PMID- 23219646 OWN - NLM STAT- MEDLINE DCOM- 20130820 LR - 20130129 IS - 1873-1465 (Electronic) IS - 0031-9406 (Linking) VI - 99 IP - 1 DP - 2013 Mar TI - Activity level predicts 6-minute walk distance in healthy older females: an observational study. PG - 21-6 LID - S0031-9406(12)00023-5 [pii] LID - 10.1016/j.physio.2011.11.004 [doi] AB - BACKGROUND: The 6-minute walk test (6MWT) is widely used in clinical practice and research. Few studies have investigated activity level as a predictor of 6-minute walk distance (6MWD), and existing predictive models do not allow for activity level. OBJECTIVES: To evaluate if knowledge of the level of physical activity enhanced the ability to predict 6MWD, and if the inclusion of activity level added to the predictive accuracy of existing models for the 6MWT in healthy older women; and to validate existent predictive models for 6MWD in a new sample. DESIGN: Cross-sectional, observational study. SETTING: Four elderly communities. PARTICIPANTS: A convenience sample of healthy active and sedentary older non-smoking females with no musculoskeletal or lung disorders. MAIN OUTCOME MEASURES: Age, height, weight, spirometric values and 6MWD. RESULTS: Seventy-seven out of 154 females met the inclusion criteria [mean age 66 (standard deviation 6.5) years]: 46 were active and composed the active group and 31 were sedentary and composed the sedentary group. The active group had significantly greater 6MWD than the sedentary group (mean 44m; 95% confidence interval 14 to 73m; P<0.01). Previous published models that did not allow for activity level either over or underestimated the 6MWD in this sample. The activity level was shown to be an important independent predictor of 6MWD. CONCLUSION: This study demonstrates the importance of considering the level of physical activity when predicting 6MWD in older women. CI - Copyright (c) 2012 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved. FAU - Steffens, Daniel AU - Steffens D AD - The George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia. FAU - Beckenkamp, Paula R AU - Beckenkamp PR FAU - Hancock, Mark AU - Hancock M FAU - Paiva, Dulciane Nunes AU - Paiva DN FAU - Alison, Jennifer A AU - Alison JA FAU - Menna-Barreto, Sergio Saldanha AU - Menna-Barreto SS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120410 PL - England TA - Physiotherapy JT - Physiotherapy JID - 0401223 SB - IM MH - Aged MH - Anthropometry MH - Brazil MH - Cross-Sectional Studies MH - Exercise Test MH - Female MH - Humans MH - Observation MH - Physical Fitness/*physiology MH - Predictive Value of Tests MH - Spirometry MH - Walking/*physiology EDAT- 2012/12/12 06:00 MHDA- 2013/08/21 06:00 CRDT- 2012/12/11 06:00 PHST- 2011/06/02 00:00 [received] PHST- 2011/11/16 00:00 [accepted] PHST- 2012/12/11 06:00 [entrez] PHST- 2012/12/12 06:00 [pubmed] PHST- 2013/08/21 06:00 [medline] AID - S0031-9406(12)00023-5 [pii] AID - 10.1016/j.physio.2011.11.004 [doi] PST - ppublish SO - Physiotherapy. 2013 Mar;99(1):21-6. doi: 10.1016/j.physio.2011.11.004. Epub 2012 Apr 10.