Age- and Sex-Based Differences in Gait Pattern Characteristics Among Adults Over 50: A Cross-Sectional Study.

IF 1.7 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Journal of Aging and Physical Activity Pub Date : 2025-10-24 Print Date: 2026-08-01 DOI:10.1123/japa.2024-0364
Mariève Houle, Gabriel Moisan, Andrée-Anne Marchand, Martin Descarreaux
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Abstract

Background/objective: Walking is essential for maintaining functional independence, and understanding gait changes due to aging is crucial, as chronic conditions often overlap with normal aging. The objective of this study was to describe gait characteristics in adults aged 50 and over and to identify differences between age groups and between sexes.

Methods: The study included 34 adults aged 50-59, 38 adults aged 60-69, and 28 adults aged 70+ years. Participant characteristics (age, sex, height, weight, and comorbidities) were collected. Participants walked a 30-m round trip at a self-selected pace. Gait was measured using inertial measurement units.

Results: Results showed that stride length, stride velocity, push-off ratio, and minimal toe clearance decreased with age (p < .03) and flat-foot ratio increased with age (p < .01), while cadence, walking phases (stance, swing, double support, and loading ratio), and maximal heel clearance were similar across age groups (p > .05). Males had a lower cadence, a longer stride, and a higher maximal heel clearance than females (p < .04). Stride velocity and minimal toe clearance were similar between sexes (p > .05).

Conclusions: This study found that stride length and velocity decrease with age, and notable sex differences exist in stride length and maximal heel clearance. These findings underscore the importance of considering both age and sex when assessing walking and functional capacity in older adults. Significance/Implications: Aging impacts gait, and inertial measurement units offer a valuable tool to examine how age and sex affect walking. This is an initial step toward a deeper understanding of gait characteristics in older adults.

50岁以上成年人步态特征的年龄和性别差异:一项横断面研究。
背景/目的:步行对于维持功能独立性至关重要,了解衰老导致的步态变化至关重要,因为慢性疾病通常与正常衰老重叠。这项研究的目的是描述50岁及以上成年人的步态特征,并确定年龄组和性别之间的差异。方法:纳入34例50 ~ 59岁成人,38例60 ~ 69岁成人,28例70岁以上成人。收集参与者的特征(年龄、性别、身高、体重和合并症)。参与者以自己选择的速度步行30米。步态测量采用惯性测量单元。结果:步幅、步幅速度、蹬离比、最小足跟间隙随年龄的增长而减小(p < 0.01),平足比随年龄的增长而增大(p < 0.01),步幅、步速(站立、摇摆、双支撑、负重比)、最大足跟间隙在各年龄组间相似(p < 0.05)。男性比女性有更低的节奏,更长的步幅和更高的最大跟间隙(p < .04)。跨步速度和最小脚趾间隙在两性之间相似(p < 0.05)。结论:本研究发现步幅长度和速度随年龄的增长而减小,步幅长度和最大足跟间隙存在显著的性别差异。这些发现强调了在评估老年人行走和功能能力时考虑年龄和性别的重要性。意义/启示:衰老影响步态,惯性测量单位提供了一个有价值的工具来研究年龄和性别如何影响步行。这是深入了解老年人步态特征的第一步。
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
CiteScore
2.60
自引率
6.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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