Reference Values and Age and Sex Differences in Physical Performance Measures for Community-dwelling Older Japanese: a Pooled Analysis of Six Cohort Studies

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2014 Jun 14

PMID 24923425

Citations 59

Authors

Satoshi Seino

Shoji Shinkai

Yoshinori Fujiwara

Shuichi Obuchi

Hideyo Yoshida

Hirohiko Hirano

Hun Kyung Kim

Tatsuro Ishizaki

Ryutaro Takahashi

Affiliations

Soon will be listed here.

Abstract

Objectives: To determine age- and sex-specific reference values for six physical performance measures, i.e. hand-grip strength, one-legged stance, and gait speed and step length at both usual and maximum paces, and to investigate age and sex differences in these measures among community-dwelling older Japanese adults.

Methods: We conducted a pooled analysis of data from six cohort studies collected between 2002 and 2011 as part of the Tokyo Metropolitan Institute of Gerontology-Longitudinal Interdisciplinary Study on Aging. The pooled analysis included cross-sectional data from 4683 nondisabled, community-dwelling adults aged 65 years or older (2168 men, 2515 women; mean age: 74.0 years in men and 73.9 years in women).

Results: Unweighted simple mean (standard deviation) hand-grip strength, one-legged stance, usual gait speed, usual gait step length, maximum gait speed, and maximum gait step length were 31.7 (6.7) kg, 39.3 (23.0) s, 1.29 (0.25) m/s, 67.7 (10.0) cm, 1.94 (0.38) m/s, and 82.3 (11.6) cm, respectively, in men and 20.4 (5.0) kg, 36.8 (23.4) s, 1.25 (0.27) m/s, 60.8 (10.0) cm, 1.73 (0.36) m/s, and 69.7 (10.8) cm, respectively, in women. All physical performance measures showed significant decreasing trends with advancing age in both sexes (all P<0.001 for trend). We also constructed age- and sex-specific appraisal standards according to quintiles. With increasing age, the sex difference in hand-grip strength decreased significantly (P<0.001 for age and sex interaction). In contrast, sex differences significantly increased in all other measures (all P<0.05 for interactions) except step length at maximum pace.

Conclusion: Our pooled analysis yielded inclusive age- and sex-specific reference values and appraisal standards for major physical performance measures in nondisabled, community-dwelling, older Japanese adults. The characteristics of age-related decline in physical performance measures differed between sexes.

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References

Higgins J, Thompson S . Quantifying heterogeneity in a meta-analysis. Stat Med. 2002; 21(11):1539-58. DOI: 10.1002/sim.1186. View

Wang C, Chen T, Lin Y, Liu M, Chen Y . Gait speed measure: the effect of different measuring distances and the inclusion and exclusion of acceleration and deceleration. Percept Mot Skills. 2012; 114(2):469-78. DOI: 10.2466/10.25.26.PMS.114.2.469-478. View

Shinkai S, Chaves P, Fujiwara Y, Watanabe S, Shibata H, Yoshida H . Beta2-microglobulin for risk stratification of total mortality in the elderly population: comparison with cystatin C and C-reactive protein. Arch Intern Med. 2008; 168(2):200-6. DOI: 10.1001/archinternmed.2007.64. View

Ishizaki T, Furuna T, Yoshida Y, Iwasa H, Shimada H, Yoshida H . Declines in physical performance by sex and age among nondisabled community-dwelling older Japanese during a 6-year period. J Epidemiol. 2011; 21(3):176-83. PMC: 3899406. DOI: 10.2188/jea.je20100138. View

Bohannon R, Andrews A . Normal walking speed: a descriptive meta-analysis. Physiotherapy. 2011; 97(3):182-9. DOI: 10.1016/j.physio.2010.12.004. View

Cesari M . Role of gait speed in the assessment of older patients. JAMA. 2011; 305(1):93-4. DOI: 10.1001/jama.2010.1970. View

