Effectiveness of the 6-minute walk test in the assessment of aerobic capacity in people with obesity: a scoping review

Authors

  • Nathali Carvajal-Tello Universidad Santiago de Cali
  • Andrés Fabricio Caballero-Lozada Universidad del Valle
  • Stephanía Marín-Herrada Universidad Santiago de Cali https://orcid.org/0009-0006-8012-0070
  • Juan Felipe Hidalgo-Santander Universidad del Valle
  • Johana Patricia Barahona-Guzmán Universidad San Martín
  • Alejandro Segura-Ordóñez Universidad Santiago de Cali https://orcid.org/0000-0001-8925-2244

DOI:

https://doi.org/10.17533/udea.rfnsp.e356821

Keywords:

aerobic capacity, obesity, 6-minute walk test

Abstract

Objective: This scoping review aimed to systematize the available evidence on the effectiveness of the 6-minute walk test in the assessment of aerobic capacity in people with obesity, and its usefulness for the prescription of physical exercise.

Methods: PubMed, Science Direct, Springer, Scopus and LILACS databases were reviewed. The search was limited from 2013 to 2023. Randomized controlled studies and prospective longitudinal studies were included. The data obtained were analyzed using the checklist proposed by the PRISMA Extension for Scoping Reviews (PRISMA-ScR).

Results: A total of 10 papers reporting results from randomized controlled studies and prospective longitudinal studies (50% of each) were analyzed, with 70% being from the Americas and 90% being written in English. The total number of participants was 1,575, and they were aged between 18 and 75 years. In the studies that specified sex, 66.3% were women. The body mass index for the experimental group ranged from 30.5 ± 2.8 to 48.99 ± 11.61 kg/m2. The distance traveled in the 6-minute walk test was observed to range from 428.3 ± 85.7 m, p < 0.0001, to 602.6 ± 70.2 m, p = 0.001. The VO2 max ranged between 16.9 ± 2.7 mLO2/kg/min-1 (p < 0.05) and 25.1 ± 4.7 mLO2/kg/min-1 (p = 0.001).

Conclusion: The 6-minute walk test is an effective and complementary tool in the design of exercise programs aimed at people with obesity, as it is a useful, simple and objective measure for exercise prescription and clinical follow-up.

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Author Biographies

Nathali Carvajal-Tello, Universidad Santiago de Cali

Magíster en Alta Dirección de Servicios Educativos. Grupo de investigación Salud y Movimiento

Andrés Fabricio Caballero-Lozada, Universidad del Valle

Especialista en Anestesiología y Reanimación. Especialista en Medicina Crítica y Cuidados Intensivos

Stephanía Marín-Herrada, Universidad Santiago de Cali

Fisioterapeuta

Juan Felipe Hidalgo-Santander, Universidad del Valle

Fisioterapeuta

Johana Patricia Barahona-Guzmán, Universidad San Martín

Médico General.

Alejandro Segura-Ordóñez, Universidad Santiago de Cali

Magíster en Fisiología. Estudiante de Doctorado en Fisiología. Grupo de investigación Salud y Movimiento

References

1. World Health Organization. Obesity and overweight [internet]. 2024 [citado 2023 ene. 17]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

2. Podlogar T, Wallis GA. New horizons in carbohydrate research and application for endurance athletes. Sports Med. 2022;52(Supl. 1):5-23. DOI: https://doi.org/10.1007/s40279-022-01757-1

3. Lin X, Li H. Obesity: Epidemiology, pathophysiology, and therapeutics. Front Endocrinol. 2021;12:706978. DOI: https://doi.org/10.3389/fendo.2021.706978

4. Bray GA, Frühbeck G, et al. Management of obesity. Lancet. 2016;387(10031):1947-56. DOI: https://doi.org/10.1016/S0140-6736(16)00271-3

5. Mantilla M. Frecuencia de obesidad y sobrepeso en una institución de salud de la ciudad de Barranquilla. Ciencia e Innovación en Salud. 2013;1(1):33-39. https://revistas.unisimon.edu.co/index.php/innovacionsalud/article/download/82/68/68#:~:text=De%20acuerdo%20con%20los%20%C3%BAltimos,del%20sobrepeso%20y%20la%20obesidad

6. Hales CM, Carroll MD, et al. Prevalence of obesity and severe obesity among adults: United States, 2017-2018. NCHS Data Brief [internet]. 2020 [citado 2023 feb. 22]; (360):1-8. https://pubmed.ncbi.nlm.nih.gov/32487284/

7. Salazar Blandón DA, Alzate Yepes T, et al. Sobrepeso, obesidad y factores de riesgo: un modelo explicativo para estudiantes de Nutrición y Dietética de una universidad pública de Medellín, Colombia. Perspect Nut Hum. 2020;22(1):47-59. DOI: https://doi.org/10.17533/udea.penh.v22n1a04

8. Mahadevan S, Ali I. Is body mass index a good indicator of obesity? Int J Diabetes Dev Ctries. 2016;36(2):140-2. DOI: https://doi.org/10.1007/s13410-016-0506-5

