title: Six-minute walk distance in overweight children and adolescents: effects of a weight-reducing program.
abstract: OBJECTIVE
  To assess the significance of consecutive six-minute walk tests (6MWTs) during a weight reduction program.
  
  
  METHODS
  Overweight children and adolescents (n = 113; mean ± standard deviation age, 12.9 ± 2.0 years; 64 girls) performed a standardized 6MWT at the beginning and end of an in-patient weight reduction program consisting of exercise, diet, and educational and psychological support. Their 6-minute walk distance (6MWD) was compared with age- and sex-matched normal-weight children (n = 353).
  
  
  RESULTS
  Preintervention 6MWD averaged 93% of control subjects (631 ± 88 m versus 675 ± 70 m, P < .001) and increased significantly to 667 ± 90 m (P < .001) after 27 ± 7 days of intervention (99% of control subjects; P = .260). Participants reduced their body weight from 80.9 ± 19.8 kg to 75.6 ± 19.0 kg, body mass index (BMI) percentile from 98.2 ± 2.1% to 96.8 ± 3.8%, and BMI-standard deviation score from 2.37 ± 0.6 to 2.13 ± 0.6 (P < .001 for each variable). BMI-standard deviation score, height, and the change in heart rate during the 6MWT were significant independent predictors of the 6MWD at preintervention and at post intervention time points (P < .001 each).
  
  
  CONCLUSIONS
  The 6MWD increases during a weight reduction program, indicating improvement of physical fitness and decreased metabolic demand during daily activities in overweight children. The 6MWT represents a practical and reliable assessment tool for exercise performance in overweight children and adolescents.
authors.affiliation: Department of Pediatrics, Clinical Divisions of Cardiology, Pulmology, Allergology, and Cystic Fibrosis, Innsbruck Medical University, Innsbruck, Austria. ralf.geiger@i-med.ac.at
authors.forename: Ralf
authors.initials: R
authors.lastname: Geiger
authors.forename: Julia
authors.initials: J
authors.lastname: Willeit
authors.forename: Meike
authors.initials: M
authors.lastname: Rummel
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Högler
authors.forename: Kurt
authors.initials: K
authors.lastname: Stübing
authors.forename: Alexander
authors.initials: A
authors.lastname: Strasak
authors.forename: Harald
authors.initials: H
authors.lastname: Geiger
authors.forename: Joerg I
authors.initials: JI
authors.lastname: Stein
authors.forename: Markus
authors.initials: M
authors.lastname: Rauchenzauner
mesh_terms: D000293:Adolescent; D016022:Case-Control Studies; D002648:Child; D003430:Cross-Sectional Studies; D005080:Exercise Test; D005260:Female; D005858:Germany; D006339:Heart Rate; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D015999:Multivariate Analysis; D050177:Overweight / Q000628:therapy*; D010809:Physical Fitness; D012044:Regression Analysis; D015203:Reproducibility of Results; D016138:Walking; D015431:Weight Loss