Abstract
The main purpose of this study was to determine the association between the 6-min
walk test distance (6MWTD) and physical functional capacity (PF) in primary care patients,
as well as in obese individuals. We studied 351 subjects (age=56.8±14.6 years; BMI=29.4±5.7 kg/m2; 68% women), including 141 obese subjects (BMI≥30 kg/m2), recruited in 10 different family practices. Physical (PCS) and mental component
summary of the health-related quality of life (HRQOL) and the 8 sub-scores were measured
using the Short Form-36 Health Survey. Anthropometry, vital signs and physical testing
were measured according to standardized protocols. Recreational physical activity
(LPA) and sedentary levels were determined using the Canadian Community Health Survey.
In a stepwise multivariate analysis, 65% of the 6MWTD variance was explained by PF
of the HRQOL, age, quadriceps strength, number of chronic diseases, LPA categories,
BMI, resting heart rate, PCS, height and TV-viewing categories in primary care subjects.
In the obese individuals, PF, age, quadriceps strength and BMI explained 57% of the
6MWTD variance. In these 2 groups, 44% of the 6MWTD variance is explained by PF only.
To conclude, the 6MWTD is strongly associated with PF of the HRQOL. Thus, it adequately
reflects physical limitations in daily life activities of primary care patients, including
obese individuals.
Key words
physical fitness - quality of life - primary care - obesity