Walking speed in elderly outpatients depends on the assessment method
Walking speed is shown to be an important indicator of the health status and function in older adults and part of the comprehensive geriatric assessment in clinical practice. The present study aimed to assess the influence of different assessment methods on walking speed and its association with the...
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| Veröffentlicht in: | AGE 2014-12, Vol.36 (6), p.9736-9736, Article 9736 |
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| creator | Pasma, Jantsje H. Stijntjes, Marjon Ou, Shan Shan Blauw, Gerard J. Meskers, Carel G. M. Maier, Andrea B. |
| description | Walking speed is shown to be an important indicator of the health status and function in older adults and part of the comprehensive geriatric assessment in clinical practice. The present study aimed to assess the influence of different assessment methods on walking speed and its association with the key aspects of poor health status, i.e., the presence of low cognitive performance and cardiopulmonary disease. In 288 community-dwelling elderly (mean age 82.2 ± 7.1 years) referred to a geriatric outpatient clinic, walking speed was assessed with the 4-m, 10-m, and 6-min walking tests. The mean walking speed assessed with the 10-m walking test was higher compared to the 4-m and 6-min walking tests (mean difference (95 % CI) 0.11 m/s (0.10; 0.13) and 0.08 m/s (0.04; 0.13), respectively). No significant difference was found in the walking speed assessed with the 4-m compared to the 6-min walking test (mean difference (95 % CI) −0.03 m/s (−0.08; 0.03)). ICCs showed excellent agreement of the 4-m with the 10-m walking test and fair to good agreement of the 6-min with the 4-m as well as 10-m walking test. The presence of low cognitive performance was negatively associated with walking speed, with the highest effect size for the 4-m walking test. The presence of cardiopulmonary disease was negatively associated with walking speed as well, with the highest effect size for the 6-min walking test. In conclusion, in the clinically relevant population of elderly outpatients, walking speed and its interpretation depends on the assessment method, which therefore cannot be used interchangeably in clinical practice. |
| doi_str_mv | 10.1007/s11357-014-9736-y |
| format | Article |
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M. ; Maier, Andrea B.</creator><creatorcontrib>Pasma, Jantsje H. ; Stijntjes, Marjon ; Ou, Shan Shan ; Blauw, Gerard J. ; Meskers, Carel G. M. ; Maier, Andrea B.</creatorcontrib><description>Walking speed is shown to be an important indicator of the health status and function in older adults and part of the comprehensive geriatric assessment in clinical practice. The present study aimed to assess the influence of different assessment methods on walking speed and its association with the key aspects of poor health status, i.e., the presence of low cognitive performance and cardiopulmonary disease. In 288 community-dwelling elderly (mean age 82.2 ± 7.1 years) referred to a geriatric outpatient clinic, walking speed was assessed with the 4-m, 10-m, and 6-min walking tests. The mean walking speed assessed with the 10-m walking test was higher compared to the 4-m and 6-min walking tests (mean difference (95 % CI) 0.11 m/s (0.10; 0.13) and 0.08 m/s (0.04; 0.13), respectively). No significant difference was found in the walking speed assessed with the 4-m compared to the 6-min walking test (mean difference (95 % CI) −0.03 m/s (−0.08; 0.03)). ICCs showed excellent agreement of the 4-m with the 10-m walking test and fair to good agreement of the 6-min with the 4-m as well as 10-m walking test. The presence of low cognitive performance was negatively associated with walking speed, with the highest effect size for the 4-m walking test. The presence of cardiopulmonary disease was negatively associated with walking speed as well, with the highest effect size for the 6-min walking test. In conclusion, in the clinically relevant population of elderly outpatients, walking speed and its interpretation depends on the assessment method, which therefore cannot be used interchangeably in clinical practice.</description><identifier>ISSN: 0161-9152</identifier><identifier>ISSN: 2509-2715</identifier><identifier>EISSN: 1574-4647</identifier><identifier>EISSN: 2509-2723</identifier><identifier>DOI: 10.1007/s11357-014-9736-y</identifier><identifier>PMID: 25479936</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acceleration ; Age ; Aged ; Aged, 80 and over ; Aging - physiology ; Ambulatory Care Facilities ; Arthritis ; Biomedical and Life Sciences ; Cell Biology ; Chronic obstructive pulmonary disease ; Clinical medicine ; Cognition Disorders - diagnosis ; Cognition Disorders - epidemiology ; Confidence Intervals ; Cross-Sectional Studies ; Disease ; Exercise Test - methods ; Female ; Geriatric Assessment - methods ; Geriatrics ; Geriatrics/Gerontology ; Gerontology ; Health Status Indicators ; Heart attacks ; Hospitals ; Humans ; Hypertension ; Life Sciences ; Male ; Molecular Medicine ; Netherlands ; Older people ; Outpatient care facilities ; Postural Balance - physiology ; Questionnaires ; Risk Assessment ; Sensation Disorders - diagnosis ; Sensation Disorders - epidemiology ; Task Performance and Analysis ; Time Factors ; Walking ; Walking - physiology</subject><ispartof>AGE, 2014-12, Vol.36 (6), p.9736-9736, Article 9736</ispartof><rights>American Aging Association 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-58d6419b9fa9cd74da808f67b852a0015431b2fdee631655d1c6dfe2878ac9513</citedby><cites>FETCH-LOGICAL-c540t-58d6419b9fa9cd74da808f67b852a0015431b2fdee631655d1c6dfe2878ac9513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259093/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259093/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25479936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pasma, Jantsje H.