Reduced gait speed in hospitalized older adults: associated sociodemographic and mobility characteristics
DOI:
https://doi.org/10.1590/Keywords:
Aged, Gait Speed, Hospitalization, Geriatric Health CareAbstract
This study aims to evaluate the predominance of
reduced gait speed in hospitalized older people and to verify
the association with demographic and mobility factors. This
is a cross-sectional, quantitative study conducted with older
adults from a teaching hospital in Paraná (2020–2021) (n=662).
Sociodemographic and health questionnaires were applied, as
well as the Clinical-Functional Vulnerability Index (CFVI-20).
The Chi-square test was employed. Most participants were men
(51.8%), aged from 60 to 69 years (49.2%), married (47.9%),
retired or pensioners (69.5%), and with low education level
(31.3%). Reduced gait speed was present in 37.61% of the older
adults and associated with: age <70 years (p=0.003); nonexercise
of work activity (p=0.045); inability to raise arms above
shoulders (p=0.05) and handle and hold small objects (p=0.011);
and having stopped using the mobile phone (p<0.001) and
bathing alone (p=0.001) due to health. It is concluded that
the predominance of older people with reduced gait speed
was high, associated with the demographic characteristics of
advanced age and non-exercise of labor activity. Regarding
mobility factors, all the older adults showed an association
with reduced gait speed.
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References
Carvalho LJAR, Mota MS, Muniz TMS, Silva RCS, Silva AS, et al. Fragilidade Clínico-funcional e sarcopenia em idosos na atenção primária à saúde. Cogitare Enferm. 2022;27:e76145.
doi: 10.5380/ce.v27i0.76145
Binotto MA, Lenardt MH, Carneiro NHK, Cechinel C, Lourenço TM, et al. Relación entre cognición, velocidad de la marcha y
licencia de conducir en adultos mayores. Acta Paul Enferm.
;34(1):1-8. doi: 10.37689/acta-ape/2021AO00541
Biancardi CM, Bona RL, Leonardo LH. Locomoção humana:
modelos e variáveis biomecânicas. Pensando Mov. 2020;18
(2):1-29. doi: 10.15517/pensarmov.v18i2.41360
Lin CC, Bair WN, Willson J. Age differences in brain activity in
dorsolateral prefrontal cortex and supplementary motor areas
during three different walking speed tasks. Human Mov Sci.
;85:102982 102982. doi: 10.1016/j.humov.2022.102982
Moraes EN, Carmo JA, Moraes FL, Azevedo RS, Machado CJ,
et al. Índice de Vulnerabilidade Clínico Funcional-20 (IVCF-20):
reconhecimento rápido do idoso frágil. Rev Saúde Pública.
;50(81):1-9. doi: 10.1590/S1518-8787.2016050006963
Guedes RC, Dias RC, Neri AL, Ferriolli E, Lourenço RA, et al.
Declínio da velocidade da marcha e desfechos de saúde em
idosos: dados da Rede Fibra. Fisioter Pesqui. 2019;26(3):304-
doi: 10.1590/1809-2950/18036026032019
Nguyen AT, Nguyen HTT, Nguyen HTT, Nguyen TX, Nguyen
TNet al. Walking speed assessed by 4-meter walk test in the
community-dwelling oldest old population in Vietnam. Int
J Environ Res Public Health. 2022;19(16):1-11. doi: 10.3390/
ijerph19169788
Cechinel C, Leonard MH, Rodrigues JAM, Binotto MA,
Aristides MM. Frailty and delirium in hospitalized older adults:
a systematic review with meta-analysis. Rev Lat Am Enferm.
;30:e3688. doi: 10.1590/1518-8345.6120.3687
Oliveira DR, Bettinelli LA, Pasqualotti A, Corso D, Brock F,
et al. Prevalence of frailty syndrome in old people in a hospital
institution. Rev Lat Am Enferm. 2013;21(4):891-8. doi: 10.1590/
S0104-11692013000400009
Castell MV, Sanchez M, Juliano R, Queipo R, Martín S, et al.
Frailty prevalence and slow walking speed in persons age
and older: implications for primary care. BMC Fam Pract.
;14(86):1-9. doi: 10.1186/1471-2296-14-86
Bonnini S, Mazzoni G, Borghesi M, Chiaranda G, Myers J, et al.
Improving walking speed reduces hospitalization costs in
outpatients with cardiovascular disease. An analysis based
on a multistrata non-parametric test. BMC Health Serv Res.
