A comparison of 6-minute walk test distance between asthmatic children and normal healthy children
DOI:
https://doi.org/10.18203/2320-6012.ijrms20210870Keywords:
6 MWT, 6 MWTD, Asthma, Asthmatic children, Normal healthy childrenAbstract
Background: To calculate and compare the six - minute walk test distance between asthmatic children and normal healthy children.
Methods: A comparative analysis study was performed to assess the exercise capacity between asthmatic and normal healthy children in the age group of 7 to 12 years. 100 subjects with random sampling were recruited over a period of 1 year according to the inclusion and exclusion criteria, each assigned into 2 groups (n=50). All the Subjects performed the 6MWT successfully and were analysed on parameters like HR, RR, RPE and 6MWTD pre and post-test.
Results: Intergroup analysis was done using unpaired t test and level of significance was taken as p<0.05. The results were statistically significant for 6MWTD, HR and RR between asthmatic and normal healthy children, except RPE as no changes were seen in normal healthy children as compared to asthmatic children.
Conclusions: Asthmatic children have lower 6MWTD as compared to normal healthy children. This indicates Low exercise capacity in asthmatic children. Additionally, increased HR, RR and RPE were seen in asthmatic children pre as well as post-test.
References
Global Initiative for Asthma (GINA). Global strategy for the Diagnosis and Management of Asthma in Children 5 years and Younger. Bethesda, md: GINA. 2009;21.
Williams B, Powell A, Hoskins G, Neville R. Exploring and explaining low participation in physical activity among Children and Young people with Asthma: A review. Bmc fam pract. 2008;9:40.
Welsh L, Kemp JG, Roberts RG. Effects of Physical Conditioning on Children and Adolescents with Asthma. Sports med. 2005;35:127-41.
Lucas SR, Platts-Mills TA. Physical activity and exercise in Asthma: Relevance to Etiology and Treatment. J allergy clinical immunol. 2005;115:928-34.
Rasmussen F, Lambrechtsen J, Siersted HC, Hansen HS, Hansennc. Low physical fitness in childhood is associated with the development of Asthma in Young Adulthood: The odense schoolchild study. Eur respir j. 2000;16:866.
Alvim CG, Picinin IM, Camargos PM, Colosimo E, Lasmar LB, Ibiapina CC, et al. Quality of life in Asthmatic Adolescents: An overall evaluation of disease control. J asthma. 2009; 46:186-90.
Basaran S, Guler-Uysal F, Ergen N, Seydaoglu G, Bingol-Karakoc¸G, Ufuk Altintas D. Effects of physical exercise on quality of life, exercise capacity and pulmonary function in Children with Asthma.
Lucas SR, Platts-Mills TA. Physical activity and exercise in Asthma: Relevance to etiology and treatment. J allergy clinical immunol. 2005;115:928-34.
Bronchial Asthma in API textbook of Medicine, 7th Edition, Editor Shah S.N. Paul M.A. National Book Depot, Mumbai. 2003:291.
Lambrechtsen J, Siersted HC, Hansen HS, Hansennc. Low physical fitness in childhood is associated with the development of Asthma in Young Adulthood: The odense schoolchild study. Eur respir j. 2000;16:866.
Mancuso CA, Sayles W, Phillips R. Barriers and facilitators to healthy physical Activity in Asthma patients. Journal of asthma. 2006;43:137-43.
Pianosi PT, Davis HS. Determinants of physical fitness in children with Asthma. Pediatrics. 2004;113:e225-9.
Carlsen KH, Engh G, Mork M. Exercise-induced bronchoconstriction depends on exercise load. Respir med. 2000;94:750-5.
Powell CV, White RD, Primhak RA. Longitudinal study of free running exercise challenge: Reproducibility. Arch dis child. 1996;74:108-14.
Kukafka DS, Lang DM, Porter S. Exercise-induced bronchospasm in high school athletes via a free running test. Incidence and epidemiology. Chest. 1998;114:1613-622.
Meyer A, Machnick MA, Behnke W, Braumann KM. Participation of Asthmatic Children in Gymnastic lessons at school. Pneumolo-gie. 2002;56:486-92.
Brockmann P, Caussade S, Holmgren L, Prado F, Reyes B, Vivianip, et al. Chilpediatr. 2007;78:482.
Villa F, Castro AP, Pastorino AC, Santarém JM, Martins MA, Jacob CM, et al. Aerobic capacity and skeletal muscle function in children with Asthma. Arch dis child. 2011;96:554-9.
Boonan V, Dean E. Submaximal exercise testing: Clinical Application and Interpretation. Phys ther. 2000;80:8.
Enright PL. The Six-Minute Walk Test. Respir care. 2003;48:783-5.
American Thoracic Society. ATS Statement: Guidelines for the Six-Minute Walk Test. Am j respir crit care med. 2002;166:111.
Srikanth AM, D’souza GA, Devaraj V, Lucas A. Reference equations for the Six Minute Walk Distance in the Indian Population. Chest. 2006;130.
Solway S, Brooks D, Lacasse Y, Thomas S. A Qualitative Systemic Overview of the measurement properties of Functional Walk Tests used in the Cardiorespiratory Domain. Chest. 2001;119:256-70.
Balke B. A simple field test for the Assessment of physical fitness. Rep 63-6. Rep civ aeromed res inst us. 1963;53:1-8521.
Mli, J. Yin, C. C. W. YU. The Six Minute Walk Test in Healthy Children Reliability and Validity.
Fletcher GF, Balady G, Froelicher YF, Hartley LH, Haskell WL, Pollock ML. Exercise Standards: A Statement for healthcare professionals from the American Heart Association: Writing Group. Circulation. 1995;91:580-615.
Pina IL, Balady GJ, Hanson P, Labovitz AJ, Madonna DW, Myers J. Guidelines for clinical exercise testing laboratories: A statement for healthcare professionals from the committee on exercise and Cardiac Rehabilitation, AHA. Circulation. 1995;91:912-21.
Woodcock AA, Geddes DM. Two-, six- and 12-Minute Walking Tests in Respiratory disease bmj. 1982;284:1607-608.
Moallow, Gauthier R, Mainqourd Y, Ahmadi S. 6MWT to assess exercise tolerance and Cardiorespiratory Responses during training program in Children j sports med. 2005;26(9)756-62.
Welsh L, Kemp JG, Roberts RG. Effects of physical conditioning on Children and Adolescents with Asthma. Sports med. 2005;35:127-41.
Lacasse Y, Martin S, Lasserson TJ, Goldstein RS. Meta-analysis of respiratory rehabilitation in Chronic Obstructive Pulmonary Disease. A cochrane systematic review. Eura medicophys. 2007;43:475-85.
Santuz P, Baraldi E, Zaramella P, Filippone M, Zacchello F. Factors limiting exercise performance in long-term survivors of Bronchopulmonary Dysplasia. Am respir crit care med. 1995;152:1284.
Aurora P, Prasad SA, Balfour-Lynn IM, Slade G, Whitehead Dinwiddie R. Exercise tolerance in children with cystic fibrosis undergoing lung transplantation assessment. European Respiratory Journal. 2001;18:293-97.
Truley KR, Wilmore JH. Cardiovascular responses to submaximal exercise in 7- to 9-yr-old boys and girls. Med sci sports exercise. 1997;29:824-32.
Bar O, Rowland WT. Pediatric exercise medicine from physiological principles to health care application. 1st ed. Usa: lippincott willaims and wilkins. 2004;30.
