Slow walking speed and cardiovascular death in well functioning older adults: prospective cohort study

Dumurgier, Julien; Elbaz, Alexis; Ducimetière, Pierre; Tavernier, Béatrice; Alpérovitch, Annick; Tzourio, Christophe

doi:10.1136/bmj.b4460

Cited by 295 publications

(235 citation statements)

References 32 publications

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“…5) As shown in the histograms of the Figure, our results indicate that 6.4% of men and 23.8% of women in the middle-aged AMI subgroup, and 28.8% of men and 43.5% of women in the elderly AMI subgroup, had a walking speed slower than those reported in the previous cohort study; this was not the case in the non-AMI group. The recommended walking speed for crossing over the road at a signalized intersection is reported to be 1.0-1.2 m/second (60-70 m/minute) for community-dwelling people.…”

Section: Discussioncontrasting

confidence: 45%

“…[1][2][3][4][5] A recent prospective cohort study reported that a slower walking speed was strongly associated with cardiovascular mortality in a population of well-functioning elderly people. 5) The Heart Failure and A Controlled Trial Investigating Outcomes of Exercise TraiNing (HF-ACTION) showed that greater clinical benefits, such as reduced mortality or hospitalization, were observed among patients with heart failure who adhered to a higher volume of exercise, which was calculated by multiplying exercise intensity by the time spent exercising. 6,7) Patients with chronic heart failure in this trial participated in supervised exercise training, followed by a 3-month home-based exercise program.…”

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confidence: 99%

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Walking Speed in Patients With First Acute Myocardial Infarction Who Participated in a Supervised Cardiac Rehabilitation Program After Coronary Intervention

et al. 2012

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SummaryThis study aimed to evaluate the degree of reduction in walking speed in patients with acute myocardial infarction (AMI) compared to age-matched community-dwelling people and identify factors associated with walking speed. The subjects were 210 middle-aged and 188 elderly patients with a first AMI (AMI group) and 198 age-matched communitydwelling people with no medical events (non-AMI group). We measured maximum walking speed in all subjects and collected clinical data, including that related to motor function, at the end of a supervised cardiac rehabilitation program in the AMI group. Data were analyzed based on age and sex. Walking speed in men and women in the middle-aged AMI subgroup decreased to 77.9% and 75.7% relative to that of the non-AMI subgroup matched by sex, respectively; walking speed in men and women in the elderly AMI subgroup decreased to 78.7% and 74.2% relative to that of the non-AMI subgroup matched by sex, respectively. Moreover, 6.4% of men and 23.8% of women in the middle-aged AMI subgroup, and 28.8% of men and 43.5% of women in the elderly AMI subgroup, had a slower walking speed compared to their respective non-AMI groups, which may contribute to an increased risk for cardiovascular mortality. Stepwise multiple regression analysis for motor function revealed that only leg strength in the middle-aged AMI subgroup, and both leg strength and standing balance in the elderly AMI subgroup, were associated with walking speed, regardless of sex after adjusting for clinical characteristics. These results suggest that evaluation and management of walking speed are necessary in implementing effective disease management for patients with first AMI. (Int Heart J 2012; 53: 347-352)

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Section: Discussioncontrasting

confidence: 45%

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Walking Speed in Patients With First Acute Myocardial Infarction Who Participated in a Supervised Cardiac Rehabilitation Program After Coronary Intervention

et al. 2012

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“…Diversos estudios epidemiológicos sobre los factores contribuyentes y asociados a una velocidad de la marcha lenta muestran información que varía según el escenario y la población estudiada (6)(7)(8) . Estos hallazgos sugieren la existencia de determinantes ajenos a la propia edad que de estar presentes puedan contribuir a detectar precozmente una velocidad de la marcha lenta en adultos mayores aparentemente sanos; por ello es necesario identificar aquellos factores que, al no depender de la edad, sean modificables y permitan intervenir en mejorar la velocidad de la marcha.…”

Section: Mensajes Claveunclassified

Factores asociados a velocidad de marcha lenta en adultos mayores de un distrito en Lima, Perú

