Influencing factors of the 6-min walk distance in adult Arab populations: a literature review.

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Samah Joobeur
Sonia Rouatbi
Imed Latiri
Raoudha Sfaxi
Helmi Ben Saad

Abstract

Abstract:

Background. Walk tests, especially the 6-min walk-test (6MWT), are commonly used in order to evaluate submaximal exercise capacity. The primary outcome of the 6MWT is the 6-min walk-distance (6MWD). Numerous demographic, physiological and anthropometric factors can influence the 6MWD in healthy adults.
Objective. The purpose of the present review is to highlight and discuss the 6MWD influencing factors in healthy of the healthy adult Arab populations.
Methods. It is a review including a literature search, from 1970 to September 31th 2015 using the PubMed, the Science Direct databases and the World Wide Web on Google search engine. citationsRaw lists of retrieved English/French articles were searched for any additional citationsRaws.
Results. Six studies, conducted in Tunisia (n=2), Saudi Arabia (n=3) and Algeria (n=1) were included. All studies were conducted according to the 2002-American-thoracic-society guidelines for the 6MWT. In addition to anthropometric data (sex, age, height, weight, body mass index, lean mass), the following data were recognized as 6MWD influencing factors: schooling and socioeconomic levels, urban origin, parity, physical activity score or status, metabolic equivalent task for moderate activity, spirometric data, end-walk heart-rate, resting diastolic blood pressure, dyspnoea Borg value and niqab-wearing.
Conclusion. The 6MWD influencing factors in adult Arab populations are numerous and include some specific predictors such as parity, physical activity level and niqab-wearing.

Keywords:

