Walking speed in elderly outpatients depends on the assessment method

Jantsje H Pasma, Marjon Stijntjes, Shan Shan Ou, Gerard J Blauw, Carel G M Meskers, Andrea B Maier

Research output: Contribution to JournalArticleAcademicpeer-review

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.

Original languageEnglish
Pages (from-to)9736
JournalAge
Volume36
Issue number6
DOIs
Publication statusPublished - 2014

Fingerprint

Walking
Outpatients
Health Status Indicators
Geriatric Assessment
Independent Living
Walking Speed
Ambulatory Care Facilities
Geriatrics
Health Status
Population

Keywords

  • Acceleration
  • Aged
  • Aged, 80 and over
  • Aging/physiology
  • Ambulatory Care Facilities
  • Cognition Disorders/diagnosis
  • Confidence Intervals
  • Cross-Sectional Studies
  • Exercise Test/methods
  • Female
  • Geriatric Assessment/methods
  • Health Status Indicators
  • Humans
  • Male
  • Netherlands
  • Postural Balance/physiology
  • Risk Assessment
  • Sensation Disorders/diagnosis
  • Task Performance and Analysis
  • Time Factors
  • Walking/physiology

Cite this

Pasma, J. H., Stijntjes, M., Ou, S. S., Blauw, G. J., Meskers, C. G. M., & Maier, A. B. (2014). Walking speed in elderly outpatients depends on the assessment method. Age, 36(6), 9736. https://doi.org/10.1007/s11357-014-9736-y
Pasma, Jantsje H ; Stijntjes, Marjon ; Ou, Shan Shan ; Blauw, Gerard J ; Meskers, Carel G M ; Maier, Andrea B. / Walking speed in elderly outpatients depends on the assessment method. In: Age. 2014 ; Vol. 36, No. 6. pp. 9736.
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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.",
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Pasma, JH, Stijntjes, M, Ou, SS, Blauw, GJ, Meskers, CGM & Maier, AB 2014, 'Walking speed in elderly outpatients depends on the assessment method' Age, vol. 36, no. 6, pp. 9736. https://doi.org/10.1007/s11357-014-9736-y

Walking speed in elderly outpatients depends on the assessment method. / Pasma, Jantsje H; Stijntjes, Marjon; Ou, Shan Shan; Blauw, Gerard J; Meskers, Carel G M; Maier, Andrea B.

In: Age, Vol. 36, No. 6, 2014, p. 9736.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Walking speed in elderly outpatients depends on the assessment method

AU - Pasma, Jantsje H

AU - Stijntjes, Marjon

AU - Ou, Shan Shan

AU - Blauw, Gerard J

AU - Meskers, Carel G M

AU - Maier, Andrea B

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N2 - 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.

AB - 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.

KW - Acceleration

KW - Aged

KW - Aged, 80 and over

KW - Aging/physiology

KW - Ambulatory Care Facilities

KW - Cognition Disorders/diagnosis

KW - Confidence Intervals

KW - Cross-Sectional Studies

KW - Exercise Test/methods

KW - Female

KW - Geriatric Assessment/methods

KW - Health Status Indicators

KW - Humans

KW - Male

KW - Netherlands

KW - Postural Balance/physiology

KW - Risk Assessment

KW - Sensation Disorders/diagnosis

KW - Task Performance and Analysis

KW - Time Factors

KW - Walking/physiology

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DO - 10.1007/s11357-014-9736-y

M3 - Article

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SP - 9736

JO - Age

JF - Age

SN - 0161-9152

IS - 6

ER -