Decreased gait speed and health outcomes in older adults: Rede FIBRA’s data

Rita de Cássia Guedes; Rosângela Corrêa Dias; Anita Liberalesso Neri; Eduardo Ferriolli; Roberto Alves Lourenço; Lygia Paccini Lustosa

doi:10.1590/1809-2950/18036026032019

Authors

Rita de Cássia Guedes Centro Universitário de Belo Horizonte. MG. Brasil https://orcid.org/0000-0001-8490-1882
Rosângela Corrêa Dias Universidade Federal de Minas Gerais. MG. Brasil https://orcid.org/0000-0002-1027-7746
Anita Liberalesso Neri Universidade Estadual de Campinas. SP. Brasil https://orcid.org/0000-0002-6833-7668
Eduardo Ferriolli Universidade de São Paulo (USP) – São Paulo (SP), Brazil https://orcid.org/0000-0002-5028-2451
Roberto Alves Lourenço Universidade do Estado do Rio de Janeiro (UERJ) – Rio de Janeiro (RJ), Brazil https://orcid.org/0000-0003-0838-1285
Lygia Paccini Lustosa Universidade Federal de Minas Gerais. MG. Brasil https://orcid.org/0000-0002-0919-1320

DOI:

https://doi.org/10.1590/1809-2950/18036026032019

Keywords:

Aged, Gait, Chronic Diseases

Abstract

Gait speed (GS) can predict adverse health outcomes. However, an understanding of its associated factors is still limited and with some controversy. The objective of this study was to identify adverse health outcomes related to the decline in gait speed in community-dwelling older adults. This is a cross-sectional study that evaluated records of chronic diseases and hospitalization in the last year, polypharmacy, and gait speed. Logistic regression analysis was used to estimate the effects of each independent variable on the chance of older adults presenting a decline in gait speed (GS<0.8 m/s) (α=5%). In total, 5,501 older adults participated. Brazilian older adults with heart diseases (OR=2.06; 1.67-2.54 CI), respiratory diseases (OR=3.25; 2.02-5.29 CI), rheumatic (OR=2.16; 1.79-2.52 CI) and/ or depression diseases (OR=2.51; 2.10-3.14 CI); hospitalized in the last year (OR=1.51; 1.21-1.85 CI) and under polypharmacy (OR=2.14; 1.80-2.54 CI) were associated with lower gait speed. Thus, the results showed that those with gait speed lower than 0.8 m/s are at higher risk of some adverse health events. Therefore, it is suggested that gait speed should not be neglected in the evaluation in community-dwelling older adults, including basic health care.

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References

Cooper R, Kuh D, Cooper C, Gale CR, Lawlor DA, Matthews F, et

al. Objective measures of physical capability and subsequent

health: a systematic review. Age Ageing. 2011;40(1):14-23. doi:

1093/ageing/afq117

Andrade JM, Duarte YAO, Alves LC, Andrade FCD, Souza Junior

PRB, Lima-Costa MF, et al. Frailty profile in Brazilian older adults:

ELZI-Brazil. Rev Saúde Publica. 2018;52(2):1-17. doi: 10.11606/

S1518-8787.20180520000616

Nunes BP, Batista SRR, Andrade FB, Souza Junior PRB, LimaCosta MF, Facchini LA. Multimorbidity: the Brazilian longitudinal

study of aging (ELSI-Brazil). Rev Saúde Publica. 2018;52(2):10.

doi: 10.11606/S1518-8787.20180520000637

Montero-Odasso M, Verghese J, Beauchet O, Hausdorff JM. Gait

and cognition: a complementary approach to understanding

brain function and the risk of falling. J Am Geriatr Soc.

;60(11):2127-36. doi: 10.1111/j.1532-5415.2012.04209.x

Fiser WM, Hays NP, Rogers SC, Kajkenova o, Williams AE, Evans

CM, et al. Energetics of walking in elderly people: factors related

to gait speed. J Gerontol A Biol Sci Med Sci. 2010;65(12):1332-7.

doi: 10.1093/gerona/glq137

Studenski S. Bradypedia: is gait speed ready for clinical use?

J Nutr Health Aging. 2009;13(10):878-80.

Studenski S, Perera S, Patel K, Rosano c, Faulkner K, Inzitari m, et

al. Gait speed and survival in older adults. JAMA. 2011;305(1):50-

doi: 10.1001/jama.2010.1923

van Kan Ga, Rolland Y, Andrieu S, Bauer J, Beauchet O, Cesari

M, et al. Gait speed at usual pace as a predictor of adverse

outcomes in community-dwelling older people an International

Academy on Nutrition and Aging (IANA) Task Force. J Nutr

Health Aging. 2009;13(10):881-9.

Fritz S, Lusardi M. White paper: “walking speed: the sixth vital

sign”. J Geriatr Phys Ther. 2009;32(2):46-9.

Pinter D, Ritchie SJ, Gattringer T, Bastin ME, Corley J, Pattie A,

et al. Predictors of gait speed and its change over three years

in community-dwelling older people. Aging. 2018;10(1):144-53.

doi: 10.18632/aging.101365

Montero-Odasso M, Schapira M, Soriano ER, Varela M, Keplan R,

Camera LA, et al. Gait velocity as a single predictor of adverse

events in healthy seniors aged 75 years and older. J A Gerontol

Biol Sci Med Sci. 2005;60(10):1304-9.

