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Walking speed in elderly outpatients depends on the assessment method

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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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Acknowledgments

This research is supported by the Dutch Technology Foundation STW, which is part of the Netherlands Organization for Scientific Research (NWO) and which is partly funded by the Ministry of Economic Affairs. Furthermore, this work is supported by an unrestricted grant from the Netherlands Organization of Scientific Research (ZonMw), the Ministry of Health, Welfare and Sports, the Netherlands Genomics Initiative/Netherlands Organization for scientific research (NGI/NWO; 05040202 and 050-060-810 Netherlands Consortium for Healthy Ageing (NCHA)) and the seventh framework program MYOAGE (HEALTH-2007-2.4.5-10).

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, Leiden University Medical Center, Leiden, The Netherlands

    Jantsje H. Pasma

  2. Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands

    Marjon Stijntjes & Gerard J. Blauw

  3. Department of Internal Medicine, Section of Gerontology and Geriatrics, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands

    Marjon Stijntjes, Shan Shan Ou & Andrea B. Maier

  4. Netherlands Consortium for Healthy Ageing, Leiden, The Netherlands

    Marjon Stijntjes

  5. Department of Geriatrics, Bronovo, The Hague, The Netherlands

    Gerard J. Blauw

  6. Department of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands

    Carel G. M. Meskers

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  1. Jantsje H. Pasma
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  2. Marjon Stijntjes
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  3. Shan Shan Ou
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  4. Gerard J. Blauw
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  6. Andrea B. Maier
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Correspondence to Andrea B. Maier.

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Jantsje H. Pasma and Marjon Stijntjes contributed equally to this study.

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Pasma, J.H., Stijntjes, M., Ou, S.S. et al. Walking speed in elderly outpatients depends on the assessment method. AGE 36, 9736 (2014). https://doi.org/10.1007/s11357-014-9736-y

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