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Six-minute walking distance reference value for healthy Indonesian children: A cross-sectional study from the largest country in South East Asia

Wardhani RK 1 , Kekalih A 2 , Wahyuni LK 3 , Laksmitasari B 3 , Benedicta SM 4 , Lakmudin A 5 Show all authors , Yi YG 6 , Bang MS 7

Affiliations 

  • 1 Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo, National General Hospital, Faculty of Medicine Universitas, Indonesia, Jakarta, Indonesia. Email: rizkykusumawardhani@yahoo.co.id
  • 2 Department of Community Medicine, Faculty of Medicine Universitas, Indonesia, Jakarta, Indonesia
  • 3 Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo, National General Hospital Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • 4 Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • 5 Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo National General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • 6 Department of Rehabilitation Medicine, National Traffic Rehabilitation Hospital Seoul, National University College of Medicine, Seoul, Korea
  • 7 Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University, College of Medicine,Seoul, Korea
Malays Fam Physician, 2023;18:1.
PMID: 36969334 DOI: 10.51866/oa.179

Abstract

INTRODUCTION: There is no global reference value for the 6-minute walking distance (6MWD) in paediatric populations, as it can vary greatly depending on local characteristics and anthropometric measures. This study aimed to identify a 6MWD reference value that could be applied in both local and regional settings.

METHOD: This cross-sectional multicentre study investigated a healthy paediatric population aged 4-18 years in Indonesia. The 6-minute walk test (6MWT) was conducted in accordance with the American Thoracic Society guidelines. Data were presented as the 6MWD according to age and sex per year. Univariate and multivariate analyses were conducted on the basis of the 6MWDpred Rizky formula.

RESULTS: A total of 634 participants were included in this study. Age, sex, weight, leg length and height affected the 6MWD (P<0.001). In the regression model, sex and height were the predictors of 6MWD, with height as the best single predictor.

CONCLUSION: The reference charts and 6MWDpred Rizky formula are applicable in multi-ethnic paediatric Indonesian populations but in limited settings.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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