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. 2019 Mar 20;3(1):bjgpopen18X101634. doi: 10.3399/bjgpopen18X101634
Clinical feature BODE index score points
0 1 2 3
mMRC scale 0–1 2 3 4
6MWD, m ≥350 250–349 150–249 ≤149
FEV1% pred ≥65 50–64 36–49 ≤35
BMI, kg/m2 >21 ≤21
mMRC dyspnoea scale ranges from 0–4:
  • Score 0–1 indicates breathlessness on exercise only, or on brisk walking

  • Score 2 indicates person walks slowly or stops for breath (due to breathlessness)

  • Score 3 indicates person stops for breath in less than 100 m walking

  • Score 4 indicates person is breathless even while dressing


Distance walked in 6 minutes, contributes 0–3 in the BODE index score. Patient is asked to walk for 6 minutes and his/her score is calculated as below:
  • Score 0 indicates ≥350 m walking

  • Score 1 indicates 250–349 m walking

  • Score 2 indicates 150–249 m walking

  • Score 3 indicates ≤149 m walking


The spirometry (FEV1% pred.) contributes 0–3 in the BODE index score:
  • Score 0 ≥65 FEV1% pred. (FEV1 is 65% or more of the predicted amount)

  • Score 1 ≥50-64 FEV1% pred. (FEV1 is 50–64% of the predicted amount)

  • Score 2 ≥36-49 FEV1% pred. (FEV1 is 36–49% of the predicted amount)

  • Score 3 ≤35 FEV1% pred. (FEV1 is 35% or less of the predicted amount)


Body mass index (relates height with weight), contributes 0–1 in the BODE index score
  • Score 0 indicates BMI >21

  • Score 1 indicates BMI ≤21

Extracted from the doctors’ training module, developed as part of intervention.

6MWD = six-minute walk distance. BODE = Body mass index, airway Obstruction, Dyspnoea, Exercise capacity. BMI = body mass index. mMRC = modified Medical Research Council.