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