患者(45.6±12.5岁)。在评估他们的身体成分后,要求参与者进行6MWT,并测量他们的最大有氧能力(VO₂)。
VO₂与6MWT期间行走的距离之间存在显著的线性关系(p<0.001;r=0.349)。VO₂的决定因素是体重指数、腰臀比、去脂体重,由此得出如下预测方程VO₂,即VO₂(升/分钟)=(体重指数×0.0150065)-(腰臀比×0.8595088)+(去脂体重×0.0295478)+(6分钟步行试验×0.0020672)-0.5853372。
6分钟步行试验是反映肥胖女性有氧能力的可靠方法,根据我们新提出的方程,行走的距离可用于准确估计VO₂。康复意义 肥胖是一种全球性疾病,身体能力评估是康复的关键点。六分钟步行试验常用于肥胖人群评估有氧适能。本研究提出了一个使用6MWT表现来估计VO₂的新方程。