Factors associated with six-minute walk distance among Indonesian Hajj Pilgrims 10.55131/jphd/2024/220313
Main Article Content
Abstract
The Hajj pilgrimage is a physically demanding religious rite that is associated with the health status of pilgrims. Several factors are associated with functional limitations. We aimed to determine the relationship between clinical data and six-minute walk test (6-MWT) findings. The 6-MWT is a measure of functional capacity that is routinely applied to Indonesian pilgrim candidates before they embark on the Hajj. This cross-sectional study analysed Indonesian Hajj pilgrimage data obtained from 2,933 participants before their departure for the Hajj in 2022. The data included participants’ characteristics, laboratory results, and six-minute walk findings. The resulting aggregates were analysed using Pearson correlations. Serum creatinine significantly correlated with 6-MWT findings (r = 0.003; p <0.05). Low-density lipoprotein-cholesterol (LDL-C) values and platelet counts were significantly associated with 6-MWT results (r = 0.101 and 0.038, respectively; p <0.05). Serum creatinine, LDL-C, and platelet values were associated with increased 6-MWT, indicating a correlation with functional capacity among Hajj pilgrims.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Lutfi SH, Rumengan G, Trigono A. Analysis of Istitha'ah Achievement at the Center for Hajj and Umrah Health Integrated Services (P2TKHU) RS Hajj Hospital Jakarta, International Journal of Psychosocial Rehabilitation 2020. Vol. 24, Issue 03.
Mas’ud I, Nasir UZ, Pitoyo CW, Rinaldi I. The implementation of health istithaah to the pilgrims with tuberculosis: A cross-sectional study in Jakarta, Indonesia. Medical Journal of Indonesia. 2020;29(2):198-203. doi: 10.13181/mji.oa.203517
Aldossari M, Aljoudi A, Celentano D. Health issues in the Hajj pilgrimage: a literature review. East Mediterr Health J. 2019;25(10):744-753. Published 2019 Nov 4. doi:10.26719/2019.25. 10.744
Mansyur M. Hajj health istithaah amid the COVID-19 pandemic. Med J Indones [Internet]. 2020Jun.30 [cited 2024May27];29(2):115-7.
Buchman AS, Boyle PA, Wilson RS, Bienias JL, Bennett DA. Physical activity and motor decline in older persons. Muscle Nerve. 2007;35(3): 354-362. doi:10.1002/mus.20702
Prasetyo Y, Doewes M, Rahma N, et al. Effects of aerobic exercise and weight training-aerobic towards physical fitness of elderly Hajj candidates. International Journal on Advanced Science, Engineering and Information Technology 2017, 7(1), pp.106-117.
Yusri, Y, Zulkarnain M, Sitorus RJ. Faktor yang Mempengaruhi Kebugaran Calon Jemaah Haji Kota Palembang Tahun 2019. Jurnal Epidemiologi Kesehatan Komunitas 2020, 5(1), pp.57-68.
Tudor-Locke C, Williams JE, Reis JP, Pluto D. Utility of pedometers for assessing physical activity: convergent validity. Sports Med. 2002;32(12): 795-808. doi:10.2165/00007256-200232120-00004
Nobel M, Ehrman J, Liguori G, et al. ACSM’s Guidelines for Exercise Testing and Prescription. 10th ed. Philadelphia: ACSM; 2018.
Donini LM, Poggiogalle E, Mosca V, Pinto A, Brunani A, Capodaglio P. Disability affects the 6-minute walking distance in obese subjects (BMI>40 kg/m(2)). PLoS One. 2013;8(10): e75491. Published 2013 Oct 11. doi:10.1371/journal.pone.0075491
Beatty AL, Schiller NB, Whooley MA. Six-minute walk test as a prognostic tool in stable coronary heart disease: data from the heart and soul study. Arch Intern Med. 2012;172(14): 1096-1102. doi:10.1001/archinternmed. 2012.2198
Kono K, Nishida Y, Moriyama Y, Yabe H, Taoka M, Sato T. Investigation of factors affecting the six-minute walk test results in hemodialysis patients. Ther Apher Dial. 2014;18(6):623-627. doi:10.1111 /1744-9987.12177
Bessman SP, Geiger PJ. Transport of energy in muscle: the phosphorylcreatine shuttle. Science. 1981;211(4481):448-452. doi:10.1126/science.6450446
Shulman NB, Ford CE, Hall WD, et al. Prognostic value of serum creatinine and effect of treatment of hypertension on renal function. Results from the hypertension detection and follow-up program. The Hypertension Detection and Follow-up Program Cooperative Group. Hypertension. 1989;13(5 Suppl): I80-I93. doi:10.1161/01.hyp.13.5_ suppl.i80
Damsgaard EM, Frøland A, Jørgensen OD, Mogensen CE. Microalbuminuria as predictor of increased mortality in elderly people. BMJ. 1990;300(6720): 297-300. doi:10.1136/bmj.300.6720. 297
Choo, V. WHO reassesses appropriate body-mass index for Asianpopulations. The Lancet 2002, 360(9328), p.235.
Bakris G, Ali W, Parati G. ACC/AHA versus ESC/ESH on hypertension guidelines: JACC guideline comparison. Journal of the American College of Cardiology 2019, 73(23), pp.3018-3026.
Gabir MM, Hanson RL, Dabelea D, et al. The 1997 American Diabetes Association and 1999 World Health Organization criteria for hyperglycemia in the diagnosis and prediction of diabetes. Diabetes Care. 2000;23(8):1108-1112.
