Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease
Background Although gait speed and six-minute walk distance are used to assess functional capacity in older patients with cardiovascular disease, their prognostic capabilities have not been directly compared. Methods The study population was identified from the Kitasato University Cardiac Rehabilita...
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| Veröffentlicht in: | European journal of preventive cardiology 2018-01, Vol.25 (2), p.212-219 |
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| creator | Kamiya, Kentaro Hamazaki, Nobuaki Matsue, Yuya Mezzani, Alessandro Corrà, Ugo Matsuzawa, Ryota Nozaki, Kohei Tanaka, Shinya Maekawa, Emi Noda, Chiharu Yamaoka-Tojo, Minako Matsunaga, Atsuhiko Masuda, Takashi Ako, Junya |
| description | Background
Although gait speed and six-minute walk distance are used to assess functional capacity in older patients with cardiovascular disease, their prognostic capabilities have not been directly compared.
Methods
The study population was identified from the Kitasato University Cardiac Rehabilitation Database and consisted of 1474 patients ≥60 years old with a mean age of 72.2 ± 7.1 years that underwent evaluation of both usual gait speed and six-minute walk distance in routine geriatric assessment between 1 June 2008–30 September 2015. Both gait speed and six-minute walk distance were determined on the same day at hospital discharge.
Results
Mean gait speed and six-minute walk distance in the whole population were 1.04 m/s and 381 m, respectively, and were strongly positively correlated (r = 0.80, p |
| doi_str_mv | 10.1177/2047487317735715 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1949089879</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2047487317735715</sage_id><sourcerecordid>1949089879</sourcerecordid><originalsourceid>FETCH-LOGICAL-c379t-a120c1ef58c025db91fdf9642c4cc3277d9ee3b631c66712843d3a47f73922b93</originalsourceid><addsrcrecordid>eNp1kM1v1TAQxK0K1Fald07IRy4p_nqxfUQVlEqVuMA52tib1iWJg9ehvP-ePL3SAxJ72dXqNyPNMPZWiisprf2ghLHGWb3demfl7oSdH16NcU6-ermtPmOXRI9im1Yo5dwpO1POe2GUOmf7G0iV04IY-QMQD3laoEA_Il9Kvp8z1RR4gAX6NKa65zVzSr-bKc1rRf4E4w8eE1WYA_I08zxGLHyBmnCuxJ9SfdjUJab8CyisI5QDjkD4hr0eYCS8fN4X7PvnT9-uvzR3X29urz_eNUFbXxuQSgSJw84FoXax93KIg2-NCiYErayNHlH3rZahba1UzuiowdjBaq9U7_UFe3_03fL8XJFqNyUKOI4wY16pk9544byzB1Qc0VAyUcGhW0qaoOw7KbpD592_nW-Sd8_uaz9hfBH8bXgDmiNAcI_dY17LvKX9v-Ef3Q-Khw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1949089879</pqid></control><display><type>article</type><title>Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Kamiya, Kentaro ; Hamazaki, Nobuaki ; Matsue, Yuya ; Mezzani, Alessandro ; Corrà, Ugo ; Matsuzawa, Ryota ; Nozaki, Kohei ; Tanaka, Shinya ; Maekawa, Emi ; Noda, Chiharu ; Yamaoka-Tojo, Minako ; Matsunaga, Atsuhiko ; Masuda, Takashi ; Ako, Junya</creator><creatorcontrib>Kamiya, Kentaro ; Hamazaki, Nobuaki ; Matsue, Yuya ; Mezzani, Alessandro ; Corrà, Ugo ; Matsuzawa, Ryota ; Nozaki, Kohei ; Tanaka, Shinya ; Maekawa, Emi ; Noda, Chiharu ; Yamaoka-Tojo, Minako ; Matsunaga, Atsuhiko ; Masuda, Takashi ; Ako, Junya</creatorcontrib><description>Background
Although gait speed and six-minute walk distance are used to assess functional capacity in older patients with cardiovascular disease, their prognostic capabilities have not been directly compared.
