Turning speed as a more responsive metric of age-related decline in mobility: A comparative study with gait speed

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Angela R. Weston , Keith R. Lohse , Andrew Kittelson , Laurie A. King , Patty Carlson-Kuhta , Leland E. Dibble , Martina Mancini
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引用次数: 0

Abstract

Background

Navigating your environment requires both straight-line gait as well as turning. Gait speed normative values are well established and utilized in determining a person's functional status, however, it has limitations. This study sought to examine whether turning speed declines with age and how it compared to gait speed age-related decline.

Methods

A secondary analysis was performed on 275 community dwelling adults between the ages of 18–88 that performed a timed walking test with an inertial measurement unit on their lumbar spine. Turning speed and walking speed were extracted for each participant. A series of mixed models were compared, and Akaike's Information Criterion was used to determine the best fit model between age and turning speed and age and gait speed.

Findings

Turning speed and gait speed normative values were reported for each age decade. A linear model with a random intercept of “Condition” was used to assess the relationship between age and turning speed. The results indicated a significant negative relationship between age and turning speed (B = -0.66, p < 0.001). A spline-fit model determined a significant negative relationship between age and gait speed after the age of 65 (B = -0.0097, p = 0.002). The effect of age on gait speed before age 65 was not significant.

Interpretation

Turning speed significantly declines with age in a linear fashion while gait speed begins to decline after age 65. Turning speed may be more responsive to age than gait speed. More research is needed to determine if the decline in turning speed with age is associated with a decline in function.

转弯速度是衡量与年龄有关的行动能力下降的更灵敏的指标:与步速的比较研究
背景导航需要直线步态和转弯。步态速度常模值已被确定并用于判断一个人的功能状态,但它也有局限性。本研究试图考察转弯速度是否会随着年龄的增长而下降,以及转弯速度与步态速度年龄相关下降的比较情况。方法对 275 名年龄在 18-88 岁之间的社区居民进行了二次分析,他们在腰椎上使用惯性测量装置进行了定时步行测试。提取了每位参与者的转弯速度和行走速度。对一系列混合模型进行了比较,并使用阿凯克信息标准来确定年龄与转弯速度和年龄与步速之间的最佳拟合模型。采用随机截距为 "条件 "的线性模型来评估年龄与转弯速度之间的关系。结果表明,年龄与转弯速度之间存在明显的负相关(B = -0.66,p <0.001)。根据样条拟合模型,65 岁以后的年龄与步速之间存在明显的负相关(B = -0.0097,p = 0.002)。65 岁之前,年龄对步速的影响并不显著。与步态速度相比,转弯速度对年龄的反应可能更大。还需要更多的研究来确定转弯速度随年龄的增长而下降是否与功能下降有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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