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test [published correction appears in Am J Respir Crit Care Med. 2016 May 15;193(10):1185]. Am J Respir Crit Care Med. 2002;166(1):111-117. doi: 10.1164/ajrccm.166.1.at1102.
Solway S, Brooks D, Lacasse Y, Thomas S. A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest. 2001;119(1):256-270. doi:10.1378/ chest.119.1.256
Fernandes AO, Sens YAS, Fonseca Junior PR, Moura RCF, Alves VLS. Impacto do uso do cicloergômetro na função respiratória, cardiovacular, capacidade aeróbica, funcional e qualidade de vida de pacientes com doença renal cronica em hemodiálise. Fisioter. Bras. 2019;20(2): 302-309.
Bučar Pajek M, Čuk I, Leskošek B, Mlinšek G, Buturović Ponikvar J, Pajek J. Six-Minute Walk Test in Renal Failure Patients: Representative Results, Performance Analysis and Perceived Dyspnea Predictors. PLoS One. 2016;11(3):e0150414. Published 2016 Mar 16. doi:10.1371/journal. pone.0150414
Martinson M, Ikizler TA, Morrell G, et al. Associations of body size and body composition with functional ability and quality of life in hemodialysis patients. Clin J Am Soc Nephrol. 2014; 9(6):1082-1090. doi:10.2215/CJN. 09200913
Ekman MJ, Klintenberg M, Björck U, Norström F, Ridderstråle M. Six-minute walk test before and after a weight reduction program in obese subjects. Obesity (Silver Spring). 2013;21(3):E236-E243. doi:10.1002/ oby.20046
Kohl Lde M, Signori LU, Ribeiro RA, et al. Prognostic value of the six-minute walk test in end-stage renal disease life expectancy: a prospective cohort study. Clinics (Sao Paulo). 2012;67(6):581-586. doi:10.6061/ clinics/2012(06)06
Borgmann M, Ivanda M, Hadizamani Y, et al. Does the 6-minute walk test in hospitalized COPD patients exclusively correlate with lung function parameters or should psychological factors also be taken into account?. PLoS One. 2020;15(5): e0232587. Published 2020 May 4. doi:10.1371/journal.pone.0232587
Shah MR, Hasselblad V, Gheorghiade M, et al. Prognostic usefulness of the six-minute walk in patients with advanced congestive heart failure secondary to ischemic or nonischemic cardiomyopathy. Am J Cardiol. 2001; 88(9):987-993. doi:10.1016/s0002-9149(01)01975-0
Alahdab MT, Mansour IN, Napan S, Stamos TD. Six minute walk test predicts long-term all-cause mortality and heart failure rehospitalization in African-American patients hospitalized with acute decompensated heart failure. J Card Fail. 2009;15(2):130-135. doi:10.1016/j.cardfail.2008.10. 006
Odden MC, Shlipak MG, Tager IB. Serum creatinine and functional limitation in elderly persons. J Gerontol A Biol Sci Med Sci. 2009; 64(3):370-376. doi:10.1093/gerona/ gln037
Lamb EJ, O'Riordan SE, Delaney MP. Kidney function in older people: pathology, assessment and management. Clin Chim Acta. 2003; 334(1-2):25-40. doi:10.1016/s0009-8981(03)00246-8
Hall WD. Abnormalities of kidney function as a cause and a consequence of cardiovascular disease. Am J Med Sci. 1999;317(3):176-182. doi: 10.1097/00000441-199903000-00007
Culleton BF, Larson MG, Wilson PW, Evans JC, Parfrey PS, Levy D. Cardiovascular disease and mortality in a community-based cohort with mild renal insufficiency. Kidney Int. 1999; 56(6):2214-2219. doi:10.1046/j.1523-1755.1999.00773.x
Torino C, Manfredini F, Bolignano D, et al. Physical performance and clinical outcomes in dialysis patients: a secondary analysis of the EXCITE trial. Kidney Blood Press Res. 2014; 39(2-3):205-211. doi:10.1159/000355 798
de Poli RAB, Roncada LH, Malta ES, Artioli GG, Bertuzzi R, Zagatto AM. Creatine Supplementation Improves Phosphagen Energy Pathway During Supramaximal Effort, but Does Not Improve Anaerobic Capacity or Performance. Front Physiol. 2019;10: 352. Published 2019 Apr 10. doi: 10.3389/fphys.2019.00352
Mielgo-Ayuso J, Calleja-Gonzalez J, Marqués-Jiménez D, Caballero-García A, Córdova A, Fernández-Lázaro D. Effects of Creatine Supplementation on Athletic Performance in Soccer Players: A Systematic Review and Meta-Analysis. Nutrients. 2019;11(4):757. Published 2019 Mar 31. doi:10.3390/nu11040757
Kuethe F, Krack A, Richartz BM, Figulla HR. Creatine supplementation improves muscle strength in patients with congestive heart failure. Pharmazie. 2006;61(3):218-222.
Weber C, Noels H. Atherosclerosis: current pathogenesis and therapeutic options. Nat Med. 2011;17(11):1410-1422. Published 2011 Nov 7. doi:10.1038/nm.2538
Obermayer G, Afonyushkin T, Binder CJ. Oxidized low-density lipoprotein in inflammation-driven thrombosis. J Thromb Haemost. 2018;16(3):418-428. doi:10.1111/jth.13925
Badrnya S, Butler LM, Söderberg-Naucler C, Volf I, Assinger A. Platelets directly enhance neutrophil transmigration in response to oxidised low-density lipoprotein. Thromb Haemost. 2012;108(4):719-729. doi: 10.1160/TH12-03-0206