Methods
The study population was identified from the Kitasato University Cardiac Rehabilitation Database and consisted of 1474 patients ≥60 years old with a mean age of 72.2 ± 7.1 years that underwent evaluation of both usual gait speed and six-minute walk distance in routine geriatric assessment between 1 June 2008–30 September 2015. Both gait speed and six-minute walk distance were determined on the same day at hospital discharge.
Results
Mean gait speed and six-minute walk distance in the whole population were 1.04 m/s and 381 m, respectively, and were strongly positively correlated (r = 0.80, p < 0.001). A total of 180 deaths occurred during a follow-up of 2.3 ± 1.9 years. After adjusting for confounding factors, both gait speed (adjusted hazard ratio per 0.1 m/s increase: 0.87, 95% confidence interval: 0.81–0.93, p < 0.001) and six-minute walk distance (adjusted hazard ratio per 10-metre increase: 0.96, 95% confidence interval: 0.94–0.97, p < 0.001) were independent predictors of all-cause mortality. There was no significant difference in prognostic capability between gait speed and six-minute walk distance (c-index: 0.64 (95% confidence interval: 0.60–0.69) and 0.66 (95% confidence interval: 0.61–0.70), respectively, p = 0.357).
Conclusions
Gait speed and six-minute walk distance showed similar prognostic predictive ability for all-cause mortality in older cardiovascular disease patients, indicating the potential utility of gait speed as a simple risk stratification tool in older cardiovascular disease patients.</description><identifier>ISSN: 2047-4873</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1177/2047487317735715</identifier><identifier>PMID: 28990422</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Cardiovascular Diseases - diagnosis ; Cardiovascular Diseases - mortality ; Cardiovascular Diseases - physiopathology ; Cardiovascular Diseases - therapy ; Cause of Death ; Exercise Tolerance ; Gait Analysis - methods ; Geriatric Assessment - methods ; Humans ; Japan - epidemiology ; Male ; Middle Aged ; Predictive Value of Tests ; Prognosis ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Walk Test ; Walking Speed</subject><ispartof>European journal of preventive cardiology, 2018-01, Vol.25 (2), p.212-219</ispartof><rights>The European Society of Cardiology 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-a120c1ef58c025db91fdf9642c4cc3277d9ee3b631c66712843d3a47f73922b93</citedby><cites>FETCH-LOGICAL-c379t-a120c1ef58c025db91fdf9642c4cc3277d9ee3b631c66712843d3a47f73922b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2047487317735715$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2047487317735715$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28990422$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kamiya, Kentaro</creatorcontrib><creatorcontrib>Hamazaki, Nobuaki</creatorcontrib><creatorcontrib>Matsue, Yuya</creatorcontrib><creatorcontrib>Mezzani, Alessandro</creatorcontrib><creatorcontrib>Corrà, Ugo</creatorcontrib><creatorcontrib>Matsuzawa, Ryota</creatorcontrib><creatorcontrib>Nozaki, Kohei</creatorcontrib><creatorcontrib>Tanaka, Shinya</creatorcontrib><creatorcontrib>Maekawa, Emi</creatorcontrib><creatorcontrib>Noda, Chiharu</creatorcontrib><creatorcontrib>Yamaoka-Tojo, Minako</creatorcontrib><creatorcontrib>Matsunaga, Atsuhiko</creatorcontrib><creatorcontrib>Masuda, Takashi</creatorcontrib><creatorcontrib>Ako, Junya</creatorcontrib><title>Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease</title><title>European journal of preventive cardiology</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description>Background
Although gait speed and six-minute walk distance are used to assess functional capacity in older patients with cardiovascular disease, their prognostic capabilities have not been directly compared.
Methods
The study population was identified from the Kitasato University Cardiac Rehabilitation Database and consisted of 1474 patients ≥60 years old with a mean age of 72.2 ± 7.1 years that underwent evaluation of both usual gait speed and six-minute walk distance in routine geriatric assessment between 1 June 2008–30 September 2015. Both gait speed and six-minute walk distance were determined on the same day at hospital discharge.
