Six-minute walk work is not correlated to the degree of airflow obstruction in patients with Chronic Obstructive Pulmonary Disease (COPD)

The six-minute walking test distance, despite being considered the main parameter, does not consider body weight which is known to influence exercise capacity. A body of evidence shows the degree of airflow obstruction does not correlate to walking distance and the body weight affects the work/energ...

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Veröffentlicht in:Revista portuguesa de pneumologia 2006-05, Vol.12 (3), p.241-253
Hauptverfasser: Zimermann Teixeira, Paulo José, Costa, Cássia Cínara, Berton, Danilo Cortozi, Versa, Greice, Bertoletti, Otávio, Canterle, Dáversom Bordin
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container_title Revista portuguesa de pneumologia
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creator Zimermann Teixeira, Paulo José
Costa, Cássia Cínara
Berton, Danilo Cortozi
Versa, Greice
Bertoletti, Otávio
Canterle, Dáversom Bordin
description The six-minute walking test distance, despite being considered the main parameter, does not consider body weight which is known to influence exercise capacity. A body of evidence shows the degree of airflow obstruction does not correlate to walking distance and the body weight affects the work/energy required to perform the walk. To verify if the degree of airflow obstruction correlates to six-minute walk work obtained by weight – walking distance product. A total of 60 patients with chronic obstructive pulmonary disease were evaluated. The physiological and functional variables were correlated to distance and body weight – walking distance product (WxW). There were no correlations between sixminute walk work and the degree of airflow obstruction. A positive and significant correlation were observed between the distance and Carbon Monoxide Diffusing Capacity (DLCO) (r=0.6; p
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A body of evidence shows the degree of airflow obstruction does not correlate to walking distance and the body weight affects the work/energy required to perform the walk. To verify if the degree of airflow obstruction correlates to six-minute walk work obtained by weight – walking distance product. A total of 60 patients with chronic obstructive pulmonary disease were evaluated. The physiological and functional variables were correlated to distance and body weight – walking distance product (WxW). There were no correlations between sixminute walk work and the degree of airflow obstruction. A positive and significant correlation were observed between the distance and Carbon Monoxide Diffusing Capacity (DLCO) (r=0.6; p<0.01) and between the distance and final SatO2 (r=0.3 ; p<0.05). Correlation between distance and Borg scale was negative and significant (r=−0.3; p<0.05). The six-minute walk work was positive and significantly correlated to DLCO (r=0.7; p<0.01) and negative but significantly correlated to Borg scale in the initial (r=− 0.3; p<0.01) and final of the test (r=−0.4; p<0.05). Based on this data, there was no correlation between the degree of airflow obstruction and six-minute walk work test. The DLCO was the only respiratory functional parameter significantly correlated to the distance and to the sixminute walk work. No teste de caminhada dos seis minutos, o principal parâmetro é a distância percorrida. Não se considera o peso corporal, embora se conheça a sua influência na capacidade de exercício. Por outro lado, existem evidências de que o grau de obstrução não se correlaciona com a distância caminhada. Verificar se existe correlação entre o grau de obstrução do fluxo aéreo e o trabalho de caminhar obtido a partir do produto distância x x peso (DxP). Foram estudados 60 doentes portadores de doença pulmonar obstrutiva crónica. As variáveis fisiológicas e funcionais foram correlacionadas com a distância percorrida e com o produto distância/peso. Não se encontraram correlações entre o trabalho de caminhar e o grau de obstrução ao fluxo aéreo, nem com os volumes pulmonares. Encontrou-se correlação positiva e significativa da distância com a difusão de monóxido de carbono (DLCO) (r=0,6; p<0,01) e com a SatO2 final (r=0,3; p<0,05). A correlação da distância foi negativa e significativa com a Δ da escala Borg (r=−0,3; p<0,05). O trabalho de caminhar correlacionou-se de maneira positiva e significativa com a DLCO (r=0,7; p<0,01) e de maneira negativa e significativa com a escala de Borg inicial (r=- 0,3; p<0,01) e final (r=−0,4; p<0,05). Não existe correlação entre o grau de obstrução ao fluxo aéreo e o trabalho de caminhar na população estudada. 