{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T17:55:42Z","timestamp":1776707742049,"version":"3.51.2"},"reference-count":70,"publisher":"Human Kinetics","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025]]},"abstract":"\n \n Background\/Objectives<\/jats:bold>\n :\n <\/jats:italic>\n Aging usually leads to physical disability and a detrimental performance in activities of daily living. Among the functional capacity components, cardiorespiratory fitness is one of the most important. The 6-min walk test (6MWT) is the most widely performed test, using the test configuration to determine patients\u2019 results and allow interpretation of the results by healthcare professionals. Therefore, this study aimed to compare distances and body accelerations obtained from two 6MWT protocols (25-m walkway vs. 20- by 5-m rectangle).\n \n Methods<\/jats:bold>\n :\n <\/jats:italic>\n A cross-over study design was used where 43 older adults (>65\u00a0years old) performed the 6MWT using two different setups (25-m walkway vs. 20- by 5-m rectangle), gathering distances covered and body acceleration data.\n \n Results<\/jats:bold>\n :\n <\/jats:italic>\n Covered distance was significant superior in the 20- by 5-m rectangle in comparison with the 25-m walkway (\n p<\/jats:italic>\n \u2009<\u2009.05). Axis\n Z<\/jats:italic>\n counts per minute were superior in the 25-m walkway than in the 20- by 5-m rectangle (\n p<\/jats:italic>\n \u2009<\u2009.05). Despite that the distances covered in both setups were significantly correlated (\n r<\/jats:italic>\n \u2009=\u2009.891;\n p<\/jats:italic>\n \u2009<\u2009.001), the lack of agreement (\n p<\/jats:italic>\n \u2009<\u2009.001) suggests they should not be considered interchangeably. Additionally, more than 30% of the participants changed their percentile for cardiorespiratory fitness classification according to the two test configurations.\n \n Conclusion<\/jats:bold>\n :\n <\/jats:italic>\n 6MWT setup determines patient\u2019s performances and fitness classification. Then, it is crucial to clearly describe test configuration to properly contextualize older adults\u2019 cardiorespiratory fitness by health care professionals.\n \n Significance\/Implications<\/jats:bold>\n :\n <\/jats:italic>\n Our findings highlight the need to normalize the 6MWT configuration to improve accuracy in the assessment of cardiorespiratory fitness in older adults.\n <\/jats:p>","DOI":"10.1123\/japa.2024-0382","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T06:28:38Z","timestamp":1761200918000},"page":"1-8","source":"Crossref","is-referenced-by-count":0,"title":["Is There Agreement Between Distances Covered in the 6-min Walk Test Regardless of the Test Configuration? A Cross-Sectional Cross-Over Study in Older Adults"],"prefix":"10.1123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6381-6021","authenticated-orcid":true,"given":"Michelle","family":"Matos-Duarte","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0309-6568","authenticated-orcid":true,"given":"Luis A.","family":"Berlanga","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain"},{"name":"Physical Activity and Sport, Centro de Estudios Universitarios Cardenal Sp\u00ednola CEU, Sevilla, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2583-8657","authenticated-orcid":true,"given":"Emilia","family":"Alves","sequence":"additional","affiliation":[{"name":"Department of Sports, Douro Higher Institute of Educational Sciences, Penafiel, Portugal"},{"name":"Department of Sport Sciences and Physical Education, Polytechnic Institute of Bragan\u00e7a, Bragan\u00e7a, Portugal"},{"name":"Research Center in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sports, University of Porto, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6057-1222","authenticated-orcid":true,"given":"Carlos","family":"Moreira","sequence":"additional","affiliation":[{"name":"University of Tr\u00e1s-os-Montes e Alto Douro (UTAD), Vila Real, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7490-9466","authenticated-orcid":true,"given":"Pedro Pugliesi","family":"Abdalla","sequence":"additional","affiliation":[{"name":"Study and Research Group in Anthropometry, Training, and Sport (GEPEATE), School of Physical Education and Sport of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-9181","authenticated-orcid":true,"given":"Jorge","family":"Mota","sequence":"additional","affiliation":[{"name":"Research Center in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sports, University of Porto, Porto, Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7988-968X","authenticated-orcid":true,"given":"Lucimere","family":"Bohn","sequence":"additional","affiliation":[{"name":"Research Center in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sports, University of Porto, Porto, Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal"},{"name":"Faculty of Psychology, Education and Sport, Lusofona University, Porto, Portugal"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"American Journal of Respiratory and Critical Care Medicine,","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1164\/ajrccm.166.1.at1102","article-title":"ATS statement: Guidelines for the six-minute walk test","volume":"166","year":"2002","unstructured":"ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. 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