Results
Mean gait speed and six-minute walk distance in the whole population were 1.04 m/s and 381 m, respectively, and were strongly positively correlated (r = 0.80, p < 0.001). A total of 180 deaths occurred during a follow-up of 2.3 ± 1.9 years. After adjusting for confounding factors, both gait speed (adjusted hazard ratio per 0.1 m/s increase: 0.87, 95% confidence interval: 0.81–0.93, p < 0.001) and six-minute walk distance (adjusted hazard ratio per 10-metre increase: 0.96, 95% confidence interval: 0.94–0.97, p < 0.001) were independent predictors of all-cause mortality. There was no significant difference in prognostic capability between gait speed and six-minute walk distance (c-index: 0.64 (95% confidence interval: 0.60–0.69) and 0.66 (95% confidence interval: 0.61–0.70), respectively, p = 0.357).
Conclusions
Gait speed and six-minute walk distance showed similar prognostic predictive ability for all-cause mortality in older cardiovascular disease patients, indicating the potential utility of gait speed as a simple risk stratification tool in older cardiovascular disease patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Cardiovascular Diseases - physiopathology</subject><subject>Cardiovascular Diseases - therapy</subject><subject>Cause of Death</subject><subject>Exercise Tolerance</subject><subject>Gait Analysis - methods</subject><subject>Geriatric Assessment - methods</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Walk Test</subject><subject>Walking Speed</subject><issn>2047-4873</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1v1TAQxK0K1Fald07IRy4p_nqxfUQVlEqVuMA52tib1iWJg9ehvP-ePL3SAxJ72dXqNyPNMPZWiisprf2ghLHGWb3demfl7oSdH16NcU6-ermtPmOXRI9im1Yo5dwpO1POe2GUOmf7G0iV04IY-QMQD3laoEA_Il9Kvp8z1RR4gAX6NKa65zVzSr-bKc1rRf4E4w8eE1WYA_I08zxGLHyBmnCuxJ9SfdjUJab8CyisI5QDjkD4hr0eYCS8fN4X7PvnT9-uvzR3X29urz_eNUFbXxuQSgSJw84FoXax93KIg2-NCiYErayNHlH3rZahba1UzuiowdjBaq9U7_UFe3_03fL8XJFqNyUKOI4wY16pk9544byzB1Qc0VAyUcGhW0qaoOw7KbpD592_nW-Sd8_uaz9hfBH8bXgDmiNAcI_dY17LvKX9v-Ef3Q-Khw</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Kamiya, Kentaro</creator><creator>Hamazaki, Nobuaki</creator><creator>Matsue, Yuya</creator><creator>Mezzani, Alessandro</creator><creator>Corrà, Ugo</creator><creator>Matsuzawa, Ryota</creator><creator>Nozaki, Kohei</creator><creator>Tanaka, Shinya</creator><creator>Maekawa, Emi</creator><creator>Noda, Chiharu</creator><creator>Yamaoka-Tojo, Minako</creator><creator>Matsunaga, Atsuhiko</creator><creator>Masuda, Takashi</creator><creator>Ako, Junya</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201801</creationdate><title>Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease</title><author>Kamiya, Kentaro ; Hamazaki, Nobuaki ; Matsue, Yuya ; Mezzani, Alessandro ; Corrà, Ugo ; Matsuzawa, Ryota ; Nozaki, Kohei ; Tanaka, Shinya ; Maekawa, Emi ; Noda, Chiharu ; Yamaoka-Tojo, Minako ; Matsunaga, Atsuhiko ; Masuda, Takashi ; Ako, Junya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-a120c1ef58c025db91fdf9642c4cc3277d9ee3b631c66712843d3a47f73922b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Cardiovascular Diseases - mortality</topic><topic>Cardiovascular Diseases - physiopathology</topic><topic>Cardiovascular Diseases - therapy</topic><topic>Cause of Death</topic><topic>Exercise Tolerance</topic><topic>Gait Analysis - methods</topic><topic>Geriatric Assessment - methods</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Walk Test</topic><topic>Walking