Ageing and gait variability — a population-based study of older people

Background: gait variability may be an important predictor of falls risk, but its characteristics are poorly understood. Objective: to examine the relationship between age and gait variability in a population-based sample of older people. Design: cross-sectional study. Methods: in people aged 60–86 years (n=412), temporal and spatial gait variability measures were recorded with a GAITRite walkway. Regression analysis was used to model the relationship between age and gait variability adjusting for height, weight and self-reported chronic disease. Further adjustment was made for gait speed to examine its influence on the associations. Results: older age was associated with greater variability (P<0.05) in all gait measures. All relationships were linear, except that between age and step time variability, which was curvilinear in women. Adjusting for gait speed changed the magnitude of the age coefficient by 62–86% for temporal variability measures, 25% for step length variability and 5–12% for step width variability. Ageing and gait variability

[1]  J. Hollman,et al.  Age-related differences in spatiotemporal markers of gait stability during dual task walking. , 2006, Gait & posture.

[2]  R. Craik,et al.  Gait Variability in Community‐Dwelling Older Adults , 2001, Journal of the American Geriatrics Society.

[3]  S. Studenski,et al.  Too much or too little step width variability is associated with a fall history in older persons who walk at or near normal gait speed , 2005, Journal of NeuroEngineering and Rehabilitation.

[4]  C. Cooper,et al.  Determinants of disability in osteoarthritis of the knee. , 1993, Annals of the rheumatic diseases.

[5]  Jeffrey M. Hausdorff,et al.  Fractal dynamics in physiology: Alterations with disease and aging , 2002, Proceedings of the National Academy of Sciences of the United States of America.

[6]  M. Gossman,et al.  Balance performance and step width in noninstitutionalized, elderly, female fallers and nonfallers. , 1989, Physical therapy.

[7]  Subashan Perera,et al.  Gait variability and the risk of incident mobility disability in community-dwelling older adults. , 2007, The journals of gerontology. Series A, Biological sciences and medical sciences.

[8]  U. Nayak,et al.  The effect of age on variability in gait. , 1984, Journal of gerontology.

[9]  Jeffrey M. Hausdorff,et al.  Gait variability and basal ganglia disorders: Stride‐to‐stride variations of gait cycle timing in parkinson's disease and Huntington's disease , 1998, Movement disorders : official journal of the Movement Disorder Society.

[10]  Leigh Blizzard,et al.  Sex modifies the relationship between age and gait: a population-based study of older adults. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[11]  R. Woledge,et al.  The variable component of lateral body sway during walking in young and older humans. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[12]  Mark Latt,et al.  Walking speed, cadence and step length are selected to optimize the stability of head and pelvis accelerations , 2007, Experimental Brain Research.

[13]  R. Fitzpatrick,et al.  Age-related differences in walking stability. , 2003, Age and ageing.

[14]  R. Moe-Nilssen,et al.  The effect of gait speed on lateral balance control during walking in healthy elderly. , 2003, Gait & posture.

[15]  L. Rubenstein,et al.  The epidemiology of falls and syncope. , 2002, Clinics in geriatric medicine.

[16]  Jeffrey M. Hausdorff,et al.  Etiology and modification of gait instability in older adults: a randomized controlled trial of exercise. , 2001, Journal of applied physiology.

[17]  Jeffrey M. Hausdorff Gait dynamics, fractals and falls: finding meaning in the stride-to-stride fluctuations of human walking. , 2007, Human movement science.

[18]  R. Guimarães,et al.  Characteristics of the gait in old people who fall. , 1980, International rehabilitation medicine.

[19]  Hylton B Menz,et al.  Walking stability and sensorimotor function in older people with diabetic peripheral neuropathy. , 2004, Archives of physical medicine and rehabilitation.

[20]  Olivier Beauchet,et al.  Guidelines for clinical applications of spatio-temporal gait analysis in older adults , 2006, Aging clinical and experimental research.

[21]  Jeffrey M. Hausdorff,et al.  Gait variability and fall risk in community-living older adults: a 1-year prospective study. , 2001, Archives of physical medicine and rehabilitation.

[22]  R. Lipton,et al.  Epidemiology of Gait Disorders in Community‐Residing Older Adults , 2006, Journal of the American Geriatrics Society.

[23]  H. Stolze,et al.  Stride parameters in healthy young and old women--measurement variability on a simple walkway. , 2000, Experimental aging research.

[24]  M. Grabiner,et al.  Age-related changes in spatial and temporal gait variables. , 2001, Archives of physical medicine and rehabilitation.

[25]  J. Dingwell,et al.  Separating the effects of age and walking speed on gait variability. , 2008, Gait & posture.

[26]  S. Studenski,et al.  Stance time and step width variability have unique contributing impairments in older persons. , 2008, Gait & posture.

[27]  Jeffrey M. Hausdorff,et al.  Increased gait unsteadiness in community-dwelling elderly fallers. , 1997, Archives of physical medicine and rehabilitation.

[28]  T. M. Owings,et al.  Variability of step kinematics in young and older adults. , 2004, Gait & posture.

[29]  M. Montero‐Odasso,et al.  Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[30]  B. E. Maki,et al.  Gait Changes in Older Adults: Predictors of Falls or Indicators of Fear? , 1997, Journal of the American Geriatrics Society.

[31]  H Nagasaki,et al.  Optimal walking in terms of variability in step length. , 1997, The Journal of orthopaedic and sports physical therapy.