Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
Rev Paul Pediatr. 2021;39:e2019326. doi: 10.1590/1984-0462/2021/39/2019326. Epub 2020 Aug 28.
To verify the reproducibility of the six-minute walk test (6MWT) performance and its physiological variables in healthy students.
This is as prospective cross-sectional study. The sample consisted of healthy students aged 6-12 years old from public and private schools in the region of Florianópolis City, Santa Catarina State, (Southern Brazil). The medical state was considered according to the health records and scores on the International Study of Asthma and Allergies in Childhood (ISAAC) and the spirometric values of forced expiratory volume in the first second and forced vital capacity above 80% of what was predicted. Two 6MWTs were conducted with a 30-minute interval between them, following the recommendations from the American Thoracic Society. Physiologic variables were recorded using the portable telemetric gas analyzer K4b2 (Cosmed®, Italy). For analysis, the dyspnea index, the perception of effort and performance variables identified in both 6MWT were considered. Data distribution was verified with the Shapiro-Wilk test and statistical analysis included paired t-test or Wilcoxon test, and intraclass correlation coefficient (ICC). The significance level adopted was 5%.
A total of 22 students with a mean age of 10.2±1.5 years participated in the study. The covered distance and the variation of oxygen consumption reproducibility between the two 6MWTs presented ICC=0.76 and ICC=0.86, respectively. There was also similar behavior of the physiological variables when comparing the two tests (p=0.001), especially the minute volume (MV), the oxygen consumption (VO2), and the carbon dioxide production (VCO2).
The 6MWT showed reproducible values, both in performance and physiological parameters, in the healthy students analyzed.
验证健康学生六分钟步行试验(6MWT)表现及其生理变量的可重复性。
这是一项前瞻性的横断面研究。样本包括来自南里奥格兰德州弗洛里亚诺波利斯市公立和私立学校的 6-12 岁健康学生。根据健康记录和儿童哮喘和过敏国际研究(ISAAC)的评分以及第一秒用力呼气量和用力肺活量的肺量计值来判断身体状况,这些值均超过预测值的 80%。两次 6MWT 之间间隔 30 分钟,按照美国胸科学会的建议进行。使用便携式遥测气体分析仪 K4b2(Cosmed®,意大利)记录生理变量。分析时,考虑了两种 6MWT 中呼吸困难指数、用力感知和表现变量。数据分布通过 Shapiro-Wilk 检验进行验证,统计分析包括配对 t 检验或 Wilcoxon 检验和组内相关系数(ICC)。采用的显著性水平为 5%。
共有 22 名平均年龄为 10.2±1.5 岁的学生参加了这项研究。两次 6MWT 的覆盖距离和耗氧量重复性变化的 ICC 分别为 0.76 和 0.86。比较两次测试时,生理变量也表现出类似的行为(p=0.001),特别是分钟通气量(MV)、耗氧量(VO2)和二氧化碳产生量(VCO2)。
在分析的健康学生中,6MWT 在表现和生理参数方面均显示出可重复性。