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A body of evidence shows the degree of airflow obstruction does not correlate to walking distance and the body weight affects the work/energy required to perform the walk. To verify if the degree of airflow obstruction correlates to six-minute walk work obtained by weight – walking distance product. A total of 60 patients with chronic obstructive pulmonary disease were evaluated. The physiological and functional variables were correlated to distance and body weight – walking distance product (WxW). There were no correlations between sixminute walk work and the degree of airflow obstruction. A positive and significant correlation were observed between the distance and Carbon Monoxide Diffusing Capacity (DLCO) (r=0.6; p<0.01) and between the distance and final SatO2 (r=0.3 ; p<0.05). Correlation between distance and Borg scale was negative and significant (r=−0.3; p<0.05). The six-minute walk work was positive and significantly correlated to DLCO (r=0.7; p<0.01) and negative but significantly correlated to Borg scale in the initial (r=− 0.3; p<0.01) and final of the test (r=−0.4; p<0.05). Based on this data, there was no correlation between the degree of airflow obstruction and six-minute walk work test. The DLCO was the only respiratory functional parameter significantly correlated to the distance and to the sixminute walk work. No teste de caminhada dos seis minutos, o principal parâmetro é a distância percorrida. Não se considera o peso corporal, embora se conheça a sua influência na capacidade de exercício. Por outro lado, existem evidências de que o grau de obstrução não se correlaciona com a distância caminhada. Verificar se existe correlação entre o grau de obstrução do fluxo aéreo e o trabalho de caminhar obtido a partir do produto distância x x peso (DxP). Foram estudados 60 doentes portadores de doença pulmonar obstrutiva crónica. 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A body of evidence shows the degree of airflow obstruction does not correlate to walking distance and the body weight affects the work/energy required to perform the walk. To verify if the degree of airflow obstruction correlates to six-minute walk work obtained by weight – walking distance product. A total of 60 patients with chronic obstructive pulmonary disease were evaluated. The physiological and functional variables were correlated to distance and body weight – walking distance product (WxW). There were no correlations between sixminute walk work and the degree of airflow obstruction. A positive and significant correlation were observed between the distance and Carbon Monoxide Diffusing Capacity (DLCO) (r=0.6; p<0.01) and between the distance and final SatO2 (r=0.3 ; p<0.05). Correlation between distance and Borg scale was negative and significant (r=−0.3; p<0.05). The six-minute walk work was positive and significantly correlated to DLCO (r=0.7; p<0.01) and negative but significantly correlated to Borg scale in the initial (r=− 0.3; p<0.01) and final of the test (r=−0.4; p<0.05). Based on this data, there was no correlation between the degree of airflow obstruction and six-minute walk work test. The DLCO was the only respiratory functional parameter significantly correlated to the distance and to the sixminute walk work. No teste de caminhada dos seis minutos, o principal parâmetro é a distância percorrida. Não se considera o peso corporal, embora se conheça a sua influência na capacidade de exercício. Por outro lado, existem evidências de que o grau de obstrução não se correlaciona com a distância caminhada. Verificar se existe correlação entre o grau de obstrução do fluxo aéreo e o trabalho de caminhar obtido a partir do produto distância x x peso (DxP). Foram estudados 60 doentes portadores de doença pulmonar obstrutiva crónica. As variáveis fisiológicas e funcionais foram correlacionadas com a distância percorrida e com o produto distância/peso. Não se encontraram correlações entre o trabalho de caminhar e o grau de obstrução ao fluxo aéreo, nem com os volumes pulmonares. Encontrou-se correlação positiva e significativa da distância com a difusão de monóxido de carbono (DLCO) (r=0,6; p<0,01) e com a SatO2 final (r=0,3; p<0,05). A correlação da distância foi negativa e significativa com a Δ da escala Borg (r=−0,3; p<0,05). O trabalho de caminhar correlacionou-se de maneira positiva e significativa com a DLCO (r=0,7; p<0,01) e de maneira negativa e significativa com a escala de Borg inicial (r=- 0,3; p<0,01) e final (r=−0,4; p<0,05). Não existe correlação entre o grau de obstrução ao fluxo aéreo e o trabalho de caminhar na população estudada. A DLCO foi o único parâmetro funcional respiratório que se correlacionou significativamente com a distância e com o trabalho de caminhar.]]></abstract><cop>Spain</cop><pub>Elsevier España</pub><pmid>16967174</pmid><doi>10.1016/S2173-5115(06)70399-2</doi><tpages>13</tpages></addata></record>
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subjects Aged
capacidade de exercício
COPD
DPOC
exercise capacity
Female
Humans
Male
Middle Aged
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary Ventilation
six- minute walking test
sixminute work walk
teste dos seis minutos
Time Factors
trabalho de caminhada
Walking - physiology
title Six-minute walk work is not correlated to the degree of airflow obstruction in patients with Chronic Obstructive Pulmonary Disease (COPD)
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