Rodríguez

Burga-Cisneros

Cipriano

et al. 2017

Rev Peru Med Exp Salud Publica

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Objetivos. Determinar los factores asociados a velocidad de marcha lenta en adultos mayores de la comunidad residentes en un distrito de Lima, Perú. Materiales y métodos. Estudio de análisis de base de datos secundario. Se incluyó a los adultos mayores de 60 años y se excluyó aquellos con condiciones que no garantizaban la evaluación de la marcha. La variable dependiente fue la velocidad de marcha lenta, menor a 1 m/s, y las variables independientes fueron sociodemográficas, clínicas y de valoración geriátrica integral. Se calcularon las razones de prevalencia (RP) crudas y ajustadas con intervalos de confianza al 95% (IC95%). Resultados. Se incluyeron 416 adultos mayores, el rango de edad fue de 60 a 99 años y un 41% presentaba velocidad de marcha lenta. Se encontró que los factores asociados a una velocidad de marcha lenta en adultos mayores de la comunidad son el sexo femenino (RP 1,45, IC95%: 1,13-1,88), la edad mayor de 70 años (RP 1,73, IC95%: 1,30-2,30), un menor grado de instrucción (RP. 2.07, IC95%: 1,20-3,55), la presencia de problema socio familiar (RP 1,66, IC95%: 1,08-2,54), la presencia de diabetes mellitus (RP 1,35, IC95%: 1,01-1,80) y de depresión (RP: 1.41, IC95%: 1,02-1,95). Conclusiones. Los factores modificables asociados a una velocidad de marcha lenta en el adulto mayor en la comunidad son tanto clínicos como sociofamiliares, susceptibles de intervención desde etapas precoces en el curso de la vida. Palabras clave: Velocidad de marcha, adulto mayor, comunidad. (Fuente: DeCS BIREME) FACTORS ASSOCIATED WITH SLOW WALKING SPEED IN OLDER ADULTS OF A DISTRICT IN LIMA, PERU ABSTRACTObjectives. To determine the factors associated with slow walking speed in older adults living in a district of Lima, Peru. Materials and methods. Analysis of secondary data. Adults older than 60 years were included in the study, while adults with physical conditions who did not allow the evaluation of the walking speed were excluded. The dependent variable was slow walking speed (less than 1 m/s), and the independent variables were sociodemographic, clinical, and geriatric data. Raw and adjusted prevalence ratios (PR) were calculated with 95% confidence intervals (95% CI). Results. The study sample included 416 older adults aged 60 to 99 years, and 41% of the participants met the slow walking speed criterion. The factors associated with slow walking speed in this sample were female gender (PR, 1.45; 95% CI, 1.13-1.88), age > 70 years (PR, 1.73; 95% CI, 1.30-2.30), lower level of education (PR, 2.07, 95% CI, 1.20-3.55), social-familial problems (PR, 1.66; 95% CI, 1.08-2.54), diabetes mellitus (PR, 1.35; 95% CI, 1.01-1.80), and depression (PR, 1.41; 95% CI, 1.02-1.95). Conclusions. The modifiable factors associated with slow walking speed in older adults included clinical and social-familial problems, and these factors are susceptible to interventions from the early stages of life.

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“…Likewise, slow walking speed in older people has been shown to be strongly associated with an increased risk of cardiovascular mortality [8]. An algorithm developed by the European Working Group on Sarcopenia in Older People (EWGSOP) [9] to identify sarcopenia proposed gait-speed measurement as the first step of the algorithm.…”

Section: Introductionmentioning

confidence: 99%

Association between gait speed and bone strength in community-dwelling postmenopausal Japanese women

Sakazaki

Koike

Yanagimoto

et al. 2012

Environ Health Prev Med

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Objectives It is unclear whether gait speed can be used to predict bone status or to diagnose osteopenia or osteoporosis. The aim of our study was to determine whether the measurement of physical performance predicts bone strength in community-dwelling postmenopausal Japanese women. Methods We measured speed of sound (SOS), weight bearing index (WBI), maximum or usual gait speed, step length of each gait, single leg balance time with or without eyes closed, and grip strength among 1,061 postmenopausal women (mean age ± standard deviation 68 ± 8 years). Results After adjustments for age and body mass index, SOS was associated with maximum or usual gait speed and with step length during maximum speed gait, but not with WBI, grip strength, single-leg balance time with or without eyes closed, or step-length time during usual gait speed. When subjects were divided into quartile groups based on WBI (a marker of lower extremity strength), significant associations between usual or maximum gait speed and SOS were found only in the lowest and second lowest groups (first and second quartiles). Finally, analysis of sensitivity and specificity at various cut-off points of maximum gait speed to predict decreased SOS showed relatively high specificity compared with the corresponding sensitivity among those with low gait speed. Conclusions Maximum gait speed together with WBI may be a useful and specific test to predict bone status in postmenopausal older women.

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Slow walking speed and cardiovascular death in well functioning older adults: prospective cohort study

Cited by 295 publications

References 32 publications

Walking Speed in Patients With First Acute Myocardial Infarction Who Participated in a Supervised Cardiac Rehabilitation Program After Coronary Intervention

Walking Speed in Patients With First Acute Myocardial Infarction Who Participated in a Supervised Cardiac Rehabilitation Program After Coronary Intervention

Factores asociados a velocidad de marcha lenta en adultos mayores de un distrito en Lima, Perú

Association between gait speed and bone strength in community-dwelling postmenopausal Japanese women

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