Factors associated with lower gait speed among the elderly living in a developing country: a cross-sectional population-based study

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBUSCH, Telma de Almeida
dc.contributor.authorDUARTE, Yeda Aparecida
dc.contributor.authorNUNES, Daniella Pires
dc.contributor.authorLEBRAO, Maria Lucia
dc.contributor.authorNASLAVSKY, Michel Satya
dc.contributor.authorRODRIGUES, Anelise dos Santos
dc.contributor.authorAMARO JR., Edson
dc.date.accessioned2015-08-14T15:35:25Z
dc.date.available2015-08-14T15:35:25Z
dc.date.issued2015
dc.description.abstractBackground: Among community-dwelling older adults, mean values for gait speed vary substantially depending not only on the population studied, but also on the methodology used. Despite the large number of studies published in developed countries, there are few population-based studies in developing countries with socioeconomic inequality and different health conditions, and this is the first study with a representative sample of population. To explore this, the association of lower gait speed with sociodemographic, anthropometric factors, mental status and physical health was incorporated participants' weight (main weight) in the analysis of population of community-dwelling older adults living in a developing country. Methods: This was a cross-sectional population based on a sample of 1112 older adults aged 60 years and over from Health, Wellbeing and Aging Study cohort 2010. Usual gait speed (s) to walk 3 meters was stratified by sex and height into quartiles. Multiple regression analysis was performed to investigate the independent effect of each factor associated with a slower usual gait speed. Results: The average walking speed of the elderly was 0.81 m/s - 0.78 m/s among women and 0.86 m/s among men. In the final model, the factors associated with lower gait speed were age (OR = 3.56), literacy (OR = 3.20), difficulty in one or more IADL (OR = 2.74), presence of cardiovascular disease (OR = 2.15) and sedentarism. When we consider the 50% slower, we can add the variables handgrip strength, and the presence of COPD. Conclusions: Gait speed is a clinical marker and an important measure of functional capacity among the elderly. Our findings suggest that lower walking speed is associated with age, education, but especially with modifiable factors such as impairment of IADL, physical inactivity and cardiovascular disease. These results reinforce how important it is for the elderly to remain active and healthy.
dc.description.indexMEDLINE
dc.identifier.citationBMC GERIATRICS, v.15, article ID 35, 9p, 2015
dc.identifier.doi10.1186/s12877-015-0031-2
dc.identifier.issn1471-2318
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/9753
dc.language.isoeng
dc.publisherBIOMED CENTRAL LTD
dc.relation.ispartofBMC Geriatrics
dc.rightsopenAccess
dc.rights.holderCopyright BIOMED CENTRAL LTD
dc.subjectGait
dc.subjectAged
dc.subjectOlder adults
dc.subjectWalking speed
dc.subject.otherphysical performance battery
dc.subject.otherlower-extremity function
dc.subject.otherolder-adults
dc.subject.otherwalking speed
dc.subject.othercognitive impairment
dc.subject.othermuscle dysfunction
dc.subject.otherexecutive function
dc.subject.otherclinical-research
dc.subject.othercommunity
dc.subject.otherdisability
dc.subject.wosGeriatrics & Gerontology
dc.subject.wosGerontology
dc.titleFactors associated with lower gait speed among the elderly living in a developing country: a cross-sectional population-based study
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalBUSCH, Telma de Almeida:Hosp Israelita Albert Einstein, Sao Paulo, Brazil
hcfmusp.author.externalDUARTE, Yeda Aparecida:Univ Sao Paulo, Sch Nursing, Dept Nursing, Sao Paulo, SP, Brazil
hcfmusp.author.externalNUNES, Daniella Pires:Univ Sao Paulo, Sch Nursing, Dept Nursing, Sao Paulo, SP, Brazil
hcfmusp.author.externalLEBRAO, Maria Lucia:Univ Sao Paulo, Sch Publ Hlth, Dept Epidemiol, Sao Paulo, SP, Brazil
hcfmusp.author.externalNASLAVSKY, Michel Satya:Univ Sao Paulo, Human Genome Res Ctr, Sao Paulo, SP, Brazil
hcfmusp.author.externalRODRIGUES, Anelise dos Santos:Hosp Israelita Albert Einstein, Sao Paulo, Brazil
hcfmusp.citation.scopus85
hcfmusp.contributor.author-fmusphcEDSON AMARO JUNIOR
hcfmusp.description.articlenumber35
hcfmusp.description.volume15
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-84926627032
hcfmusp.origem.wosWOS:000352589300001
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
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