Reference values on the 6-minute walk test for children living in the United States

Susan E Klepper1, Nancy Muir

  • 1Program in Physical Therapy, Columbia University, New York, New York, USA. sek44@columbia.edu

Insights

Reference values for the 6-minute walk test (6MWT) in US children aged 7-11 are established. Findings indicate that international 6MWT data may not be directly applicable to this population.

Area of Science:

  • Pediatric physiology
  • Clinical exercise testing

Background:

  • The 6-minute walk test (6MWT) is a common functional assessment.
  • Establishing normative data is crucial for interpreting results in pediatric populations.
  • Previous reference values may not be generalizable across different geographic regions.

Purpose of the Study:

  • To determine reference values for the 6-minute walk distance (6MWD) in healthy US children aged 7 to 11 years.
  • To examine the relationship between 6MWD and age, sex, and anthropometric variables in this cohort.

Main Methods:

  • A sample of 100 healthy children (57 female, 43 male) aged 7-11 years participated.
  • Measurements included height, weight, body mass index, leg length, and 6MWD.
  • Data analysis focused on establishing reference values and correlations.

Main Results:

  • The mean 6-minute walk distance (6MWD) was 518.50 ± 73.56 meters.
  • These values were generally lower than those reported in international studies, except for England.
  • No significant associations were found between 6MWD and age, sex, or leg length, but a correlation with body mass index was observed in males.

Conclusions:

  • The established 6MWD reference values are specific to healthy children in the United States.
  • International 6MWT data should be used with caution when assessing US children.
  • Further research may be needed to refine pediatric reference values across diverse populations.
Abstract

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