9. Jeong SM, Lee DH, et al. Different correlation of body mass index with body fatness and obesity-related biomarker according to age, sex and race-ethnicity. Sci Rep. 2023 Mar 1;13(1):3472. DOI: https://doi.org/10.1038/s41598-023-30527-w

10. Dixon AE, Peters U. The effect of obesity on lung function. Expert Rev. Respir. Med. 2018;12(9):755-67. DOI: https://doi.org/10.1080/17476348.2018.1506331

11. Nystoriak MA, Bhatnagar A. Cardiovascular effects and benefits of exercise. Front Cardiovasc Med. 2018;5:135. DOI: https://doi.org/10.3389/fcvm.2018.00135

12. Muscella A, Stefàno E, Lunetti P, et al. The regulation of fat metabolism during aerobic exercise. Biomolecules. 2020;10(12):1699. DOI: https://doi.org/10.3390/biom10121699

13. Thompson, W. R., Gordon, N. F., Pescatello, L. S. ACSM’s guidelines for exercise testing and prescription. United Kingdom: Lippincott Williams & Wilkins [internet]. 2010 [citado 2023 may. 5]. Disponible en: https://edisciplinas.usp.br/pluginfile.php/7965558/mod_resource/content/1/Colegio%20Americano%20de%20Medicina%20do%20Esporte_Guidelines%20for%20Exercise%20Testing%20and%20Prescription%20-%20ACSM%202018.pdf

14. Hussien J, Brunet J, Romain AJ, et al. Living with severe obesity: Adults’ physical activity preferences, self-efficacy to overcome barriers and motives. Disabil Rehabil. 2022;44(4):590-9. DOI: https://doi.org/10.1080/09638288.2020.1773944

15. Lanzi S, Codecasa F, Cornacchia M, et al. Long maximal incremental tests accurately assess aerobic fitness in class II and III obese men. PLoS One. 2015;10(4):e0124180. DOI: https://doi.org/10.1371/journal.pone.0124180

16. Gobbo S, Bullo V, Roma E, et al. Nordic walking promoted weight loss in overweight and obese people: A systematic review for future exercise prescription. J Funct Morphol Kinesiol. 2019;4(2):36. DOI: https://doi.org/10.3390/jfmk4020036

17. Marino F, Vidal R, Parada L, et al. Respuestas cardiovasculares de mujeres con obesidad mórbida sometidas a un test ergoespirométrico con ergómetro de brazo. Rev Colomb Cardiol. 2017;24(5):532-6. https://doi.org/10.1016/j.rccar.2017.05.012

18. Brunelli A, Belardinelli R, Refai M, et al. Peak oxygen consumption during cardiopulmonary exercise test improves risk stratification in candidates to major lung resection. Chest. 2009;135(5):1260-7. DOI: https://doi.org/10.1378/chest.08-2059

19. Vásquez-Gómez J, Castillo-Retamal M, Carvalho RSd, Faundez-Casanova C, Portes Junior MDP. Prueba de caminata de seis minutos ¿es posible predecir el consumo de oxígeno en personas con patologías? Una revisión bibliográfica. MHSalud. 2019;16(1):1-17. DOI: https://doi.org/10.15359/mhs.16-1.1

20. Gochicoa-Rangel L, Mora-Romero U, Guerrero-Zúñiga S, et al. Prueba de caminata de 6 minutos: recomendaciones y procedimientos. Neumol Cir Torax [internet]. 2015 [citado 2023 jun. 9]; 74(2):127-36. https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0028-37462015000200008

21. Agarwala P, Salzman SH. Six-minute walk test: Clinical role, technique, coding, and reimbursement. Chest. 2020;157(3):603-11. DOI: https://doi.org/10.1016/j.chest.2019.10.014

22. Bohannon RW, Crouch R. minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: A systematic review. J. Eval. Clin. Pract. 2017;23(2):377-81. DOI: https://doi.org/10.1111/jep.12629

23. Nolen-Doerr E, Crick K, Saha C, et al. Six-minute walk test as a predictive measure of exercise capacity in adults with type 2 diabetes. Cardiopulm Phys Ther J. 2018;29(3):124-9. DOI: https://doi.org/10.1097/CPT.0000000000000080

24. Colquhoun HL, Levac D, O’Brien KK, et al. Scoping reviews: Time for clarity in definition, methods, and reporting. J Clin Epidemiol. 2014;67(12):1291-4. DOI: https://doi.org/10.1016/j.jclinepi.2014.03.013

25. Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467-73. DOI: https://doi.org/10.7326/M18-0850

26. Smart NA, Waldron M, Ismail H, et al. Validation of a new tool for the assessment of study quality and reporting in exercise training studies: TESTEX. Int J Evid Based Healthc. 2015;13(1):9-18. DOI: https://doi.org/10.1097/XEB.0000000000000020

27. Slim K, Nini E, Forestier D, et al. Methodological index for non-randomized studies (MINORS): Development and validation of a new instrument. ANZ J Surg. 2003;73(9):712-6. DOI: https://doi.org/10.1046/j.1445-2197.2003.02748.x

