Lena Wypyrsczyk, Mareike Kühn, Elias Dreismickenbecker, Marie A Neu, Heidi Diel, Joerg Faber
{"title":"Feasibility and Validity of the 6-Minute Cycling Test in Childhood Cancer Patients.","authors":"Lena Wypyrsczyk, Mareike Kühn, Elias Dreismickenbecker, Marie A Neu, Heidi Diel, Joerg Faber","doi":"10.1080/08880018.2026.2661758","DOIUrl":null,"url":null,"abstract":"<p><p>The 6-min cycling test (6MCT), a submaximal endurance test, has not yet been applied in pediatric oncology. This study evaluates its feasibility and validity in 71 childhood cancer patients (9.6 ± 4.0 years). For validation, 46 patients additionally underwent cardiopulmonary exercise testing (CPET). Performance in the 6MCT (total revolutions) was correlated with peak oxygen uptake (VO<sub>2</sub><sub>peak</sub>) and peak work rate (WR<sub>peak</sub>) using Spearman's correlation. Linear regressions assessed the predictive value of VO<sub>2</sub><sub>peak</sub> and WR<sub>peak</sub> on 6MCT performance. Sixty-six participants (93%) successfully completed the 6MCT, averaging 550 ± 129 revolutions. Revolutions correlated moderately with VO<sub>2</sub><sub>peak</sub> (<i>ρ</i> = 0.46, <i>p</i> = 0.001) and strongly with WR<sub>peak</sub> (<i>ρ</i> = 0.64, <i>p</i> < 0.001). VO<sub>2</sub><sub>peak</sub> significantly predicted 6MCT performance (<i>p</i> = 0.001, <i>R</i><sup>2</sup> = 0.214), whereas WR<sub>peak</sub> explained more variance (<i>p</i> < 0.001, <i>R</i><sup>2</sup> = 0.488). The results demonstrate that the 6MCT is a feasible, valid endurance assessment in this population, offering a promising alternative when gold standard testing is not available.</p>","PeriodicalId":19746,"journal":{"name":"Pediatric Hematology and Oncology","volume":" ","pages":"1-14"},"PeriodicalIF":1.2000,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Hematology and Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08880018.2026.2661758","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
The 6-min cycling test (6MCT), a submaximal endurance test, has not yet been applied in pediatric oncology. This study evaluates its feasibility and validity in 71 childhood cancer patients (9.6 ± 4.0 years). For validation, 46 patients additionally underwent cardiopulmonary exercise testing (CPET). Performance in the 6MCT (total revolutions) was correlated with peak oxygen uptake (VO2peak) and peak work rate (WRpeak) using Spearman's correlation. Linear regressions assessed the predictive value of VO2peak and WRpeak on 6MCT performance. Sixty-six participants (93%) successfully completed the 6MCT, averaging 550 ± 129 revolutions. Revolutions correlated moderately with VO2peak (ρ = 0.46, p = 0.001) and strongly with WRpeak (ρ = 0.64, p < 0.001). VO2peak significantly predicted 6MCT performance (p = 0.001, R2 = 0.214), whereas WRpeak explained more variance (p < 0.001, R2 = 0.488). The results demonstrate that the 6MCT is a feasible, valid endurance assessment in this population, offering a promising alternative when gold standard testing is not available.
期刊介绍:
PHO: Pediatric Hematology and Oncology covers all aspects of research and patient management within the area of blood disorders and malignant diseases of childhood. Our goal is to make PHO: Pediatric Hematology and Oncology the premier journal for the international community of clinicians and scientists who together aim to define optimal therapeutic strategies for children and young adults with cancer and blood disorders. The journal supports articles that address research in diverse clinical settings, exceptional case studies/series that add novel insights into pathogenesis and/or clinical care, and reviews highlighting discoveries and challenges emerging from consortia and conferences. Clinical studies as well as basic and translational research reports regarding cancer pathogenesis, genetics, molecular diagnostics, pharmacology, stem cells, molecular targeting, cellular and immune therapies and transplantation are of interest. Papers with a focus on supportive care, late effects and on related ethical, legal, psychological, social, cultural, or historical aspects of these fields are also appreciated. Reviews on important developments in the field are welcome. Articles from scientists and clinicians across the international community of Pediatric Hematology and Oncology are considered for publication. The journal is not dependent on or connected with any organization or society. All submissions undergo rigorous peer review prior to publication. Our Editorial Board includes experts in Pediatric Hematology and Oncology representing a wide range of academic and geographic diversity.