Decreased gait speed and health outcomes in older adults: Rede FIBRA’s data

Rita de Cássia Guedes; Rosângela Corrêa Dias; Anita Liberalesso Neri; Eduardo Ferriolli; Roberto Alves Lourenço; Lygia Paccini Lustosa

doi:10.1590/1809-2950/18036026032019

Authors

Rita de Cássia Guedes Centro Universitário de Belo Horizonte. MG. Brasil https://orcid.org/0000-0001-8490-1882
Rosângela Corrêa Dias Universidade Federal de Minas Gerais. MG. Brasil https://orcid.org/0000-0002-1027-7746
Anita Liberalesso Neri Universidade Estadual de Campinas. SP. Brasil https://orcid.org/0000-0002-6833-7668
Eduardo Ferriolli Universidade de São Paulo (USP) – São Paulo (SP), Brazil https://orcid.org/0000-0002-5028-2451
Roberto Alves Lourenço Universidade do Estado do Rio de Janeiro (UERJ) – Rio de Janeiro (RJ), Brazil https://orcid.org/0000-0003-0838-1285
Lygia Paccini Lustosa Universidade Federal de Minas Gerais. MG. Brasil https://orcid.org/0000-0002-0919-1320

DOI:

https://doi.org/10.1590/1809-2950/18036026032019

Keywords:

Aged, Gait, Chronic Diseases

Abstract

Gait speed (GS) can predict adverse health outcomes. However, an understanding of its associated factors is still limited and with some controversy. The objective of this study was to identify adverse health outcomes related to the decline in gait speed in community-dwelling older adults. This is a cross-sectional study that evaluated records of chronic diseases and hospitalization in the last year, polypharmacy, and gait speed. Logistic regression analysis was used to estimate the effects of each independent variable on the chance of older adults presenting a decline in gait speed (GS<0.8 m/s) (α=5%). In total, 5,501 older adults participated. Brazilian older adults with heart diseases (OR=2.06; 1.67-2.54 CI), respiratory diseases (OR=3.25; 2.02-5.29 CI), rheumatic (OR=2.16; 1.79-2.52 CI) and/ or depression diseases (OR=2.51; 2.10-3.14 CI); hospitalized in the last year (OR=1.51; 1.21-1.85 CI) and under polypharmacy (OR=2.14; 1.80-2.54 CI) were associated with lower gait speed. Thus, the results showed that those with gait speed lower than 0.8 m/s are at higher risk of some adverse health events. Therefore, it is suggested that gait speed should not be neglected in the evaluation in community-dwelling older adults, including basic health care.

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Decreased gait speed and health outcomes in older adults: Rede FIBRA’s data

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