Six-Minute Walk Distance in Overweight Children and Adolescents: Effects of a Weight-Reducing Program
Objective To assess the significance of consecutive six-minute walk tests (6MWTs) during a weight reduction program. Study design 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-p...
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| Veröffentlicht in: | The Journal of pediatrics 2011-03, Vol.158 (3), p.447-451 |
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| creator | Geiger, Ralf, MD, PhD Willeit, Julia, MD Rummel, Meike, MSc Högler, Wolfgang, MD, PhD Stübing, Kurt, MD Strasak, Alexander, MD, PhD Geiger, Harald, MD Stein, Joerg I., MD, PhD Rauchenzauner, Markus, MD, PhD |
| description | Objective To assess the significance of consecutive six-minute walk tests (6MWTs) during a weight reduction program. Study design 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. |
| doi_str_mv | 10.1016/j.jpeds.2010.08.020 |
| format | Article |
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Study design 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.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2010.08.020</identifier><identifier>PMID: 20884008</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>Maryland Heights, MO: Mosby, Inc</publisher><subject>Adolescent ; adolescents ; Biological and medical sciences ; body mass index ; Case-Control Studies ; Child ; childhood obesity ; children ; Cross-Sectional Studies ; diet ; exercise ; Exercise Test ; Female ; General aspects ; Germany ; girls ; Heart Rate ; Humans ; Longitudinal Studies ; Male ; Medical sciences ; Metabolic diseases ; Multivariate Analysis ; Obesity ; Overweight - therapy ; Pediatrics ; Physical Fitness ; Regression Analysis ; Reproducibility of Results ; Walking ; Weight Loss</subject><ispartof>The Journal of pediatrics, 2011-03, Vol.158 (3), p.447-451</ispartof><rights>Mosby, Inc.</rights><rights>2011 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c533t-9342b3aabac2b9e4303f599bd8980f35eaba438652b8eef13c8eadebe9ccb3763</citedby><cites>FETCH-LOGICAL-c533t-9342b3aabac2b9e4303f599bd8980f35eaba438652b8eef13c8eadebe9ccb3763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S002234761000689X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23919992$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20884008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geiger, Ralf, MD, PhD</creatorcontrib><creatorcontrib>Willeit, Julia, MD</creatorcontrib><creatorcontrib>Rummel, Meike, MSc</creatorcontrib><creatorcontrib>Högler, Wolfgang, MD, PhD</creatorcontrib><creatorcontrib>Stübing, Kurt, MD</creatorcontrib><creatorcontrib>Strasak, Alexander, MD, PhD</creatorcontrib><creatorcontrib>Geiger, Harald, MD</creatorcontrib><creatorcontrib>Stein, Joerg I., MD, PhD</creatorcontrib><creatorcontrib>Rauchenzauner, Markus, MD, PhD</creatorcontrib><title>Six-Minute Walk Distance in Overweight Children and Adolescents: Effects of a Weight-Reducing Program</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To assess the significance of consecutive six-minute walk tests (6MWTs) during a weight reduction program. Study design 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.</description><subject>Adolescent</subject><subject>adolescents</subject><subject>Biological and medical sciences</subject><subject>body mass index</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>childhood obesity</subject><subject>children</subject><subject>Cross-Sectional Studies</subject><subject>diet</subject><subject>exercise</subject><subject>Exercise Test</subject><subject>Female</subject><subject>General aspects</subject><subject>Germany</subject><subject>girls</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Multivariate Analysis</subject><subject>Obesity</subject><subject>Overweight - therapy</subject><subject>Pediatrics</subject><subject>Physical Fitness</subject><subject>Regression Analysis</subject><subject>Reproducibility of Results</subject><subject>Walking</subject><subject>Weight