Arab ; Influencing factors ; Niqab ; Norms ; Parity ; Walk distance

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References

  1. American Thoracic Society; American College of Chest Physicians. Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med 2003; 167:211-277.
  2. Singh SJ, Puhan MA, Andrianopoulos V, et al. An official systematic review of the European Respiratory Society/American Thoracic Society: measurement properties of field walking tests in chronic respiratory disease. Eur Respir J 2014; 44:1447-1478.
  3. Holland AE, Spruit MA, Troosters T, et al. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respir J 2014; 44:1428-1446.
  4. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166:111-117.
  5. Dourado VZ. Reference Equations for the 6-Minute Walk Test in Healthy Individuals. Arq Bras Cardiol 2011; 96: e128-e138.
  6. Abdelghani A, Ben Saad H, Ben Hassen I, et al. Evaluation of the deficiency and the submaximal exercise capacity in obstructive sleep apnoea patients. Rev Mal Respir 2010; 27:266-274.
  7. Ben Saad H, Babba M, Boukamcha R, et al. Submaximal exercise capacity and quality of life in exclusive water-pipe smokers. Rev Mal Respir 2010; 27:489-495.
  8. Latiri I, Elbey R, Hcini K, et al. Six-minute walk test in non-insulin-dependent diabetes mellitus patients living in Northwest Africa. Diabetes Metab Syndr Obes 2012; 5:227-245.
  9. Rouatbi S, Ben Saad H, Abdelghani A. The Six Minute-Walk Test is it the Most Effective Way to Follow an Overlap Syndrome? J Sleep Disord Treat Care 2013; 02:1-4.
  10. Miadi-Messaoud H, Chouchane A, Ben Saad H, et al. Six-minute walk test improved forearm skin blood flow in Tunisian obese women. Obesity (Silver Spring) 2012; 20:1773-1779.
  11. Rejbi IB, Trabelsi Y, Chouchene A, et al. Changes in six-minute walking distance during pulmonary rehabilitation in patients with COPD and in healthy subjects. Int J Chron Obstruct Pulmon Dis 2010; 5:209-215.
  12. Ben Saad H, Hamadou R, Ben Cheikh I, et al. Réadaptation respiratoire des malades atteints d'une bronchopneumopathie chronique obstructive: données préliminaires de l'expérience tunisienne. J Med Reh 2008; 28:138-147.
  13. Ben Saad H, Babba M, Boukamcha R, et al. Investigation of exclusive narghile smokers: deficiency and incapacity measured by spirometry and 6-minute walk test. Respir Care 2014; 59:1696-1709.
  14. Ben Moussa S, Rouatbi S, Ben Saad H. Incapacity, handicap, and oxidative stress markers of male smokers free from COPD compared with those with COPD: a case-control study. Respir Care 2016 (In press). DOI: 10.4187/respcare.04420.
  15. Criner GJ, Cordova FC, Furukawa S, et al. Prospective randomized trial comparing bilateral lung volume reduction surgery to pulmonary rehabilitation in severe chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1999; 160:2018-2027.
  16. Celli BR, Cote CG, Marin JM, et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med 2004; 350:1005-1012.
  17. Ben Saad H, Ben Hassen I, Ghannouchi I, et al. 6-min walk-test data in severe obstructive-sleep-apnea-hypopnea-syndrome (OSAHS) under continuous-positive-airway-pressure (CPAP) treatment. Respir Med 2015; 109:642-55.
  18. Ben Saad H, Prefaut C, Tabka Z, et al. 6-minute walk distance in healthy North Africans older than 40 years: influence of parity. Respir Med 2009; 103:74-84.
  19. Masmoudi K, Aouicha MS, Fki H, et al. The six minute walk test: which predictive values to apply for Tunisian subjects aged between 40 and 80 years? Tunis Med 2008; 86:20-26.
  20. Alameri H, Al-Majed S, Al-Howaikan A. Six-min walk test in a healthy adult Arab population. Respir Med 2009; 103:1041-1046.
  21. El-Sobkey S. Influence of physical activity level on Saudi reference values of 6-minute walk test. Middle-East J Sci Res 2013; 16:164-171.
  22. El-Sobkey SB, Aly FA, Alghadir AH. The effect of physical activity on 6-minute walked distance among niqab wearing healthy Saudi women. Asian Biomed 2014; 8:381-386.
  23. Bourahli MK, Bougrida M, Martani M, et al. 6-Min walk-test data in healthy North-African subjects aged 16-40 years. Egypt J Chest Dis Tuberc 2016; 65(1): 349-360.
  24. Chetta A, Zanini A, Pisi G, et al. Reference values for the 6-min walk test in healthy subjects 20-50 years old. Respir Med 2006; 100:1573-1578.
  25. Britto RR, Probst VS, de Andrade AF, et al. Reference equations for the six-minute walk distance based on a Brazilian multicenter study. Braz J Phys Ther 2013; 17:556-563.
  26. Iwama AM, Andrade GN, Shima P, et al. The six-minute walk test and body weight-walk distance product in healthy Brazilian subjects. Braz J Med Biol Res 2009; 42:1080-1085.
  27. Soaresa MR, Pereira CA. Six-minute walk test: reference values for healthy adults in Brazil. J Bras Pneumol 2011; 37:576-583.
