Racial Differences in Gait Velocity in an Urban Elderly Cohort

Overview

Journal J Am Geriatr Soc

Specialty Geriatrics

Date 2012 May 17

PMID 22587854

Citations 21

Authors

Irene Blanco

Joe Verghese

Richard B Lipton

Chaim Putterman

Carol A Derby

Affiliations

Soon will be listed here.

Abstract

Objectives: To investigate whether there are racial differences in gait velocity in elderly adults.

Design: Cross-sectional analysis.

Setting: Bronx, New York.

Participants: Two hundred thirteen participants of the Einstein Aging Study (157 Caucasian, 56 African American), a longitudinal study of community-residing elderly adults recruited using Medicare and voter registration records.

Measurements: Demographic characteristics, medical history, Geriatric Depression Scale, Blessed Information-Memory-Concentration Test, Total Pain Index, gait velocity.

Results: Caucasians were older (median 79.9 vs 75.5, P = .002) and more educated (median 14 vs 12 years, P = .007) and had lower body mass index (mean 26.9 ± 4.3 vs 28.9 ± 6.4, P = .03). African Americans were more likely to be female (80.4% vs 59.9%, P = .006) and to have diabetes mellitus (28.6% vs 13.4%, P = .01). Pain levels were not significantly different between Caucasians and African Americans. African Americans had a significantly slower gait velocity (mean 90.2 ± 17.9 vs 99.1 ± 20.1 cm/s, P = .004). This difference persisted after adjusting for multiple covariates. Differences in common factors known to influence gait did not explain a 7.79-cm/s slower gait speed in African Americans than Caucasians.

Conclusion: Differences in gait velocity persist between African Americans and Caucasians despite adjusting for many confounders. Increases of just 10 cm/s are associated with lower mortality. Further studies are needed to evaluate whether there are modifiable risk factors that may explain this difference and whether an intervention could reduce the discrepancy between the groups.

Citing Articles

Gait speed and its associated factors among older black adults in Sub-Saharan Africa: Evidence from the WHO study on Global AGEing in older adults (SAGE).

Tawiah P, Mensah P, Gyabaah S, Adebanji A, Konadu E, Amoah I PLoS One. 2024; 19(4):e0295520.

PMID: 38635683 PMC: 11025960. DOI: 10.1371/journal.pone.0295520.

Correlates of Gait Speed Among Older Adults From 6 Countries: Findings From the COSMIC Collaboration.

Sprague B, Zhu X, Rosso A, Verghese J, Delbaere K, Lipnicki D J Gerontol A Biol Sci Med Sci. 2023; 78(12):2396-2406.

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Feasibility of Markerless Motion Capture for Three-Dimensional Gait Assessment in Community Settings.

McGuirk T, Perry E, Sihanath W, Riazati S, Patten C Front Hum Neurosci. 2022; 16:867485.

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References

Rothman M, Leo-Summers L, Gill T . Prognostic significance of potential frailty criteria. J Am Geriatr Soc. 2008; 56(12):2211-16. PMC: 2782664. DOI: 10.1111/j.1532-5415.2008.02008.x. View

Sondik E, Huang D, Klein R, Satcher D . Progress toward the healthy people 2010 goals and objectives. Annu Rev Public Health. 2010; 31:271-81 4 p folliwng 281. DOI: 10.1146/annurev.publhealth.012809.103613. View

Bilney B, Morris M, Webster K . Concurrent related validity of the GAITRite walkway system for quantification of the spatial and temporal parameters of gait. Gait Posture. 2003; 17(1):68-74. DOI: 10.1016/s0966-6362(02)00053-x. View

Bowen M, Gonzalez H . Racial/ethnic differences in the relationship between the use of health care services and functional disability: the health and retirement study (1992-2004). Gerontologist. 2008; 48(5):659-67. PMC: 2885453. DOI: 10.1093/geront/48.5.659. View