Loss</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkltrFDEUgIModlv9BYLmRXyaNZe5JEKFsq0XqFRcS30LmeRkm-1sZk1mqv33Zrqrgi8-JSTfufCdg9AzSuaU0Pr1er7egk1zRvILEXPCyAM0o0Q2RS04f4hmhDBW8LKpD9BhSmtCiCwJeYwOGBEi38QMwdL_LD75MA6Ar3R3g099GnQwgH3AF7cQf4BfXQ94ce07GyFgHSw-sX0HyUAY0ht85hyYIeHeYY2v7uniC9jR-LDCn2O_inrzBD1yukvwdH8eoct3Z18XH4rzi_cfFyfnhak4HwrJS9ZyrVttWCuh5IS7SsrWCimI4xXkn5KLumKtAHCUGwHaQgvSmJY3NT9Cr3Z5t7H_PkIa1MbnPrtOB-jHpERFm7JhkmeS70gT-5QiOLWNfqPjnaJETXrVWt3rVZNeRYTKenPU833-sd2A_RPz22cGXu4BnYzuXMwqffrLcUmllCxzL3ac073Sq5iZy2WuVOUZiYaWU6njHQHZ162HqJLxkAdjfcy-le39f1p9-0-86XzwuakbuIO07scY8igUVYkpopbTrkyrQnMHtZDf-C9pprga</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Geiger, Ralf, MD, PhD</creator><creator>Willeit, Julia, MD</creator><creator>Rummel, Meike, MSc</creator><creator>Högler, Wolfgang, MD, PhD</creator><creator>Stübing, Kurt, MD</creator><creator>Strasak, Alexander, MD, PhD</creator><creator>Geiger, Harald, MD</creator><creator>Stein, Joerg I., MD, PhD</creator><creator>Rauchenzauner, Markus, MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110301</creationdate><title>Six-Minute Walk Distance in Overweight Children and Adolescents: Effects of a Weight-Reducing Program</title><author>Geiger, Ralf, MD, PhD ; Willeit, Julia, MD ; Rummel, Meike, MSc ; Högler, Wolfgang, MD, PhD ; Stübing, Kurt, MD ; Strasak, Alexander, MD, PhD ; Geiger, Harald, MD ; Stein, Joerg I., MD, PhD ; Rauchenzauner, Markus, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c533t-9342b3aabac2b9e4303f599bd8980f35eaba438652b8eef13c8eadebe9ccb3763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>adolescents</topic><topic>Biological and medical sciences</topic><topic>body mass index</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>childhood obesity</topic><topic>children</topic><topic>Cross-Sectional Studies</topic><topic>diet</topic><topic>exercise</topic><topic>Exercise Test</topic><topic>Female</topic><topic>General aspects</topic><topic>Germany</topic><topic>girls</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Multivariate Analysis</topic><topic>Obesity</topic><topic>Overweight - therapy</topic><topic>Pediatrics</topic><topic>Physical Fitness</topic><topic>Regression Analysis</topic><topic>Reproducibility of Results</topic><topic>Walking</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geiger, Ralf, MD, PhD</creatorcontrib><creatorcontrib>Willeit, Julia, MD</creatorcontrib><creatorcontrib>Rummel, Meike, MSc</creatorcontrib><creatorcontrib>Högler, Wolfgang, MD, PhD</creatorcontrib><creatorcontrib>Stübing, Kurt, MD</creatorcontrib><creatorcontrib>Strasak, Alexander, MD, PhD</creatorcontrib><creatorcontrib>Geiger, Harald, MD</creatorcontrib><creatorcontrib>Stein, Joerg I., MD, PhD</creatorcontrib><creatorcontrib>Rauchenzauner, Markus, MD, PhD</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geiger, Ralf, MD, PhD</au><au>Willeit, Julia, MD</au><au>Rummel, Meike, MSc</au><au>Högler, Wolfgang, MD, PhD</au><au>Stübing, Kurt, MD</au><au>Strasak, Alexander, MD, PhD</au><au>Geiger, Harald, MD</au><au>Stein, Joerg I., MD, PhD</au><au>Rauchenzauner, Markus, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Six-Minute Walk Distance in Overweight Children and Adolescents: Effects of a Weight-Reducing Program</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>158</volume><issue>3</issue><spage>447</spage><epage>451</epage><pages>447-451</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objective To assess the significance of consecutive six-minute walk tests (6MWTs) during a weight reduction program. Study design 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.</abstract><cop>Maryland Heights, MO</cop><pub>Mosby, Inc</pub><pmid>20884008</pmid><doi>10.1016/j.jpeds.2010.08.020</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent adolescents Biological and medical sciences body mass index Case-Control Studies Child childhood obesity children Cross-Sectional Studies diet exercise Exercise Test Female General aspects Germany girls Heart Rate Humans Longitudinal Studies Male Medical sciences Metabolic diseases Multivariate Analysis Obesity Overweight - therapy Pediatrics Physical Fitness Regression Analysis Reproducibility of Results Walking Weight Loss |
| title | Six-Minute Walk Distance in Overweight Children and Adolescents: Effects of a Weight-Reducing Program |
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