Publication details

Tele-Assessment of Functional Capacity through the Six-Minute Walk Test in Patients with Diabetes Mellitus Type 2: Validity and Reliability of Repeated Measurements

Authors

PEPERA Garyfallia KARANASIOU Evmorfia BLIOUMPA Christina ANTONIOU Varsamo KALATZIS Konstantinos LANARAS Leonidas BAŤALÍK Ladislav

Year of publication 2023
Type Article in Periodical
Magazine / Source Sensors
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.mdpi.com/1424-8220/23/3/1354
Doi http://dx.doi.org/10.3390/s23031354
Keywords tele-assessment; remote assessment; telehealth assessment; functional capacity; diabetes mellitus; six-minute walk test
Description A tele-assessed 6MWT (TL 6MWT) could be an alternative method of evaluating functional capacity in patients with diabetes mellitus type 2 (DM2). This study aimed to assess the validity and reliability of a TL 6MWT. The functional capacity of 28 patients with DM2 (75% men) aged 61 +/- 13 years was evaluated twice via an indoor, center-based 6MWT (CB 6MWT) and twice outside each patient's home via a web-based platform TL 6MWT. The study showed a high statistically significant correlation between the CB and TL 6MWT (Pearson's r = 0.76, p < 0.001). Reliability testing showed no statistically significant differences in the distance covered (CB1: 492 +/- 84 m and CB2: 506 +/- 86 m versus TL1: 534 +/- 87 m and TL2: 542 +/- 93 m, respectively) and in the best distance of the TL 6MWT (545 +/- 93 m) compared to the best CB distance (521 +/- 83 m). Strong internal reliability for both the CB (intraclass correlation coefficient (ICC) = 0.93) and the TL 6MWT (ICC = 0.98) was found. The results indicate that a TL 6MWT performed outdoors can be a highly valid and reliable tool to assess functional capacity in patients with DM2. No learning effect between the TL and CB assessment was found, minimizing the need for repetition.

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