Key result
Higher 6-minute walk distance independently tracks with peak oxygen uptake after subacute stroke.
Why the study?
CPET is the gold standard for assessing cardiorespiratory fitness but is not always feasible in rehabilitation settings, and the relationship between the 6MWT and CPET-derived measures in subacute cerebral infarction remains unclear.
Cross-Sectional (n=122)
Yes
Effect estimate: unstandardized coefficient B = 0.010 (95% CI 0.006 to 0.015)
p-value: p=<0.001
In patients with subacute cerebral infarction, the 6-minute walk distance is independently associated with peak oxygen uptake, suggesting the 6MWT can serve as a practical surrogate for assessing cardiorespiratory fitness when CPET is unavailable.
6MWD may proxy VO2peak when CPET unavailable in subacute cerebral infarction; hypothesis-generating, needs prospective validation.
Background: Peak oxygen uptake (VO2peak), as measured by cardiopulmonary exercise testing (CPET), is considered the gold standard for assessing cardiorespiratory fitness (CRF). However, CPET is not always feasible in rehabilitation settings. The 6-min walk test (6MWT) is simple and widely used, yet its relationship with CPET-derived measures in patients with subacute cerebral infarction remains unclear. Methods: A total of 122 patients with subacute cerebral infarction underwent both the 6MWT and CPET. VO2peak, CPET-derived peak heart rate (CPET HRpeak), 6-min walk distance (6MWD), 6MWTpeak heart rate (6MWT HRpeak), and the ratio of 6MWT HRpeak to age-predicted maximal heart rate were assessed. Results: In multivariate linear regression analysis, 6MWD was independently associated with VO2peak (unstandardized coefficient B = 0.010, p < 0.001). Partial correlation analyses adjusting for age, sex, and β-blocker use showed that CPET HRpeak was positively correlated with 6MWD (ρ = 0.361, p < 0.001) and 6MWT HRpeak (ρ = 0.217, p = 0.018). The ratio of 6MWT HRpeak to age-predicted maximal heart rate did not mediate the association between 6MWD and VO2peak. Conclusions: In patients with subacute cerebral infarction, 6MWD was independently associated with VO2peak, while both 6MWD and 6MWT HRpeak were positively correlated with CPET HRpeak. These findings suggest that the 6MWT may help assess CRF when CPET is not available.
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Qie et al. (2026) conducted a cross-sectional in Subacute cerebral infarction (n=122). 6-minute walk distance (6MWD) was evaluated on Peak oxygen uptake (VO2peak) (unstandardized coefficient B = 0.010, 95% CI 0.006 to 0.015, p=<0.001). In patients with subacute cerebral infarction, 6-minute walk distance was independently associated with peak oxygen uptake (unstandardized coefficient B = 0.010, p < 0.001).
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