[Six minute walk test in young native high altitude residents].

Carla Ximena Murillo-Jáuregui, Luis Efren Santos-Martínez, Juan José López-Mamani, María Catherine Romero-Pozo, Ivonee Clorinda Contreras-Tapia, Martha Teresa Aguilar-Valerio
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Abstract

Background: The 6-minute walk test is widely used and evaluates the functional capacity to perform sub-maximal exercise, its behavior in healthy young native hight-altitude resident is unknown.

Objective: To describe the behavior of the 6-minute walk test in healthy young native hight-altitude resident.

Material and methods: Analytical cross-sectional design. Consecutive subjects born and residents of the cities of La Paz and El Alto (Bolivia), both genders, without cardiopulmonary disease or physical limitation were studied. Their altitude, hematological, demographic and simple spirometry variables were informed. The differences were calculated with the t-test for independent or dependent groups according to the type of comparison. A p < 0.05 was considered significant.

Results: 110 subjects were studied, at an altitude of 3673 ± 250 meters above sea level, age 24 ± 5 years old, 67 (60.90%) were women. The hemoglobin was 15.20 ± 2.46 g/dL. Prior to the test in 37 (33.63%) subjects the partial oxygen saturation was < 92% (90.92 ± 0.92%), its correlation whit meters walked, r = - 0.244, p < 0.010. Total meters walked: 581 ± 35 (627.3 ± 52.88 sea level); with the reference equations from Enright PL: 542 ± 75 and Osses AR: 459 ± 104, both obtained at < 1000 meters above sea level. Vital signs were whitin normal limits.

Conclusion: Sub-maximal exercise capacity estimated with the six-minute walk test at high altitude is lower than that reported at sea level.Reference equations underestimated the meters walked at high altitude.

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[六分钟步行测试在年轻的本地高海拔居民]。
背景:6分钟步行测试被广泛应用于评估进行亚极限运动的功能能力,但其在健康的高原青年居民中的表现尚不清楚。目的:了解高原健康青年居民6分钟步行试验行为。材料和方法:分析截面设计。研究对象为出生和居住在拉巴斯和埃尔阿尔托(玻利维亚)两市的连续受试者,不分性别,均无心肺疾病或身体限制。他们的海拔、血液学、人口统计学和简单肺活量测量变量被告知。根据比较类型,独立组和依赖组采用t检验计算差异。p < 0.05为显著性。结果:研究对象110例,海拔3673±250米,年龄24±5岁,女性67例(占60.90%)。血红蛋白为15.20±2.46 g/dL。试验前37例(33.63%)受试者局部氧饱和度< 92%(90.92±0.92%),其与白米行走相关,r = - 0.244, p < 0.010。行走总米:581±35米(海拔627.3±52.88米);参考方程为Enright PL: 542±75和Osses AR: 459±104,均为海拔< 1000米的参考方程。生命体征在正常范围内。结论:高海拔6分钟步行试验估计的亚最大运动能力低于海平面报告的亚最大运动能力。参考方程低估了在高空行走的米数。
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