Speed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kamiya, Kentaro</creatorcontrib><creatorcontrib>Hamazaki, Nobuaki</creatorcontrib><creatorcontrib>Matsue, Yuya</creatorcontrib><creatorcontrib>Mezzani, Alessandro</creatorcontrib><creatorcontrib>Corrà, Ugo</creatorcontrib><creatorcontrib>Matsuzawa, Ryota</creatorcontrib><creatorcontrib>Nozaki, Kohei</creatorcontrib><creatorcontrib>Tanaka, Shinya</creatorcontrib><creatorcontrib>Maekawa, Emi</creatorcontrib><creatorcontrib>Noda, Chiharu</creatorcontrib><creatorcontrib>Yamaoka-Tojo, Minako</creatorcontrib><creatorcontrib>Matsunaga, Atsuhiko</creatorcontrib><creatorcontrib>Masuda, Takashi</creatorcontrib><creatorcontrib>Ako, Junya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of preventive cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kamiya, Kentaro</au><au>Hamazaki, Nobuaki</au><au>Matsue, Yuya</au><au>Mezzani, Alessandro</au><au>Corrà, Ugo</au><au>Matsuzawa, Ryota</au><au>Nozaki, Kohei</au><au>Tanaka, Shinya</au><au>Maekawa, Emi</au><au>Noda, Chiharu</au><au>Yamaoka-Tojo, Minako</au><au>Matsunaga, Atsuhiko</au><au>Masuda, Takashi</au><au>Ako, Junya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease</atitle><jtitle>European journal of preventive cardiology</jtitle><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><date>2018-01</date><risdate>2018</risdate><volume>25</volume><issue>2</issue><spage>212</spage><epage>219</epage><pages>212-219</pages><issn>2047-4873</issn><eissn>2047-4881</eissn><abstract>Background
Although gait speed and six-minute walk distance are used to assess functional capacity in older patients with cardiovascular disease, their prognostic capabilities have not been directly compared.
Methods
The study population was identified from the Kitasato University Cardiac Rehabilitation Database and consisted of 1474 patients ≥60 years old with a mean age of 72.2 ± 7.1 years that underwent evaluation of both usual gait speed and six-minute walk distance in routine geriatric assessment between 1 June 2008–30 September 2015. Both gait speed and six-minute walk distance were determined on the same day at hospital discharge.
Results
Mean gait speed and six-minute walk distance in the whole population were 1.04 m/s and 381 m, respectively, and were strongly positively correlated (r = 0.80, p < 0.001). A total of 180 deaths occurred during a follow-up of 2.3 ± 1.9 years. After adjusting for confounding factors, both gait speed (adjusted hazard ratio per 0.1 m/s increase: 0.87, 95% confidence interval: 0.81–0.93, p < 0.001) and six-minute walk distance (adjusted hazard ratio per 10-metre increase: 0.96, 95% confidence interval: 0.94–0.97, p < 0.001) were independent predictors of all-cause mortality. There was no significant difference in prognostic capability between gait speed and six-minute walk distance (c-index: 0.64 (95% confidence interval: 0.60–0.69) and 0.66 (95% confidence interval: 0.61–0.70), respectively, p = 0.357).
Conclusions
Gait speed and six-minute walk distance showed similar prognostic predictive ability for all-cause mortality in older cardiovascular disease patients, indicating the potential utility of gait speed as a simple risk stratification tool in older cardiovascular disease patients.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28990422</pmid><doi>10.1177/2047487317735715</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SAGE Complete A-Z List; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Cardiovascular Diseases - diagnosis Cardiovascular Diseases - mortality Cardiovascular Diseases - physiopathology Cardiovascular Diseases - therapy Cause of Death Exercise Tolerance Gait Analysis - methods Geriatric Assessment - methods Humans Japan - epidemiology Male Middle Aged Predictive Value of Tests Prognosis Retrospective Studies Risk Assessment Risk Factors Time Factors Walk Test Walking Speed |
| title | Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease |
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