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Table 1 Key attributes and limitations of the 6-min walk test in patients with IPF

From: Utility of the six-minute walk test in patients with idiopathic pulmonary fibrosis

Attributes

Limitations

• Easy and inexpensive to perform

• Results affected by multiple factors

 ○ Age/sex/weight/height

 ○ Comorbidities that affect ability to walk or desaturation

 ○ Use of supplemental oxygen

 ○ Specific instructions given to patient, which may be affected by language barriers

 ○ Training effects

• Reproducible

• Replicates activities of daily living

• Provides a functional measure of the patient’s overall cardiopulmonary reserve

• 6MWD correlates with measures of lung function and HRQL

• 6MWD, and particularly decline in 6MWD, are strong predictors of mortality

• Provides no insight into mechanism/s of exercise limitation

• Unclear which parameter measured during 6MWT is of greatest prognostic value

• Use of different methodologies across studies hinders comparison of results

  1. 6MWD 6-min walk distance, 6MWT 6-min walk test, HRQL health-related quality of life