28. Luchesa CA, Mafort TT, Silva RR, et al. Contribution of lung function in predicting distance covered in the 6-min walk test in obese Brazilian women. Braz. J. Med. Biol. Res. 2020;53(12):e10279. DOI: https://doi.org/10.1590/1414-431X202010279

29. Quaresma JC do V, Carneiro JRI, Marschhausen NF, et al. Reference equation for the six-minute walk test in Brazilian patients with obesity. Int. J. Cardiovasc. Sci. 2021;34(3):307-14. DOI: https://doi.org/10.36660/ijcs.20190175

30. Moreira GMS, Ribeiro AM, Carvalho PM de M, et al. Relationship between peak expiratory flow and impaired functional capacity in obese individuals. Fisioter. Mov. [internet]; 2021 [citado 2023 mar. 15]; 34:e34105. Disponible en: https://www.scielo.br/j/fm/a/8dpq5jmR3VxTPSBVdgdThzH/?lang = en

31. Metz L, Thivel D, Peirrera B, et al. A new equation based on the 6-min walking test to predict VO2peak in women with obesity. Disabil Rehabil. 2018;40(14):1702-7. DOI: https://doi.org/10.1080/09638288.2017.1304582

32. Luchesa CA, Mafort TT, Silva RR, et al. Reference value for the distance walked in the six-minute walk test in obese Brazilian men in the preoperative period of bariatric surgery. J Obes. 2021;9577412. DOI: https://doi.org/10.1155/2021/9577412

33. Di Thommazo-Luporini L, Carvalho LP, Luporini RL, et al. Are cardiovascular and metabolic responses to field walking tests interchangeable and obesity-dependent? Disabil Rehabil. 2016;38(18):1820-9. DOI: https://doi.org/10.3109/09638288.2015.1107645

34. Kuo YC, Chang HL, Cheng CF, et al. Six-week inspiratory resistance training ameliorates endurance performance but does not affect obesity-related metabolic biomarkers in obese adults: A randomized controlled trial. Respir Physiol Neurobiol. 2020;273:103285. DOI: https://doi.org/10.1016/j.resp.2019.103285

35. Muollo V, Rossi AP, Milanese C, et al. The effects of exercise and diet program in overweight people - Nordic walking versus walking. Clin Interv Aging. 2019;14:1555-65. DOI: https://doi.org/10.2147/CIA.S217570

36. Wooldridge JS, Herbert MS, Hernandez J, et al. Improvement in 6-min walk test distance following treatment for behavioral weight loss and disinhibited eating: An exploratory secondary analysis. Int.J. Behav. Med. 2019;26(4):443-8. DOI: https://doi.org/10.1007/s12529-019-09796-1

37. Baillot A, Baillargeon JP, Brown C, et al. The 6-min walk test reflects functional capacity in primary care and obese patients. Int J Sports Med. 2015;36(6):503-9. DOI: https://doi.org/10.1055/s-0034-1398533

38. Lemamsha H, Randhawa G, Papadopoulos C. Prevalence of overweight and obesity among Libyan men and women. Biomed Res. Int. 2019:8531360. DOI: https://doi.org/10.1155/2019/8531360

39. Cooper AJ, Gupta SR, et al. Sex/gender differences in obesity prevalence, comorbidities, and treatment. Curr Obes Rep. 2021;10(4):458-66. DOI: https://doi.org/10.1007/s13679-021-00453-x

40. Canhada SL, Luft VC, Giatti L, et al. Ultra-processed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference: the Brazilian longitudinal study of adult health (ELSA-Brasil). Public Health Nutrition. 2020;23(6):1076-86. DOI: https://doi.org/10.1017/s1368980019002854

41. Hernández Rodríguez J, Domínguez YA, Moncada Espinal OM. Prevalencia y tendencia actual del sobrepeso y la obesidad en personas adultas en el mundo. Rev Cubana Endocrinol [internet]. 2019 [citado 2023 jul. 5]; 30(3):e193. Disponible en: Prevalencia y tendencia actual del sobrepeso y la obesidad en personas adultas en el mundo (sld.cu)

42. Di Thommazo-Luporini L, Jürgensen SP, Castello-Simões V, et al. Metabolic and clinical comparative analysis of treadmill six-minute walking test and cardiopulmonary exercise testing in obese and eutrophic women. Braz. J. Phys. Ther. 2012;16(6):469-78. DOI: https://doi.org/10.1590/s1413-35552012005000036

43. Nonaka K, Murata S, Shiraiwa K, et al. Effect of skeletal muscle and fat mass on muscle strength in the elderly. Healthcare. 2018;6(3):72. DOI: https://doi.org/10.3390/healthcare6030072

Published

2025-03-28

How to Cite

1.
Carvajal-Tello N, Caballero-Lozada AF, Marín-Herrada S, Hidalgo-Santander JF, Barahona-Guzmán JP, Segura-Ordóñez A. Effectiveness of the 6-minute walk test in the assessment of aerobic capacity in people with obesity: a scoping review. Rev. Fac. Nac. Salud Pública [Internet]. 2025 Mar. 28 [cited 2025 Apr. 1];43:e356821. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/356821

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