Freire Jr RC, Pieruccini-Faria F, Montero-Odasso M. Are

human development index dimensions associated with gait

performance in older adults? A systematic review. Exper

Gerontol. 2018;102:59-68. doi: 10.1016/j.exger.2017.12.001

Silva SLA, Neri AL, Ferrioli E, Lourenço RA, Dias RC. Phenotype

of frailty: the influence of each item in determining frailty in

community-dwelling elderly – The Fibra Study. Cienc Saude Coletiva.

;21(11):3483-92. doi: 10.1590/1413-812320152111.23292015

Moreira BS, Sampaio RF, Diz JB, Bastone AC, Ferrioli E, Neri AL et

al. Factors associated with fear of falling in community-dwelling

older adults with and without diabetes mellitus: findings from

the Frailty in Brazilian Older People Study (FIBRA-BR). Exp

Gerontol. 2017;89:103-11. doi: 10.1016/j.exger.2017.01.004

Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH.

Suggestions for utilization of the mini-mental state examination

in Brazil. Arq Neuro-Psiquiatr. 2003;61(3B):777-81. doi: 10.1590/

S0004-282X2003000500014

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Landi F,

et al. Sarcopenia: revised European consensus on definition and

diagnosis. Age Ageing. 2019;48(1):16-31. doi: 10.1093/ageing/

afy169

Cesari M. Role of gait speed in the assessment of older patients.

JAMA. 2011;305(1):93-4. doi: 10.1001/jama.2010.1970

Pamoukdjian F, Paillard E, Zelek L, Laurent M, Lévy V, Landre

T, et al. Measurement of gait speed in older adults to identify

complications associated with frailty: a systematic review. J

Geriatr Oncol. 2015;6(6):484-96. doi: 10.1016/j.jgo.2015.08.006

Fearon K, Evans WJ, Anker SD. Myopenia-a new universal term

for muscle wasting. J Cachexia Sarcopenia Muscle. 2011;2(1):1-3.

Gill TM, Gahbauer EA, Murphy TE, Han L, Allore HG. Risk factors

and precipitants of long-term disability in community mobility:

a cohort study of older persons. Ann Intern Med. 2012;156(2):131-

doi: 10.7326/0003-4819-156-2-201201170-00009

Ilgin D, Ozalevli S, Kilinc O, Sevinc C, Cimrin AH, Ucan ES.

Gait speed as a functional capacity indicator in patients with

chronic obstructive pulmonary disease. Ann Thoracic Med.

;6(3):141-6. doi: 10.4103/1817-1737.82448

White DK, Niu J, Zhang Y. Is symptomatic knee osteoarthritis

a risk factor for a trajectory of fast decline in gait speed?

Results from a longitudinal cohort study. Arthritis Care Res.

;65(2):187-94. doi: 10.1002/acr.21816

White DK, Felson DT, Niu J, Nevitt MC, Lewis CE, Torner JC.

Reasons for functional decline despite reductions in knee pain:

the Multicenter Osteoarthritis Study. Phys Ther. 2011;91(12):1849-

doi: 10.2522/ptj.20100385

Demakakos P, Cooper R, Hamer M, Oliveira C, Hardy R, Breeze

E. The bidirectional association between depressive symptoms

and gait speed: evidence from the English Longitudinal Study

of Ageing (ELSA). PloS One. 2013;8(7):e68632. doi: 10.1371/

journal.pone.0068632

Parodi JF, Nieto-Gutierrez W, Tellez WA, Ventocilla-Gonzales I,

Runzer-Colmenares FM, Taype-Rondan A. Gait speed and the

appearance of neurocognitive disorders in older adults: results

of a Peruvian cohort. Rev Esp Geriatr Gerontol. 2018;53(2):73-6.

doi: 10.1016/j.regg.2017.08.001

Sanders JB, Bremmer MA, Deeg DJ, Beekman AT. Do

depressive symptoms and gait speed impairment predict

each other’s incidence? A 16-year prospective study in the

community. J Am Geriatr Soc. 2012;60(9):1673-80. doi:

1111/j.1532-5415.2012.04114.x

Morandi A, Bellelli G, Vasilevskis EE, Turco R, Gentile S, Guerini F.

Predictors of rehospitalization among elderly patients admitted

to a rehabilitation hospital: the role of polypharmacy, functional

status, and length of stay. J Am Med Dir Ass. 2013;14(10):761-7.

doi: 10.1016/j.jamda.2013.03.013

Peron EP, Gray SL, Hanlon JT. Medication use and functional

status decline in older adults: a narrative review. Am J

Geriatr Pharmacother. 2011;9(6):378-91. doi: 10.1016/j.

amjopharm.2011.10.002

Volpato S, Cavalieri M, Sioulis F, Guerra G, Maraldi C, Zuliani G,

et al. Predictive value of the short physical performance battery

following hospitalization in older patients. J Gerontol A Biol

Sci Med Sci. 2011;66(1):89-96. doi: 10.1093/gerona/glq167

Barthuly AM, Bohannon RW, Gorack W. Gait speed is a responsive

measure of physical performance for patients undergoing

short-term rehabilitation. Gait Posture. 2012;36(1):61-4. doi:

1016/j.gaitpost.2012.01.002

Ghaffar A, Dehghani-Sanij AA, Xie SQ. A review of gait

disorders in the elderly and neurological patients for robotassisted training. Disabil Rehabil Assist Technol. 2019:1-15. doi:

1080/17483107.2019.1568594

Decreased gait speed and health outcomes in older adults: Rede FIBRA’s data

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