https://doi.org/10.4081/monaldi.2025.3068

Longitudinal changes in the 6-minute walk test and the Glittre-activities of daily living test in adults with cystic fibrosis

Early Access
Submitted: May 28, 2024
Accepted: October 24, 2024
Published: January 9, 2025
Cystic fibrosis, exercise, pulmonary function tests, muscle
Abstract Views: 455
PDF_EARLY VIEW: 63
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Authors

Vera Lucia Barros Abelenda
https://orcid.org/0000-0002-7974-4998
Postgraduate Program in Medical Sciences, State University of Rio de Janeiro, Brazil.
Cláudia Henrique da Costa
https://orcid.org/0000-0001-6785-0753
Postgraduate Program in Medical Sciences, State University of Rio de Janeiro; Piquet Carneiro Polyclinic, State University of Rio de Janeiro, Brazil.
Mônica de Cássia Firmida
https://orcid.org/0000-0003-1741-2952
Piquet Carneiro Polyclinic, State University of Rio de Janeiro, Brazil.
Raphael Freitas Jaber de Oliveira
https://orcid.org/0009-0005-5896-9388
Piquet Carneiro Polyclinic, State University of Rio de Janeiro, Brazil.
Rogério Rufino
Postgraduate Program in Medical Sciences, State University of Rio de Janeiro; Piquet Carneiro Polyclinic, State University of Rio de Janeiro, Brazil.
Agnaldo José Lopes
agnaldolopes.uerj@gmail.com
https://orcid.org/0000-0001-8598-4878
Postgraduate Program in Medical Sciences, State University of Rio de Janeiro; Piquet Carneiro Polyclinic, State University of Rio de Janeiro; Rehabilitation Sciences Postgraduate Program, Augusto Motta University Centre, Rio de Janeiro, Brazil.

With the increasing use of highly effective modulator therapy (HEMT) in adults with cystic fibrosis (awCF), it is necessary to determine the evolution of the most dynamic physiological markers of this disease, such as the 6-minute walk test (6MWT) and the Glittre-activities of daily living test (TGlittre). The present study aimed to evaluate the 1-year changes in the 6- minute walking distance (6MWD), TGlittre time, and quality of life (QoL) in awCF before the initiation of HEMT and to determine the impact of habitual physical activity (HPA) and chest physiotherapy (CP). This longitudinal study enrolled 24 awCF who completed the 6MWT and TGlittre. Pulmonary function tests, handgrip strength (HGS), and the Cystic Fibrosis Questionnaire-Revised (CFQ-R) were conducted. Measurements were collected at baseline (T1) and 1 year later (T2). The median body mass index increased between T1 and T2 [19.8 (18-24) vs. 21.4 (19-24) kg/m2, p=0.038]. TGlittre time decreased both in relation to the absolute values [3.10 (2.52-3.39) vs. 2.40 (2.00-3.00) minutes, p=0.001] and in relation to the predicted values [127 (116-150) vs. 108 (102-140) % predicted, p=0.001]. Although there was no increase in 6MWD relative to the predicted values, it increased relative to the absolute values [545 (463-654) vs. 617 (540-658) meters, p=0.041]. In relation to the group that did not engage in HPA, individuals who had HPA showed an increase in HGS between T1 and T2 [7.1 (0-20) vs. 0 (-12-3) kgf, p=0.031]. In relation to the group that did not undergo CP, individuals undergoing CP showed an increase in the 'treatment burden'–CFQ-R between T1 and T2 [16.1 (-3-18) vs. -11.2 (-28-1) points, p=0.049]. In conclusion, awCF performed better on TGlittre than on 6MWT. They experienced an improvement in body composition. HPA was correlated with peripheral muscle strength, as were CP and QoL.

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Ethics Approval

The study was approved by the Research Ethics Committee of the Pedro Ernesto University Hospital of the State University of Rio de Janeiro under protocol number CAAE-93586318.0.0000.5259.

How to Cite

Abelenda, Vera Lucia Barros, Cláudia Henrique da Costa, Mônica de Cássia Firmida, Raphael Freitas Jaber de Oliveira, Rogério Rufino, and Agnaldo José Lopes. 2025. “Longitudinal Changes in the 6-Minute Walk Test and the Glittre-Activities of Daily Living Test in Adults With Cystic Fibrosis”. Monaldi Archives for Chest Disease, January. https://doi.org/10.4081/monaldi.2025.3068.
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