An official systematic review of the European Respiratory Society/American Thoracic Society: Measurement properties of field walking tests in chronic respiratory disease

Sally J. Singh, Milo A. Puhan, Vasileios Andrianopoulos, Nidia A. Hernandes, Katy E. Mitchell, Catherine J. Hill, Annemarie L. Lee, Carlos Augusto Camillo, Thierry Troosters, Martijn A. Spruit, Brian W. Carlin, Jack Wanger, Véronique Pepin, Didier Saey, Fabio Pitta, David A. Kaminsky, Meredith McCormack, Neil MacIntyre, Bruce H. Culver, Frank C. SciurbaSusan M. Revill, Veronica Delafosse, Anne E. Holland

Research output: Contribution to journalArticle

Abstract

This systematic review examined the measurement properties of the 6-min walk test (6MWT), incremental shuttle walk test (ISWT) and endurance shuttle walk test (ESWT) in adults with chronic respiratory disease. Studies that report the evaluation or use of the 6MWT, ISWT or ESWT were included. We searched electronic databases for studies published between January 2000 and September 2013. The 6-min walking distance (6MWD) is a reliable measure (intra-class correlation coefficients ranged from 0.82 to 0.99 in seven studies). There is a learning effect, with greater distance walked on the second test (pooled mean improvement of 26 m in 13 studies). Reliability was similar for ISWT and ESWT, with a learning effect also evident for ISWT (pooled mean improvement of 20 m in six studies). The 6MWD correlates more strongly with peak work capacity (r50.59-0.93) and physical activity (r50.40-0.85) than with respiratory function (r50.10-0.59). Methodological factors affecting 6MWD include track length, encouragement, supplemental oxygen and walking aids. Supplemental oxygen also affects ISWT and ESWT performance. Responsiveness was moderate to high for all tests, with greater responsiveness to interventions that included exercise training. The findings of this review demonstrate that the 6MWT, ISWT and ESWT are robust tests of functional exercise capacity in adults with chronic respiratory disease.

Original languageEnglish (US)
Pages (from-to)1447-1478
Number of pages32
JournalEuropean Respiratory Journal
Volume44
Issue number6
DOIs
StatePublished - Dec 1 2014

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Walking
Chronic Disease
Walk Test
Learning
Oxygen
Exercise Test
Databases
Exercise

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Medicine(all)

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An official systematic review of the European Respiratory Society/American Thoracic Society : Measurement properties of field walking tests in chronic respiratory disease. / Singh, Sally J.; Puhan, Milo A.; Andrianopoulos, Vasileios; Hernandes, Nidia A.; Mitchell, Katy E.; Hill, Catherine J.; Lee, Annemarie L.; Camillo, Carlos Augusto; Troosters, Thierry; Spruit, Martijn A.; Carlin, Brian W.; Wanger, Jack; Pepin, Véronique; Saey, Didier; Pitta, Fabio; Kaminsky, David A.; McCormack, Meredith; MacIntyre, Neil; Culver, Bruce H.; Sciurba, Frank C.; Revill, Susan M.; Delafosse, Veronica; Holland, Anne E.

In: European Respiratory Journal, Vol. 44, No. 6, 01.12.2014, p. 1447-1478.

Research output: Contribution to journalArticle

Singh, SJ, Puhan, MA, Andrianopoulos, V, Hernandes, NA, Mitchell, KE, Hill, CJ, Lee, AL, Camillo, CA, Troosters, T, Spruit, MA, Carlin, BW, Wanger, J, Pepin, V, Saey, D, Pitta, F, Kaminsky, DA, McCormack, M, MacIntyre, N, Culver, BH, Sciurba, FC, Revill, SM, Delafosse, V & Holland, AE 2014, 'An official systematic review of the European Respiratory Society/American Thoracic Society: Measurement properties of field walking tests in chronic respiratory disease', European Respiratory Journal, vol. 44, no. 6, pp. 1447-1478. https://doi.org/10.1183/09031936.00150414
Singh, Sally J. ; Puhan, Milo A. ; Andrianopoulos, Vasileios ; Hernandes, Nidia A. ; Mitchell, Katy E. ; Hill, Catherine J. ; Lee, Annemarie L. ; Camillo, Carlos Augusto ; Troosters, Thierry ; Spruit, Martijn A. ; Carlin, Brian W. ; Wanger, Jack ; Pepin, Véronique ; Saey, Didier ; Pitta, Fabio ; Kaminsky, David A. ; McCormack, Meredith ; MacIntyre, Neil ; Culver, Bruce H. ; Sciurba, Frank C. ; Revill, Susan M. ; Delafosse, Veronica ; Holland, Anne E. / An official systematic review of the European Respiratory Society/American Thoracic Society : Measurement properties of field walking tests in chronic respiratory disease. In: European Respiratory Journal. 2014 ; Vol. 44, No. 6. pp. 1447-1478.
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AU - Saey, Didier

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AU - Kaminsky, David A.

AU - McCormack, Meredith

AU - MacIntyre, Neil

AU - Culver, Bruce H.

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