The six-minute walk test in healthy children: reliability and validity.
The aim of this study was to assess the reliability and validity of the 6-min walk test (6MWT) in healthy children. Chinese secondary school students were randomly recruited. They attended the current authors' unit on two occasions, separated by 2 weeks. Physical examination and standardised maximum incremental exercise testing on a treadmill were performed on the first visit. Spirometry and 6MWT were carried out on the second visit. A randomly selected subgroup was invited to return for repeat 6MWT at an interval of 2-4 weeks. Seventy-eight subjects were recruited; however, four failed to achieve maximal effort on exercise test. The final group included 43 young females and the mean+/-sd age of the subjects was 14.2+/-1.2 yrs. Physical examination was unremarkable in all cases. The mean+/-sd per cent predicted forced expiratory volume in one second was 91.4+/-10.2%. Concurrent validity was demonstrated by good correlation between the 6-min walking distance and maximum oxygen uptake determined on the exercise treadmill. Test-retest reliability was undertaken in 52 subjects, and the intraclass correlation coefficient (95% confidence interval) was calculated as 0.94 (0.89-0.96). In addition, Bland and Altman plots demonstrated a high degree of repeatability. In healthy children, the 6-min walk test is a reliable and valid functional test for assessing exercise tolerance and endurance.
Li
A M
AM
Dept. of Paediatrics, 6th Floor, Clinical Sciences Building, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong. albertmli@cuhk.edu.hk
Yin
J
J
Yu
C C W
CC
Tsang
T
T
So
H K
HK
Wong
E
E
Chan
D
D
Hon
E K L
EK
Sung
R
R
D000293:Adolescent; D001827:Body Height / Q000502:physiology; D002648:Child; D015331:Cohort Studies; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test / Q000379:methods*; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D013997:Time Factors; D016138:Walking / Q000502:physiology*