;20(1048):1-11. doi: 10.1186/s12913-020-05874-3
Busch TA, Duarte YA, Nunes DP, Lebrão ML, Naslavsky MS, et al.
Factors associated with lower gait speed among the elderly
living in a developing country: a cross-sectional populationbased
study. BMC Geriatrics. 2015;15(35):1-9. doi: 10.1186/
s12877-015-0031-2
Shimada H, Doi T, Lee S, Tsutsumimoto K, Bae S, et al.
Identification of Disability Risk in Addition to Slow Walking
Speed in Older adults. Gerontology. 2022;68(6):625-34.
doi: 10.1159/000516966
Binotto MA, Lenardt MH, Rodríguez-Martínez MC. Fragilidade
física e velocidade da marcha em idosos da comunidade: uma
revisão sistemática. Rev Escola Enferm USP. 2018;52:03392.
doi: 10.1590/S1980-220X2017028703392
Mazocco L, Gonzalez MC, Barbosa-Silva TG, Chagas P.
Sarcopenia in Brazilian rural and urban elderly women: Is there
any difference? Nutrition. 2019;58(15):120-4. doi: 10.1016/j.
nut.2018.06.017
Fujiwara Y, Shinkai S, Kobayashi E, Minami U, Suzuki H, et al.
Engagement in paid work as a protective predictor of basic
activities of daily living disability in Japanese urban and rural
community-dwelling elderly residents: an 8-year prospective
study. Geriatr Gerontol Int. 2015;16(1):126-34. doi: 10.1111/ggi.12441
Janhaque VR, Blanco AL, Santos-Orlandi AA, Brito TRP,
Nunes DP. Apoio social e funcionalidade familiar: um estudo
transversal com pessoas idosas no contexto da covid-19.
Rev Bras Geriatr Gerontol. 2022;25(6):1-10. doi: 10.1590/1981-
220129.pt
Rodrigues DN, Mussi RFF, Almeida CB, Nascimento Junior JRA,
Moreira SR, et al. Determinantes sociodemográficos associados
ao nível de atividade física de quilombolas baianos, inquérito
de 2016. Epidemiol Serv Saúde. 2020;29(3):1-9. doi: 10.5123/
S1679-49742020000300019
Torres JL, Andrade FB, Lima-Costa MF, Nascimento LR.
Velocidade de marcha e adaptações no domicílio estão
associadas à independência pós-acidente vascular cerebral:
estudo de prevalência de base populacional. Ciên Saúde Coletiva.
;27(6):1-10. doi: 10.1590/1413-81232022276.13202021
Wang DXM, Yao J, Zirek Y, Reijnierse EM, Maier AB. Muscle
mass, strength, and physical performance predicting activities
of daily living: a meta‐analysis. J Cachexia, Sarcop Muscle.
;11(1);3-25. doi: 10.1002/jcsm.12502
Baudendisel ST, Schmitt AC, Stone AE, Raffegeau TE, Roper
JA, et al. Faster or longer steps: maintaining fast walking in
older adults at risk for mobility disability. Gait Posture. 2021;
(1)86-91. doi: 10.1016/j.gaitpost.2021.07.002
Van de Vyver C, Velghe A, Baeyens H, Baeyens JP,Dekoninck
J, et al. Can usual gait speed be used as a prognostic factor
for early palliative care identification in hospitalized older
patients? A prospective study on two different wards. BMC
Geriatr. 2020;20;499. doi: 10.1186/s12877-020-1898-w
Farías-Antúnez S, Lima NP, Bierhals IO, Gomes AP, Vieira LS,
Tomasi E. Incapacidade funcional para atividades básicas e
instrumentais da vida diária: um estudo de base populacional
com idosos de Pelotas, Rio Grande do Sul, 2014. Epidemiol Serv
Saúde. 2018;27(2):1-14. doi: 10.5123/s1679-49742018000200005
Iwaya T, Doi T, Seichi A, Hoshino Y, Ogata T, et al. Characteristics
of disability in activity of daily living in elderly people associated
with locomotive disorders. BMC Geriatr. 2017;17(165):1-23.
doi: 10.1186/s12877-017-0543-z
Hartley P, Keevil VL, Romero-Ortuno R. The association between
clinical frailty and walking speed in older hospitalized medical
patients: A retrospective observational study. Eur Geriatr Med.
;8(2):130-3. doi: 10.1016/j.eurger.2017.01.005
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Copyright (c) 2025 Danielle Bordin, Lorena Cruziniani Zubek, Giovana Aparecida Santos, Pamela Tainá Licoviski, Midiã Vanessa dos Santos Spekalski
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