Murayama H, Nishi M, Shimizu Y, Kim M, Yoshida H, Amano H . The Hatoyama Cohort Study: design and profile of participants at baseline. J Epidemiol. 2012; 22(6):551-8. PMC: 3798568. DOI: 10.2188/jea.JE20120015. View

Taniguchi Y, Yoshida H, Fujiwara Y, Motohashi Y, Shinkai S . A prospective study of gait performance and subsequent cognitive decline in a general population of older Japanese. J Gerontol A Biol Sci Med Sci. 2012; 67(7):796-803. DOI: 10.1093/gerona/glr243. View

Hamilton A, Balnave R, Adams R . Grip strength testing reliability. J Hand Ther. 1994; 7(3):163-70. DOI: 10.1016/s0894-1130(12)80058-5. View

10.

Ishizaki T, Yoshida H, Suzuki T, Shibata H . The association between self-rated health status and increasing age among older Japanese living in a rural community over a 6-year period: a longitudinal data analysis. Gerontology. 2008; 55(3):344-52. DOI: 10.1159/000183749. View

11.

Kan M, Yoshida H, Fujiwara Y, Watanabe N, Tsuchiya Y, Shinkai S . [Longitudinal analysis of factors associated with participation in community-based mass screening for the frail elderly in need of care]. Nihon Koshu Eisei Zasshi. 2006; 53(9):688-701. View

12.

Sanada K, Miyachi M, Tanimoto M, Yamamoto K, Murakami H, Okumura S . A cross-sectional study of sarcopenia in Japanese men and women: reference values and association with cardiovascular risk factors. Eur J Appl Physiol. 2010; 110(1):57-65. DOI: 10.1007/s00421-010-1473-z. View

13.

Roberts H, Denison H, Martin H, Patel H, Syddall H, Cooper C . A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011; 40(4):423-9. DOI: 10.1093/ageing/afr051. View

14.

Cooper R, Kuh D, Hardy R . Objectively measured physical capability levels and mortality: systematic review and meta-analysis. BMJ. 2010; 341:c4467. PMC: 2938886. DOI: 10.1136/bmj.c4467. View

15.

Kamide N, Takahashi K, Shiba Y . Reference values for the Timed Up and Go test in healthy Japanese elderly people: determination using the methodology of meta-analysis. Geriatr Gerontol Int. 2011; 11(4):445-51. DOI: 10.1111/j.1447-0594.2011.00704.x. View

16.

Abellan van Kan G, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M . Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging. 2009; 13(10):881-9. DOI: 10.1007/s12603-009-0246-z. View

17.

Goodpaster B, Park S, Harris T, Kritchevsky S, Nevitt M, Schwartz A . The loss of skeletal muscle strength, mass, and quality in older adults: the health, aging and body composition study. J Gerontol A Biol Sci Med Sci. 2006; 61(10):1059-64. DOI: 10.1093/gerona/61.10.1059. View

18.

Tseng L, Delmonico M, Visser M, Boudreau R, Goodpaster B, Schwartz A . Body composition explains sex differential in physical performance among older adults. J Gerontol A Biol Sci Med Sci. 2013; 69(1):93-100. PMC: 3859364. DOI: 10.1093/gerona/glt027. View

19.

Aoyagi K, Ross P, Nevitt M, Davis J, Wasnich R, Hayashi T . Comparison of performance-based measures among native Japanese, Japanese-Americans in Hawaii and Caucasian women in the United States, ages 65 years and over: a cross-sectional study. BMC Geriatr. 2001; 1:3. PMC: 59654. DOI: 10.1186/1471-2318-1-3. View

20.

Suzuki T, Iwasa H, Yoshida H, Kim H, Shimmei M, Xiuying H . [Comprehensive health examination ("Otasha-Kenshin") for the prevention of geriatric syndromes and a bed-ridden state in the community elderly. 1. Differences in characteristics between participants and non-participants]. Nihon Koshu Eisei Zasshi. 2003; 50(1):39-48. View