</creatorcontrib><creatorcontrib>Stijntjes, Marjon</creatorcontrib><creatorcontrib>Ou, Shan Shan</creatorcontrib><creatorcontrib>Blauw, Gerard J.</creatorcontrib><creatorcontrib>Meskers, Carel G. M.</creatorcontrib><creatorcontrib>Maier, Andrea B.</creatorcontrib><title>Walking speed in elderly outpatients depends on the assessment method</title><title>AGE</title><addtitle>AGE</addtitle><addtitle>Age (Dordr)</addtitle><description>Walking speed is shown to be an important indicator of the health status and function in older adults and part of the comprehensive geriatric assessment in clinical practice. The present study aimed to assess the influence of different assessment methods on walking speed and its association with the key aspects of poor health status, i.e., the presence of low cognitive performance and cardiopulmonary disease. In 288 community-dwelling elderly (mean age 82.2 ± 7.1 years) referred to a geriatric outpatient clinic, walking speed was assessed with the 4-m, 10-m, and 6-min walking tests. The mean walking speed assessed with the 10-m walking test was higher compared to the 4-m and 6-min walking tests (mean difference (95 % CI) 0.11 m/s (0.10; 0.13) and 0.08 m/s (0.04; 0.13), respectively). No significant difference was found in the walking speed assessed with the 4-m compared to the 6-min walking test (mean difference (95 % CI) −0.03 m/s (−0.08; 0.03)). ICCs showed excellent agreement of the 4-m with the 10-m walking test and fair to good agreement of the 6-min with the 4-m as well as 10-m walking test. The presence of low cognitive performance was negatively associated with walking speed, with the highest effect size for the 4-m walking test. The presence of cardiopulmonary disease was negatively associated with walking speed as well, with the highest effect size for the 6-min walking test. In conclusion, in the clinically relevant population of elderly outpatients, walking speed and its interpretation depends on the assessment method, which therefore cannot be used interchangeably in clinical practice.</description><subject>Acceleration</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Ambulatory Care Facilities</subject><subject>Arthritis</subject><subject>Biomedical and Life Sciences</subject><subject>Cell Biology</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Clinical medicine</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - epidemiology</subject><subject>Confidence Intervals</subject><subject>Cross-Sectional Studies</subject><subject>Disease</subject><subject>Exercise Test - methods</subject><subject>Female</subject><subject>Geriatric Assessment - methods</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Gerontology</subject><subject>Health Status Indicators</subject><subject>Heart attacks</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Molecular Medicine</subject><subject>Netherlands</subject><subject>Older people</subject><subject>Outpatient care facilities</subject><subject>Postural Balance - physiology</subject><subject>Questionnaires</subject><subject>Risk Assessment</subject><subject>Sensation Disorders - diagnosis</subject><subject>Sensation Disorders - epidemiology</subject><subject>Task Performance and Analysis</subject><subject>Time Factors</subject><subject>Walking</subject><subject>Walking - physiology</subject><issn>0161-9152</issn><issn>2509-2715</issn><issn>1574-4647</issn><issn>2509-2723</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU-LFDEQxYMo7uzqB_AiAS9eWlP527kIsqyusOBF8RgyneqZXruTNulemG9vhlmXVfBUh_erV694hLwC9g4YM-8LgFCmYSAba4RuDk_IBpSRjdTSPCUbBhoaC4qfkfNSbhlTSrT8OTnjShprhd6Qqx9-_DnEHS0zYqBDpDgGzOOBpnWZ_TJgXAoNOGMMhaZIlz1SXwqWMlWJTrjsU3hBnvV-LPjyfl6Q75-uvl1eNzdfP3-5_HjTdEqypVFt0BLs1vbedsHI4FvW9tpsW8U9Y6CkgC3vA6IWoJUK0OnQI29N6zurQFyQDyffed1OGLqaIPvRzXmYfD645Af3txKHvdulOye5ssyKavD23iCnXyuWxU1D6XAcfcS0FgdaSMMFb9uKvvkHvU1rjvW9I2UFq6F5peBEdTmVkrF_CAPMHUtyp5JcLckdS3KHuvP68RcPG39aqQA_AaVKcYf50en_uv4G5HeeBw</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Pasma, Jantsje H.</creator><creator>Stijntjes, Marjon</creator><creator>Ou, Shan Shan</creator><creator>Blauw, Gerard J.</creator><creator>Meskers, Carel G. M.</creator><creator>Maier, Andrea B.</creator><general>Springer Netherlands</general><general>Springer Nature B.V</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>0-V</scope><scope>3V.