Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Reference Equations for the Six-Minute Walk Distance in Healthy Korean Adults, Aged 22-59 Years

  • Kim, Ah Lim (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Kwon, Jae Choon (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Park, In (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Kim, Ji Na (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Kim, Jong Min (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Jeong, Bi Na (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Yu, Sung Ken (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Lee, Byung Ki (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Kim, Yeon Jae (Department of Internal Medicine, Daegu Fatima Hospital)
  • Received : 2014.01.12
  • Accepted : 2014.04.07
  • Published : 2014.06.30
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Abstract

Background: The six-minute walk test has been widely used in people with chronic cardiopulmonary disorders as an outcome assessment with regards to therapeutic or prognostic determinants. This study was undertaken to determine the six-minute walk distance (6MWD) in a sample of healthy Koreans and to create a reference equation. We also compared the 6MWD of our cohort with previously published equations. Methods: Two hundred fifty-nine healthy subjects (95 males) aged 22-59 years performed two walking tests using a standardized protocol. 6MWD was defined as the greatest distance achieved from the two tests. The effect of anthropometrics on the 6MWD was also investigated. Results: The average 6MWD was $598.5{\pm}57.92m$, with significantly longer distances by males ($628.9{\pm}59.51m$) than females ($580.9{\pm}47.80m$) (p<0.001). Age, height, weight, and body mass index were significantly correlated with 6MWD in univariate analysis. Stepwise multiple regression showed height to be single independent predictor of 6MWD ($r^2$=0.205, p<0.001). The reference equations derived in Caucasian and North African populations tend to overestimate the distance walked by Korean subjects, while Asian equations underestimate it. Conclusion: The average 6MWD in these Korean populations was 600 m. The regression equation revealed that individual's height was the most significant predictor of distance, explaining 20.5% of the distance variance.

Keywords

References

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