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The Six Minute Walk Test as a Marker of Functional Capacity in Hypertensive Patients

*Sidhi Laksono Purwowiyoto orcid  -  Universitas Muhammadiyah Prof. DR. Hamka, Indonesia
Steven Philip Surya  -  Rumah Sakit Kesdam Jaya Cijantung, Indonesia
Received: 12 Dec 2020; Published: 31 Aug 2021.

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Abstract

Background: Currently, hypertension becomes one of the leading issues not only for medical community but also to the broader societies. Even though hypertension could be symptomatic, in most case it didn’t until the devastating complications shows up. Functional capacity is a simple tool based on our daily activity. The six-minute walk test could be one of the simplest ways in measuring functional capacity. Six-minute distance as the outcome of this test could be potentially a marker for functional capacity in hypertensive group compare to non-hypertensive group.

Methods: This is a case control study with 34 female participants in six-minute walking test.

Result: There are no significant different of age, height, weight, and body max index between those groups. The six-minute walking distance drastically difference between hypertensive and non-hypertensive group, 306m and 367m respectively with p-value < 0,01. Heart rate pre-test also statistically different between control group and case group. (75 bpm and 94 bpm, p-value = 0,027) Post-test blood pressure is notably distinctive between two groups. Additionally, systolic blood pressure post-test lower than initial value. Hypertension alters human functional capacity ominously.

Conclusion : The six-minute walk test could be applied as simple functional capacity marker in hypertension subject. 

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Keywords: Functional capacity; Hypertension; Six-minute walk test.

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  1. World Health Organization (WHO). 2014. Global status report on noncommunicable disease 2014. Geneva, Switzerland: WHO
  2. The World Bank. 2020. World bank country and lending groups [Internet]. The World Bank Group. [cited 2020 March 31]. Available from: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups
  3. Peltzer K, Pengpid S. 2018. The prevalence and social determinant of hypertension among adults in Indonesia: a cross-sectional population based national survey. Int J Hypertens
  4. Ibrahim MM, Damasceno A. 2012. Hypertension in developing countries. Lancet. 380(9841):611-9
  5. Hussain MA, Mamun AA, Reid C, Huxley RR. 2016. Prevalence, awareness, treatment and control of hypertension in Indonesian adults aged ≥40 years: findings from the Indonesian family survey (ILFS). PLoS ONE. 11(8):e0160922
  6. Bakris G, Ali W, Parati G. 2019. ACC/AHA versus ESC/ESH on hypertension guidelines: JACC guideline comparison. J Am Coll Cardiol. 73:3018-26
  7. Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI). 2015. Pedoman tatalaksana hipertensi pada penyakit kardiovaskular. Indonesia: PERKI
  8. Ramos RA, Guimaraes FS, Cordovil I, de Sa Ferreira A. 2014. The six-minute walk distance is a marker of hemodynamic-related functional capacity in hypertension: a case-control study. Hypertens Res. 37:746-52
  9. Braz NFT, Carneiro MV, Ferreira FO, Arrieiro AN, Amorim FT, Lima MMO, et al. 2012. Influence of aerobic training on cardiovascular and metabolic parameters in elderly hypertensive woman. Int J Prev Med. 3(9):652-9
  10. Seki E, Watanabe Y, Shimada K, Sunayama S, Onishi T, Kawakami K, et al. 2008. Effects of a phase III cardiac rehabilitation program on physical status and lipid profiles in elderly patient with coronary artery disease; juntendo cardiac rehabilitation program (J-CARP). Circ J. 72(8):1230-4
  11. Furtando HL, Sousa N, Siamo R, Pereira FD, Alves, JV. 2015. Physical exercise and functional fitness in independently living vs institutional elderly women: a comparasion of 60- to 70-years old city dwellers. Clin Interv Aging. 10:795-801
  12. Collier SR, Kanaley JA, CarhartJr R, Frechette V, Tobin MM, Luckenbaugh AN, et al. 2008. Effect of 4 weeks of aerobic or resistance exercise training on arterial stiffness, blood flow, and blood pressure in pre- and stage-1 hypertensive. J Hum Hypertens. 22:678-86
  13. Kokkinos P, Manolis A, Pittaras A, Doumas M, Giannelou A, Panagoitakos DB, et al. 2009. Exercise capacity and mortality in hypertensive men with and without additional risk factors. Hypertension. 53(3):494-9
  14. Zinck VV, Pronko TP, Lis MA. 2009. Blood oxygen transport indices and endothelial dysfunction in patient with arterial hypertension. Clin Physiol Funct Imaging. 29:170-6
  15. Pronko TP, Zinchuk VV. 2009. Effect on nebivolol on blood ooxygen transport indices and endothelian dysfunction in patient with arterial hypertension. Clin Physiol Func Imaging. 29:170-76
  16. Zhang A, Jia Z, Wang N, Tidwell TJ, Yang T. 2011. Relative contributions of mitochondria and NADPH oxidase to deoxycorticosterone acetate-salt hypertension in mice. Kidney Int. 80(1):51-60
  17. Dekleva M, Lazic JS, Paviovic-Kleut M, Mazic S, Stevanovic A, Soldatovic I, et al. 2012. Cardiopulmonary exercise testing and its relation to oxidative stress in patients with hypertension. Hypertens Res.n 35(12):1145-51
  18. Feihl F, Liaudet L, Waeber B. 2009. The microcirculation and microcirculation of hypertension. Curr Hypertens Rep. 11:182-9
  19. Fagard RH. 2005. Exercise therapy in hypertensive cardiovascular disease. Prog Cardiovasc Dis. 46:667-75
  20. Legramante JM, Galante A, Massaro M, Attanasio A, Raimondi G, Pigozzi F, et al. 2002. Hemodynamic and autonomic correlates of postexercise hypotension in patient with mild hypertension. Am J Physiol Regulatory Integrative Comp Physiol. 282(4):R1037-R1043
  21. Anunciacao PG, Polito MD. 2011. A Review on post-exercise hypotension in hypertensive individuals. Arq Bras Cardiol. 96(5):e100-109
  22. Rondon MUPB, Alves MJNN, Braga AMFW, Teixeira OTUN, Barretto ACP, Kreger EM, et al. 2002. Postexercise blood pressure reduction in elderly hypertensive patients. J Am Coll Cardiol. 39(4):676-82

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