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Research ArticleOriginal Article
Open Access

Association of the 6-minute walking test ratio and difference with pulmonary function in patients with interstitial lung disease

Ru Yang, Yuguang Wang, Li Hao, Guomin Zhao and Xitong Liu
Saudi Medical Journal October 2023, 44 (10) 1000-1005; DOI: https://doi.org/10.15537/smj.2023.44.10.20220940
Ru Yang
From the Respiratory Department (Yang, Wang, Liu); and Nursing Department (Hao, Zhao), Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
MD
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  • ORCID record for Ru Yang
  • For correspondence: [email protected]
Yuguang Wang
From the Respiratory Department (Yang, Wang, Liu); and Nursing Department (Hao, Zhao), Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
Ph.D
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Li Hao
From the Respiratory Department (Yang, Wang, Liu); and Nursing Department (Hao, Zhao), Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
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Guomin Zhao
From the Respiratory Department (Yang, Wang, Liu); and Nursing Department (Hao, Zhao), Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
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Xitong Liu
From the Respiratory Department (Yang, Wang, Liu); and Nursing Department (Hao, Zhao), Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
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  • Figure 1
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    Figure 1

    - Associations of 6MWT ratio with relevant variables. A) Associations of 6MWT ratio with PO2. B) Associations of 6MWT ratio with actual/predicted FVC. C) Associations of 6MWT ratio with actual/predicted FEV1. D) Associations of 6MWT ratio with FEV1/ FVC. E) Associations of 6MWT ratio with DLCO. F) Associations of 6MWT ratio with actual/predicted DLCO.

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    Figure 2

    - Associations of 6MWT difference with relevant variables. A) Associations of 6MWT difference with PO2. B) Associations of 6MWT difference with FeNO. C) Associations of 6MWT difference with actual/predicted FVC. D) Associations of 6MWT difference with actual/predicted FEV1. E) Associations of 6MWT difference with FEV1/FVC. F) Associations of 6MWT difference with DLCO. G) Associations of 6MWT difference with actual/predicted DLCO.

Tables

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    Table 1

    - Baseline patient characteristics.

    CharacteristicTotal (n=137)
    Age (years)63 (35,93)
    Height (cm)163 (145,184)
    Body weight (kg)64 (45,95)
    Hospital stays (days)9 (1,20)
    Gender
    Male71 (51.8)
    Female66 (48.2)
    Diagnosis
    Connective tissue-related lung disease42 (30.9)
    Idiopathic interstitial pneumonia29 (21.3)
    Granulomatous disease3 (2.2)
    Unknown interstitial disease62 (45.6)
    Oxygen inhalation in daily living42 (30.7)
    Using crutches in daily living3 (2.2)
    Oxygen inhalation in examinations2 (1.5)
    Using crutches in examinations2 (1.5)
    Blood-gas analysis
    PO2 (mmHg)79.2±14.4
    PCO2 (mmHg)38.9 (27.6,78.1)
    FeNO (ppb)17.5 (5,69)
    Pulmonary function
    Actual value of FVC (L)2.46±0.76
    Ratio of actual/predicted FVC, %80.46±21.25
    Actual value of FEV1 (L)1.97±0.57
    Ratio of actual/predicted FEV1, %80.32±19.40
    FEV1/FVC, %80.94±7.30
    TLC (L)4.00±1.00
    Ratio of actual/predicted TLC, %70.75 (35.0,112.0)
    DLCO (mmoL/min.kPa)4.48±1.51
    Ratio of actual/predicted DLCO, %57.85±18.94
    Six-min walking test
    Predicted value (m)518.9±60.7
    Actual value (m)449 (169.5,694)
    Actual value/predicted value, %85.7±17.6
    Predicted value – actual value73.9±95.1
    • PO2: partial pressure of oxygen, PCO2: partial pressure of carbon dioxide, FeNO: exhaled nitric oxide, FVC: forced vital capacity, FEV1: forced expiratory volume in 1 s, TLC: total lung capacity, DLCO: diffusing capacity of the lungs for carbon monoxide. Data are presented as median (min, max), mean±standard deviation, or n (%)

    • View popup
    Table 2

    - Associations of 6MWT difference and 6MWT ratio with relevant variables.

    Characteristic6MWT ratio6MWT difference
    rP-valuerP-value
    PO20.2050.018-0.1730.047
    PCO2-0.1190.1720.1010.247
    FeNO0.2660.062-0.2900.041
    Actual value of FVC0.1300.130-0.0770.373
    Actual value/predicted value of FVC0.1840.034-0.2030.019
    Actual value of FEV10.1060.221-0.0490.574
    Actual value/predicted value of FEV10.1730.046-0.1970.023
    FEV1/FVC-0.2040.0170.2020.018
    TLC0.0710.414-0.0330.704
    Actual value/predicted value of TLC0.0730.407-0.0930.290
    DLCO0.303<0.001-0.2730.001
    Actual value/predicted value of DLCO0.355<0.001-0.363<0.001
    • 6MWT: 6-minute walking test, PO2: partial pressure of oxygen, PCO2: partial pressure of carbon dioxide, FeNO: exhaled nitric oxide, FVC: forced vital capacity, FEV1: forced expiratory volume in 1 s, TLC: total lung capacity, DLCO: diffusing capacity of the lungs for carbon monoxide

    • View popup
    Table 3

    - Multivariable linear regression analysis of 6MWT difference.

    CharacteristicβSEP-value
    Blood-gas analysis
    FeNO-2.1570.8360.014
    Pulmonary function
    DLCO-22.5287.480.004
    • 6MWT: 6-min walking test, SE: standard error, FeNO: exhaled nitric oxide, DLCO: diffusing capacity of the lungs for carbon monoxide

    • View popup
    Table 4

    - Multivariable linear regression analysis of 6MWT ratio.

    CharacteristicβSEP-value
    Blood-gas analysis
    FeNO0.4030.1630.018
    Pulmonary function
    DLCO4.3551.4580.005
    • 6MWT: 6-minute walking test, SE: standard error, FeNO: exhaled nitric oxide, DLCO: diffusing capacity of the lungs for carbon monoxide

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Saudi Medical Journal: 44 (10)
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Association of the 6-minute walking test ratio and difference with pulmonary function in patients with interstitial lung disease
Ru Yang, Yuguang Wang, Li Hao, Guomin Zhao, Xitong Liu
Saudi Medical Journal Oct 2023, 44 (10) 1000-1005; DOI: 10.15537/smj.2023.44.10.20220940

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Association of the 6-minute walking test ratio and difference with pulmonary function in patients with interstitial lung disease
Ru Yang, Yuguang Wang, Li Hao, Guomin Zhao, Xitong Liu
Saudi Medical Journal Oct 2023, 44 (10) 1000-1005; DOI: 10.15537/smj.2023.44.10.20220940
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Keywords

  • interstitial lung disease
  • 6-minute walk test
  • pulmonary functions
  • blood gas analysis
  • fractional exhaled nitric oxide
  • hospital stay

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