  28. Gibbons WJ, Fruchter N, Sloan S, et al. Reference values for a multiple repetition 6-minute walk test in healthy adults older than 20 years. J Cardiopulm Rehabil 2001; 21:87-93.
  29. Kim AL, Kwon JC, Park I, et al. Reference equations for the six-minute walk distance in healthy korean adults, aged 22-59 years. Tuberc Respir Dis (Seoul) 2014; 76:269-275.
  30. Nusdwinuringtyas N, Widjajalaksmi, Yunus F, et al. Reference equation for prediction of a total distance during six-minute walk test using Indonesian anthropometrics. Acta Med Indones 2014; 46:90-96.
  31. Osses AR, Yanez VJ, Barria PP, et al. Reference values for the 6-minutes walking test in healthy subjects 20-80 years old. Rev Med Chil 2010; 138:1124-1130.
  32. Palaniappan Ramanathan R, Chandrasekaran B. Reference equations for 6-min walk test in healthy Indian subjects (25-80 years). Lung India 2014; 31:35-38.
  33. Rao NA, Irfan M, Haque AS, et al. Six-minute walk test performance in healthy adult Pakistani volunteers. J Coll Physicians Surg Pak 2013; 23:720-725.
  34. Ajiboye OA, Anigbogu CN, Ajuluchukwu JN, et al. Prediction equations for 6-minute walk distance in apparently healthy Nigerians. HKPJ 2014; 32:65-72.
  35. Tsang RCC. Reference Values for 6-Minute Walk Test and Hand-Grip Strength in Healthy Hong Kong Chinese Adults. HKPJ 2005; 23:6-12.
  36. Tveter AT, Dagfinrud H, Moseng T, et al. Health-related physical fitness measures: reference values and reference equations for use in clinical practice. Arch Phys Med Rehabil 2014; 95:1366-1373.
  37. Camarri B, Eastwood PR, Cecins NM, et al. Six minute walk distance in healthy subjects aged 55-75 years. Respir Med 2006, 100:658-665.
  38. Casanova C, Celli BR, Barria P, et al. The 6-min walk distance in healthy subjects: reference standards from seven countries. Eur Respir J 2011; 37:150-156.
  39. Dourado VZ, Vidotto MC, Guerra RL. Reference equations for the performance of healthy adults on field walking tests. J Bras Pneumol 2011; 37:607-614.
  40. Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med 1998; 158:1384-1387.
  41. Hill K, Wickerson LM, Woon LJ, et al. The 6-min walk test: responses in healthy Canadians aged 45 to 85 years. Appl Physiol Nutr Metab 2011; 36:643-649.
  42. Jenkins S, Cecins N, Camarri B, et al. Regression equations to predict 6-minute walk distance in middle-aged and elderly adults. Physiother Theory Pract 2009; 25:516-522.
  43. Poh H, Eastwood PR, Cecins NM, et al. Six-minute walk distance in healthy Singaporean adults cannot be predicted using reference equations derived from Caucasian populations. Respirology 2006; 11:211-216.
  44. Suwanachaiya S, Kulaputanaa O, Chaiwanichsirib D. Walk performance in Thai men and women: physical activity dependence. Asian Biomed 2010; 4:87-93.
  45. Troosters T, Gosselink R, Decramer M. Six minute walking distance in healthy elderly subjects. Eur Respir J 1999; 14:270-274.
  46. Vaish H, Ahmed F, Singla R, et al. Reference equation for the 6-minute walk test in healthy North Indian adult males. Int J Tuberc Lung Dis 2013; 17:698-703.
  47. Ngai SPC, Jones AYM, Jenkins SC. Regression equations to predict 6-minute walk distance in Chinese adults aged 55-85 years. HKPJ 2014; 32:58-64.
  48. Beekman E, Mesters I, Gosselink R, et al. The first reference equations for the 6-minute walk distance over a 10 m course. Thorax 2014; 69:867-868.
  49. Araujo CO, Makdisse MR, Peres PA, et al. Different patterns for the 6-minute walk test as a test to measure exercise ability in elderly with and without clinically evident cardiopathy. Arq Bras Cardiol 2006; 86:198-205.
  50. Dourado VZ, Antunes LC, Tanni SE, et al. Relationship of upper-limb and thoracic muscle strength to 6-min walk distance in COPD patients. Chest 2006; 129:551-557.
  51. Tolep K, Kelsen SG. Effect of aging on respiratory skeletal muscles. Clin Chest Med 1993; 14:363-378.
  52. Evans WJ, Campbell WW. Sarcopenia and age-related changes in body composition and functional capacity. J Nutr 1993; 123:465-468.
  53. Fleg JL, Lakatta EG. Role of muscle loss in the age-associated reduction in VO2 max. J Appl Physiol (1985) 1988; 65:1147-1151.
  54. Astrand I. Aerobic work capacity in men and women with special reference to age. Acta Physiol Scand Suppl 1960; 49:1-92.
  55. Enright PL. The six-minute walk test. Respir Care 2003; 48:783-785.
  56. Enright PL, McBurnie MA, Bittner V, et al. The 6-min walk test: a quick measure of functional status in elderly adults. Chest 2003; 123:387-398.
  57. Callisaya ML, Blizzard L, Schmidt MD, et al. Sex modifies the relationship between age and gait: a population-based study of older adults. J Gerontol A Biol Sci Med Sci 2008; 63:165-170.
  58. Capodaglio P, De Souza SA, Parisio C, et al. Reference values for the 6-Min Walking Test in obese subjects. Disabil Rehabil 2013; 35:1199-1203.