</scope><scope>7QG</scope><scope>7RV</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYYUZ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141201</creationdate><title>Walking speed in elderly outpatients depends on the assessment method</title><author>Pasma, Jantsje H. ; Stijntjes, Marjon ; Ou, Shan Shan ; Blauw, Gerard J. ; Meskers, Carel G. M. ; Maier, Andrea B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-58d6419b9fa9cd74da808f67b852a0015431b2fdee631655d1c6dfe2878ac9513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acceleration</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Ambulatory Care Facilities</topic><topic>Arthritis</topic><topic>Biomedical and Life Sciences</topic><topic>Cell Biology</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Clinical medicine</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - epidemiology</topic><topic>Confidence Intervals</topic><topic>Cross-Sectional Studies</topic><topic>Disease</topic><topic>Exercise Test - methods</topic><topic>Female</topic><topic>Geriatric Assessment - methods</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Gerontology</topic><topic>Health Status Indicators</topic><topic>Heart attacks</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Molecular Medicine</topic><topic>Netherlands</topic><topic>Older people</topic><topic>Outpatient care facilities</topic><topic>Postural Balance - physiology</topic><topic>Questionnaires</topic><topic>Risk Assessment</topic><topic>Sensation Disorders - diagnosis</topic><topic>Sensation Disorders - epidemiology</topic><topic>Task Performance and Analysis</topic><topic>Time Factors</topic><topic>Walking</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pasma, Jantsje H.</creatorcontrib><creatorcontrib>Stijntjes, Marjon</creatorcontrib><creatorcontrib>Ou, Shan Shan</creatorcontrib><creatorcontrib>Blauw, Gerard J.</creatorcontrib><creatorcontrib>Meskers, Carel G. M.</creatorcontrib><creatorcontrib>Maier, Andrea B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Access via ABI/INFORM (ProQuest)</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ABI/INFORM Collection China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AGE</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pasma, Jantsje H.</au><au>Stijntjes, Marjon</au><au>Ou, Shan Shan</au><au>Blauw, Gerard J.</au><au>Meskers, Carel G. M.</au><au>Maier, Andrea B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Walking speed in elderly outpatients depends on the assessment method</atitle><jtitle>AGE</jtitle><stitle>AGE</stitle><addtitle>Age (Dordr)</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>36</volume><issue>6</issue><spage>9736</spage><epage>9736</epage><pages>9736-9736</pages><artnum>9736</artnum><issn>0161-9152</issn><issn>2509-2715</issn><eissn>1574-4647</eissn><eissn>2509-2723</eissn><abstract>Walking speed is shown to be an important indicator of the health status and function in older adults and part of the comprehensive geriatric assessment in clinical practice. The present study aimed to assess the influence of different assessment methods on walking speed and its association with the key aspects of poor health status, i.e., the presence of low cognitive performance and cardiopulmonary disease. In 288 community-dwelling elderly (mean age 82.2 ± 7.1 years) referred to a geriatric outpatient clinic, walking speed was assessed with the 4-m, 10-m, and 6-min walking tests. The mean walking speed assessed with the 10-m walking test was higher compared to the 4-m and 6-min walking tests (mean difference (95 % CI) 0.11 m/s (0.10; 0.13) and 0.08 m/s (0.04; 0.13), respectively). No significant difference was found in the walking speed assessed with the 4-m compared to the 6-min walking test (mean difference (95 % CI) −0.03 m/s (−0.08; 0.03)). ICCs showed excellent agreement of the 4-m with the 10-m walking test and fair to good agreement of the 6-min with the 4-m as well as 10-m walking test. The presence of low cognitive performance was negatively associated with walking speed, with the highest effect size for the 4-m walking test. The presence of cardiopulmonary disease was negatively associated with walking speed as well, with the highest effect size for the 6-min walking test. In conclusion, in the clinically relevant population of elderly outpatients, walking speed and its interpretation depends on the assessment method, which therefore cannot be used interchangeably in clinical practice.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>25479936</pmid><doi>10.1007/s11357-014-9736-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acceleration Age Aged Aged, 80 and over Aging - physiology Ambulatory Care Facilities Arthritis Biomedical and Life Sciences Cell Biology Chronic obstructive pulmonary disease Clinical medicine Cognition Disorders - diagnosis Cognition Disorders - epidemiology Confidence Intervals Cross-Sectional Studies Disease Exercise Test - methods Female Geriatric Assessment - methods Geriatrics Geriatrics/Gerontology Gerontology Health Status Indicators Heart attacks Hospitals Humans Hypertension Life Sciences Male Molecular Medicine Netherlands Older people Outpatient care facilities Postural Balance - physiology Questionnaires Risk Assessment Sensation Disorders - diagnosis Sensation Disorders - epidemiology Task Performance and Analysis Time Factors Walking Walking - physiology |
| title | Walking speed in elderly outpatients depends on the assessment method |
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