Six-Minute Walk, Maximal Exercise Tests
| Autor: | Tam Eaton, Athol U. Wells, Pam Young, David Milne |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Pulmonary Fibrosis Physical exercise Walking Critical Care and Intensive Care Medicine Pulmonary function testing Idiopathic pulmonary fibrosis Oxygen Consumption Intensive care Internal medicine Pulmonary fibrosis Humans Medicine Idiopathic interstitial pneumonia Aged business.industry Respiratory disease Interstitial lung disease Reproducibility of Results medicine.disease Survival Analysis Surgery Exercise Test Physical Endurance Cardiology Pulmonary Diffusing Capacity Female Lung Volume Measurements business Follow-Up Studies |
| Zdroj: | American Journal of Respiratory and Critical Care Medicine. 171:1150-1157 |
| ISSN: | 1535-4970 1073-449X |
| DOI: | 10.1164/rccm.200405-578oc |
| Popis: | Resting pulmonary function and exercise variables are widely used to stage and monitor idiopathic interstitial pneumonia (IIP). However, the variability of exercise data (maximal exercise and the 6-minute walk test) has not been evaluated definitively. We have prospectively quantified the reproducibility of resting and exercise functional data in fibrotic IIP (idiopathic pulmonary fibrosis, fibrotic nonspecific interstitial pneumonia) and have evaluated interrelationships between variables. Thirty consecutive patients with fibrotic IIP underwent serial resting pulmonary function tests, 6-minute walk (n = 29), and maximal exercise (n = 24) at an interval of 1 week, with all testing performed in accordance with American Thoracic Society standards. Within-subject reproducibility was excellent for 6-minute walk distance (SD/mean = 4.2%) and clinically acceptable for resting pulmonary function indices and VO(2)max on maximal exercise testing. However, the amplitude of oxygen desaturation at the end of exercise was poorly reproducible in both 6-minute walk and maximal exercise testing (SD/mean > 25%). There was a highly significant relationship between VO2max on maximal exercise testing and 6-minute walk distance (r(s) = 0.78, p < 0.0001). In fibrotic IIP, the excellent reproducibility of the 6-minute walk distance is a major advantage in routine staging and monitoring, whereas maximal exercise variables are poorly reproducible. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|