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

Imagem de Miniatura
Arquivos
art_BUSCH_Factors_associated_with_lower_gait_speed_among_the_2015.PDF (579.29 KB)
Citações na Scopus
85
Tipo de produção
article
Data de publicação
2015
DOI
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
BIOMED CENTRAL LTD
Autores
BUSCH, Telma de Almeida
DUARTE, Yeda Aparecida
NUNES, Daniella Pires
LEBRAO, Maria Lucia
NASLAVSKY, Michel Satya
RODRIGUES, Anelise dos Santos
Citação
BMC GERIATRICS, v.15, article ID 35, 9p, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: 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.
Palavras-chave
Gait, Aged, Older adults, Walking speed
URI
https://observatorio.fm.usp.br/handle/OPI/9753
Referências
  1. Agusti AGN, 2001, ARCH BRONCONEUMOL, V37, P197
  2. Almeida OP, 1999, ARQ NEURO-PSIQUIAT, V57, P421, DOI 10.1590/S0004-282X1999000300013
  3. Andrade LH, 2012, PLOS ONE, V7, DOI 10.1371/journal.pone.0031879
  4. [Anonymous], 2008, REV BRAS FISIOTER, V12, P7
  5. Barreto Sandhi M, 2003, Cad Saude Publica, V19, P605, DOI 10.1590/S0102-311X2003000200027
  6. Bohannon RW, 1997, AGE AGEING, V26, P15, DOI 10.1093/ageing/26.1.15
  7. Bohannon RW, 2011, PHYSIOTHERAPY, V97, P182, DOI 10.1016/j.physio.2010.12.004
  8. Bohannon RW, 2006, AGE AGEING, V35, P320, DOI 10.1093/ageing/afj061
  9. Camicioli R, 1998, NEUROLOGY, V50, P1496
  10. Cesari M, 2005, J AM GERIATR SOC, V53, P1675, DOI 10.1111/j.1532-5415.2005.53501.x
  11. Chodzko-Zajko WJ, 2009, MED SCI SPORT EXER, V41, P1510, DOI 10.1249/MSS.0b013e3181a0c95c
  12. Craft L. L., 2004, PRIM CARE COMPANION, V6, P104, DOI [10.4088/PCC.v06n0301, DOI 10.4088/PCC.V06N0301]
  13. Ferrucci L, 2000, J AM GERIATR SOC, V48, P1618
  14. Fiser WM, 2010, J GERONTOL A-BIOL, V65, P1332, DOI 10.1093/gerona/glq137
  15. Fitzpatrick AL, 2007, J GERONTOL A-BIOL, V62, P1244
  16. Fried LP, 2001, J GERONTOL A-BIOL, V56, pM146
  17. Graham JE, 2008, J EVAL CLIN PRACT, V14, P552, DOI 10.1111/j.1365-2753.2007.00917.x
  18. Guralnik JM, 2000, J GERONTOL A-BIOL, V55, pM221
  19. GURALNIK JM, 1994, J GERONTOL, V49, pM85
  20. Hardy SE, 2007, J AM GERIATR SOC, V55, P1727, DOI 10.1111/j.1532-5415.2007.01413.x
  21. Herrera E, 2002, ALZ DIS ASSOC DIS, V16, P103, DOI 10.1097/01.WAD.0000020202.50697.df
  22. Herring MP, 2012, ARCH INTERN MED, V172, P101, DOI 10.1001/archinternmed.2011.696
  23. Holtzer R, 2006, NEUROPSYCHOLOGY, V20, P215, DOI 10.1037/0894-4105.20.2.215
  24. Horak FB, 1997, PHYS THER, V77, P517
  25. IBGE Instituto Brasileiro de Geografia e Estatistica, 2014, PROJ EST POP BRAS UN
  26. Icaza MC, 1999, OPAS, V19, P1
  27. Ko SU, 2010, AGE AGEING, V39, P688, DOI 10.1093/ageing/afq113
  28. Kuo HK, 2006, AM J PHYS MED REHAB, V85, P650, DOI 10.1097/01.phm.0000228527.34158.ed
  29. Lebrao MLDY, 2003, PROJ SABF MUN SAO PA
  30. Liu-Ambrose T, 2010, BMC GERIATR, V10, DOI 10.1186/1471-2318-10-25
  31. Maltais F, 2000, CLIN CHEST MED, V21, P665, DOI 10.1016/S0272-5231(05)70176-3
  32. Marquis S, 2002, ARCH NEUROL-CHICAGO, V59, P601, DOI 10.1001/archneur.59.4.601
  33. Matsudo S, 2001, REV BRAS ATIV FIS SA, V6, P14
  34. Matsudo SM, 2002, REV BRAS CIENC MOV, V10, P41
  35. McGough EL, 2011, PHYS THER, V91, P1198, DOI 10.2522/ptj.20100372
  36. Montero-Odasso M, 2005, J GERONTOL A-BIOL, V60, P1304
  37. Mossey JM, 2000, PAIN MED, V1, P340, DOI 10.1046/j.1526-4637.2000.00040.x
  38. Novaes RD, 2011, REV BRAS FISIOTER, V15, P117
  39. OBERG T, 1993, J REHABIL RES DEV, V30, P210
  40. Organizacion Panamericana de la Salud. Division Promocion y Proteccion de la Salud, 2003, ORG PAN SAL DIV PROM, V1
  41. PODSIADLO D, 1991, J AM GERIATR SOC, V39, P142
  42. Quach L, 2011, J AM GERIATR SOC, V59, P1069, DOI 10.1111/j.1532-5415.2011.03408.x
  43. Ramos Luiz Roberto, 2003, Cad Saude Publica, V19, P793, DOI 10.1590/S0102-311X2003000300011
  44. Rao J, 1984, ANN STAT, V12, P15
  45. Romero-Ortuno R, 2010, AGE AGEING, V39, P80, DOI 10.1093/ageing/afp206
  46. Ruggero CR, 2013, BMC PUBLIC HEALTH, V13, DOI 10.1186/1471-2458-13-182
  47. Schwandt M, 2012, J HEAD TRAUMA REHAB, V27, P99, DOI 10.1097/HTR.0b013e31820e6858
  48. Studenski S, 2011, JAMA-J AM MED ASSOC, V305, P50, DOI 10.1001/jama.2010.1923
  49. Studenski S, 2003, J AM GERIATR SOC, V51, P314, DOI 10.1046/j.1532-5415.2003.51104.x
  50. Teixeira-Leite H, 2012, CLINICS, V67, P719, DOI 10.6061/clinics/2012(07)04
  51. Thal DR, 2004, SCI AGING KNOWLEDGE, V2004, pe26
  52. Tolea MI, 2010, J GERONTOL B-PSYCHOL, V65, P174, DOI 10.1093/geronb/gbp130
  53. van Kan GA, 2009, J NUTR HEALTH AGING, V13, P881
  54. Waite LM, 2005, J NEUROL SCI, V229, P89, DOI 10.1016/j.jns.204.11.009
  55. Watson NL, 2010, J GERONTOL A-BIOL, V65, P1093, DOI 10.1093/gerona/glq111
  56. YESAVAGE JA, 1983, J PSYCHIAT RES, V17, P37, DOI 10.1016/0022-3956(82)90033-4

Coleções
Artigos e Materiais de Revistas Científicas - FM/MDR
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - LIM/44
Artigos e Materiais de Revistas Científicas - ODS/03
Artigos e Materiais de Revistas Científicas - ODS/10