  59. Jones NL, Makrides L, Hitchcock C, et al. Normal standards for an incremental progressive cycle ergometer test. Am Rev Respir Dis 1985; 131:700-8.
  60. Pelegrino NR, Lucheta PA, Sanchez FF, et al. Influence of lean body mass on cardiopulmonary repercussions during the six-minute walk test in patients with COPD. J Bras Pneumol 2009; 35:20-26.
  61. Payne J. The impact of a reduced fertility rate on women's health. Available from: www. BMC Womens Health 2004; 25;4 Suppl 1:S11.
  62. Tunisian sociomedical survey on familial health. Final report of the Tunisian Health Ministry; September 2002.
  63. National institute for statistics and economic studies. Socioprofessional category guideline. Paris: INSEE; 1993.
  64. Hart DA, Reno C. Pregnancy alters gene expression in normal synovium: influence of age and parity. J Rheumatol 1999; 26:1775-1784.
  65. Ben Saad H, Rouatbi S, Raoudha S, et al. Vital capacity and peak expiratory flow rates in a North-African population aged 60 years and over: influence of anthropometric data and parity. Rev Mal Respir 2003; 20:521-530.
  66. Ben Saad H, Tfifha M, Harrabi I, et al. Factors influencing pulmonary function in Tunisian women aged 45 years and more. Rev Mal Respir 2006; 23:324-338.
  67. Humphries KH, Westendorp IC, Bots ML, et al. Parity and carotid artery atherosclerosis in elderly women: The Rotterdam Study. Stroke 2001; 32:2259-2264.
  68. Lambe M, Lindblad P, Wuu J, et al. Pregnancy and risk of renal cell cancer: a population-based study in Sweden. Br J Cancer 2002; 86:1425-1429.
  69. Voorrips LE, Ravelli AC, Dongelmans PC, et al. A physical activity questionnaire for the elderly. Med Sci Sports Exerc 1991; 23:974-979.
  70. Craig CL, Marshall AL, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35:1381-1395.
  71. Al-Hazzaa HM. Prevalence of physical inactivity in Saudi Arabia: a brief review. East Mediterr Health J 2004; 10:663-670.
  72. Al-Hazzaa HM. Physical activity, fitness and fatness among Saudi children and adolescents: implications for cardiovascular health. Saudi Med J 2002; 23:144-150.
  73. Al-Rafaee SA, Al-Hazzaa HM. Physical activity profile of adult males in Riyadh City. Saudi Med J 2001; 22:784-789
  74. Coggan AR, Abduljalil AM, Swanson SC, et al. Muscle metabolism during exercise in young and older untrained and endurance-trained men. J Appl Physiol (1985) 1993; 75:2125-2133.
  75. Pitta F, Troosters T, Spruit MA, et al. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005; 171:972-977.
  76. Butland RJ, Pang J, Gross ER, et al. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed) 1982; 284:1607-1608.
  77. Mak VH, Bugler JR, Roberts CM, et al. Effect of arterial oxygen desaturation on six minute walk distance, perceived effort, and perceived breathlessness in patients with airflow limitation. Thorax 1993; 48:33-38.
  78. Inal-Ince D, Savci S, Coplu L, et al. Functional capacity in severe chronic obstructive pulmonary disease. Saudi Med J 2005; 26:84-89.
  79. van Stel HF, Bogaard JM, Rijssenbeek-Nouwens LH, et al. Multivariable assessment of the 6-min walking test in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2001; 163:1567-1571.
  80. Alhamad EH. The six-minute walk test in patients with pulmonary sarcoidosis. Ann Thorac Med 2009; 4:60-64.
  81. Spruit MA, Watkins ML, Edwards LD, et al. Determinants of poor 6-min walking distance in patients with COPD: the ECLIPSE cohort. Respir Med 2010; 104:849-857.
  82. Callens E, Graba S, Gillet-Juvin K, et al. Measurement of dynamic hyperinflation after a 6-minute walk test in patients with COPD. Chest 2009; 136:1466-1472.
  83. Nishiyama O, Taniguchi H, Kondoh Y, et al. Dyspnoea at 6-min walk test in idiopathic pulmonary fibrosis: comparison with COPD. Respir Med 2007; 101:833-838.
  84. Gallego MC, Samaniego J, Alonso J, et al. Dyspnea in COPD: relation to the MRC scale with dyspnea induced by walking and cardiopulmonary stress testing. Arch Bronconeumol 2002; 38:112-116.
  85. Pływaczewski R, Stokłosa A, Bieleń P, et al. Six-minute walk test in obstructive sleep apnoea. Pneumonol Alergol Pol 2008; 76(2):75-82.
  86. Alghadir A, Aly F, Zafar H. Effect of face veil on ventilatory function among Saudi adult females. Pak J Med Sci 2012; 28:71-74.
  87. Balady GJ, Arena R, Sietsema K, et al. Clinician's Guide to cardiopulmonary exercise testing in adults: a scientific statement from the American Heart Association. Circulation 2010; 122:191-225
  88. Di Blasio A, Sablone A, Civino P, et al. Arm vs. Combined Leg and Arm Exercise: Blood Pressure Responses and Ratings of Perceived Exertion at the Same Indirectly Determined Heart Rate. J Sports Sci Med 2009; 8:401-409.
  89. Jabbour S. Public health in the Arab World: At a crossroads. J Public Health Pol 2013; 34: 356-60.