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      Reference value on daily living walking parameters among Japanese adults

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          Abstract

          Aim

          Walking speed is closely related to numerous health outcomes. It has typically been measured in laboratory settings, where individuals can intentionally change their walking speed. It can be accurately measured in daily life using a smartphone global positioning system. We aimed to present a reference value on walking speed in daily life by sex and age.

          Methods

          The data were obtained using a walking monitoring service involving global positioning system technology. A secondary data analysis was carried out. Four daily living walking parameters – daily living walking speed, daily living walking cycle, daily living step length and daily living cadence – of 8429 Japanese persons were measured in their daily life using a smartphone application.

          Results

          The means (standard deviations) of daily living walking speed, daily living walking cycle, daily living step length and daily living cadence were 1.30 m/s (0.10 m/s), 1.02 s (0.06 s), 65.55 cm (5.38 cm) and 118.86 steps/min (6.76 steps/min), respectively. Notably, daily living walking speed in those aged >65 years was significantly slower than in those aged <65 years.

          Conclusions

          The present reference values and age differences of daily living walking parameters can be used to compare daily living walking speed data measured by other devices, such as accelerometers. This could allow for a consensus on the definition of daily walking speed that can be utilized for assessing health outcomes among older individuals. Geriatr Gerontol Int 2020; 20: 664–669.

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          Most cited references20

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          Walking speed as a good predictor for the onset of functional dependence in a Japanese rural community population.

          to investigate and compare the predictive values of four physical performance measures for the onset of functional dependence in older Japanese people living at home. a population-based prospective cohort study. Nangai village, Akita Prefecture, Japan. out of the population aged 65 years and older living in Nangai (n = 940) in 1992, we measured hand grip-strength, one-leg standing, and usual and maximum walking speeds in 736 subjects who were independent in the five basic activities of daily living. Their functional status was assessed each year for the subsequent 6 years. The outcome event was the onset of functional dependence, defined as a new disability in one or more of the five basic activities of daily living, or death of a subject who had shown no disability at the previous follow-up. even after controlling for age, sex and a number of chronic conditions, lower scores on each baseline performance measure showed increased risk for the onset of functional dependence. Maximum walking speed was most sensitive in predicting future dependence for those aged 65-74 years, while usual walking speed was most sensitive for people aged > or = 75 years. walking speed was the best physical performance measure for predicting the onset of functional dependence in a Japanese rural older population.
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            Basic gait parameters: reference data for normal subjects, 10-79 years of age.

            Basic gait parameters were extracted from 233 healthy subjects--116 men and 117 women, 10 to 79 years of age. The measurements were made in a gait laboratory on a 5.5 m walkway. The results are presented in a series of reference tables for slow, normal, and fast gait. Mean, standard deviation, coefficient of variation, 95% confidence intervals, and 95% prediction intervals were calculated. Significant sex differences exist in all gait parameters. In a two-way analysis of variance (ANOVA) model, there was a statistically significant age-variability for gait speed and step length at normal and fast gait, but not for step frequency. In the step length parameter there was a significant interaction effect of age and sex at normal and fast gait. The reference data are considered valid in an indoor laboratory situation.
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              Influence of Poor Oral Health on Physical Frailty: A Population‐Based Cohort Study of Older British Men

              Objectives To investigate the associations between objective and subjective measures of oral health and incident physical frailty. Design Cross‐sectional and longitudinal study with 3 years of follow‐up using data from the British Regional Heart Study. Setting General practices in 24 British towns. Participants Community‐dwelling men aged 71 to 92 (N = 1,622). Measurements Objective assessments of oral health included tooth count and periodontal disease. Self‐reported oral health measures included overall self‐rated oral health; dry mouth symptoms; sensitivity to hot, cold, and sweet; and perceived difficulty eating. Frailty was defined using the Fried phenotype as having 3 or more of weight loss, grip strength, exhaustion, slow walking speed, and low physical activity. Incident frailty was assessed after 3 years of follow‐up in 2014. Results Three hundred three (19%) men were frail at baseline (aged 71–92). Having fewer than 21 teeth, complete tooth loss, fair to poor self‐rated oral health, difficulty eating, dry mouth, and more oral health problems were associated with greater likelihood of being frail. Of 1,284 men followed for 3 years, 107 (10%) became frail. The risk of incident frailty was higher in participants who were edentulous (odds ratio (OR) = 1.90, 95% confidence interval (CI) = 1.03–3.52); had 3 or more dry mouth symptoms (OR = 2.03, 95% CI = 1.18–3.48); and had 1 (OR = 2.34, 95% CI = 1.18–4.64), 2 (OR = 2.30, 95% CI = 1.09–4.84), or 3 or more (OR = 2.72, 95% CI = 1.11–6.64) oral health problems after adjustment for age, smoking, social class, history of cardiovascular disease or diabetes mellitus, and medications related to dry mouth. Conclusion The presence of oral health problems was associated with greater risks of being frail and developing frailty in older age. The identification and management of poor oral health in older people could be important in preventing frailty.
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                Author and article information

                Contributors
                hkawai@tmig.or.jp
                Journal
                Geriatr Gerontol Int
                Geriatr Gerontol Int
                10.1111/(ISSN)1447-0594
                GGI
                Geriatrics & Gerontology International
                John Wiley & Sons Australia, Ltd (Kyoto, Japan )
                1444-1586
                1447-0594
                06 May 2020
                July 2020
                : 20
                : 7 ( doiID: 10.1111/ggi.v20.7 )
                : 664-669
                Affiliations
                [ 1 ] Tokyo Metropolitan Institute of Gerontology Tokyo Japan
                [ 2 ] Taiyo Life Insurance Company Tokyo Japan
                Author notes
                [*] [* ] Correspondence

                Hisashi Kawai PhD, Tokyo Metropolitan Institute of Gerontology, 35‐2 Sakae‐cho, Itabashi‐Ku, Tokyo 173‐0015, Japan.

                Email: hkawai@ 123456tmig.or.jp

                Author information
                https://orcid.org/0000-0003-3015-6041
                Article
                GGI13931
                10.1111/ggi.13931
                7496516
                32378318
                0afc49bc-1559-428d-9a0b-4c3753f94ab7
                © 2020 The Authors. Geriatrics & Gerontology International published by John Wiley & Sons Australia, Ltd on behalf of Japan Geriatrics Society

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 22 January 2020
                : 30 March 2020
                : 13 April 2020
                Page count
                Figures: 2, Tables: 3, Pages: 6, Words: 4607
                Categories
                Original Article: Epidemiology, Clinical Practice and Health
                Original Articles: Epidemiology, Clinical Practice and Health
                Custom metadata
                2.0
                July 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.0 mode:remove_FC converted:11.09.2020

                daily living,reference data,walking speed
                daily living, reference data, walking speed

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