Functional test

6-minute walk test

6MWT

Distance walked in six minutes — a submaximal exercise tolerance measure useful when full VO₂max testing isn't feasible.

Moderate relevance2 cited sourcesNo fastingFree.movement

What it measures

Maximum distance covered at self-selected pace over six minutes on a flat, straight, marked course (typically 30 m corridor). A submaximal measure of integrated cardiopulmonary and musculoskeletal capacity.

Reference context

2 guideline sources

Reference equations adjust for age/sex/height/weight. Compare to predicted % rather than absolute metres across people.

Population context — consult guideline targets below

Mechanism

Why moving this marker matters

Strongly correlated with measured VO₂max in older adults and clinical populations, while requiring no laboratory equipment. Used as outcome measure in pulmonary hypertension, COPD, heart failure, and older-adult deconditioning research.

Guideline targets

What major guidelines recommend

Enright reference equation (healthy adults)

Strong

Predicted distance varies by age, sex, height, weight. Typical healthy adult: 400–700 m.

Clinical thresholds

Moderate

<300 m in older adults is associated with elevated mortality risk in heart-failure and COPD cohorts.

How to measure

The test, where to get it, when to repeat

Method

30-metre flat indoor corridor marked at both ends. Walk back and forth as fast as comfortably possible for six minutes. No running. Record total distance.

Where

Cardiology, pulmonology, physiotherapy, and rehabilitation settings. Feasible at home with a measured corridor.

Typical cost

Free.

Fasting

Not required

When to test

  • ATS / ERS 2014

    Standardised protocol for clinical and research use. Periodic monitoring useful when tracking rehabilitation progress.

How to test

Doing this test

This is a self-test — no equipment needed. A timer or tape measure is usually enough. Your GP can confirm the protocol if you want validation.

Context

Reading the numbers

Reference equations adjust for age/sex/height/weight. Compare to predicted % rather than absolute metres across people.

Caveats

Standardise course, pacing instructions, and rest pattern across repeat tests for valid trend tracking.

See also

Related markers

Take to your physician

Worth discussing

  • Whether the 6MWT or a formal cardiopulmonary exercise test is more useful for your situation.
  • If distance walked is below predicted, what investigations may be warranted.

Sources

Cited literature

Edited by Carl Pöhl, MD · Healicus editorial

Last reviewed May 2026

Educational reference. Population-level information for the longevity-curious reader. Healicus does not compute scores, interpret your specific values, or produce personalised recommendations from your clinical data. Discuss your own results and any decisions with your physician.

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