Rolita L, Holtzer R, Wang C, Lipton R, Derby C, Verghese J . Homocysteine and mobility in older adults. J Am Geriatr Soc. 2010; 58(3):545-50. PMC: 2915401. DOI: 10.1111/j.1532-5415.2010.02718.x. View

Cesari M, Kritchevsky S, Penninx B, Nicklas B, Simonsick E, Newman A . Prognostic value of usual gait speed in well-functioning older people--results from the Health, Aging and Body Composition Study. J Am Geriatr Soc. 2005; 53(10):1675-80. DOI: 10.1111/j.1532-5415.2005.53501.x. View

Miller D, Wolinsky F, Malmstrom T, Andresen E, Miller J . Inner city, middle-aged African Americans have excess frank and subclinical disability. J Gerontol A Biol Sci Med Sci. 2005; 60(2):207-12. DOI: 10.1093/gerona/60.2.207. View

Liao Y, McGee D, Cao G, Cooper R . Black-white differences in disability and morbidity in the last years of life. Am J Epidemiol. 1999; 149(12):1097-103. DOI: 10.1093/oxfordjournals.aje.a009763. View

Perera S, Mody S, Woodman R, Studenski S . Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc. 2006; 54(5):743-9. DOI: 10.1111/j.1532-5415.2006.00701.x. View

10.

Montero-Odasso M, Schapira M, Soriano E, Varela M, Kaplan R, Camera L . Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. J Gerontol A Biol Sci Med Sci. 2005; 60(10):1304-9. DOI: 10.1093/gerona/60.10.1304. View

11.

Verghese J, Lipton R, Hall C, Kuslansky G, Katz M, Buschke H . Abnormality of gait as a predictor of non-Alzheimer's dementia. N Engl J Med. 2002; 347(22):1761-8. DOI: 10.1056/NEJMoa020441. View

12.

Lipton R, Katz M, Kuslansky G, Sliwinski M, Stewart W, Verghese J . Screening for dementia by telephone using the memory impairment screen. J Am Geriatr Soc. 2003; 51(10):1382-90. DOI: 10.1046/j.1532-5415.2003.51455.x. View

13.

Hall C, Lipton R, Sliwinski M, Katz M, Derby C, Verghese J . Cognitive activities delay onset of memory decline in persons who develop dementia. Neurology. 2009; 73(5):356-61. PMC: 2725932. DOI: 10.1212/WNL.0b013e3181b04ae3. View

14.

Arbeev K, Butov A, Manton K, Sannikov I, Yashin A . Disability trends in gender and race groups of early retirement ages in the USA. Soz Praventivmed. 2004; 49(2):142-51. DOI: 10.1007/s00038-004-3041-y. View

15.

Mendes de Leon C, Beckett L, Fillenbaum G, Brock D, Branch L, Evans D . Black-white differences in risk of becoming disabled and recovering from disability in old age: a longitudinal analysis of two EPESE populations. Am J Epidemiol. 1997; 145(6):488-97. DOI: 10.1093/oxfordjournals.aje.a009136. View

16.

Blessed G, Tomlinson B, Roth M . The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. Br J Psychiatry. 1968; 114(512):797-811. DOI: 10.1192/bjp.114.512.797. View

17.

Kelley-Moore J, Ferraro K . The black/white disability gap: persistent inequality in later life?. J Gerontol B Psychol Sci Soc Sci. 2004; 59(1):S34-43. DOI: 10.1093/geronb/59.1.s34. View

18.

Guralnik J, Ferrucci L, Pieper C, Leveille S, Markides K, Ostir G . Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci. 2000; 55(4):M221-31. DOI: 10.1093/gerona/55.4.m221. View

19.

Katona C . Approaches to the management of depression in old age. Gerontology. 1994; 40 Suppl 1:5-9. DOI: 10.1159/000213613. View

20.

Verghese J, Katz M, Derby C, Kuslansky G, Hall C, Lipton R . Reliability and validity of a telephone-based mobility assessment questionnaire. Age Ageing. 2004; 33(6):628-32. DOI: 10.1093/ageing/afh210. View