TY  - JOUR
PY  - 2018//
TI  - Effect of multimorbidity on gait speed in well-functioning older people: a population-based study in Peru
JO  - Geriatrics and gerontology international
A1  - Ortiz, Pedro J.
A1  - Tello, Tania
A1  - Aliaga, Elizabeth G.
A1  - Casas, Paola M.
A1  - Peinado, Jesus E.
A1  - Miranda, Juan Jaime
A1  - Varela, Luis F.
SP  - 293
EP  - 300
VL  - 18
IS  - 2
N2  - AIM: To determine the association between multimorbidity and gait speed in a population-based sample of older people without functional dependency. <br><br>METHODS: Data were obtained from a previously made cross-sectional population-based study of individuals aged >60 years carried out in San Martin de Porres, the second most populous district in Lima, Peru. We included well-functioning, independent older people. Exclusion criteria emphasized removing conditions that would impair gait. The exposure of interest was non-communicable chronic disease multimorbidity, and the outcome was gait speed determined by the time required for the participant to walk a distance of 8 m out of a total distance of 10 m. Generalized linear models were used to estimate adjusted gait speed by multimorbidity status. <br><br>RESULTS: Data from 265 older adults with a median age of 68 years (IQR 63-75 years) and 54% women were analyzed. The median gait speed was 1.06 m/s (SD 0.27) and the mean number of chronic conditions per adult was 1.1 (SD ±1). The difference in mean gait speed between older adults without a chronic condition and those with ≥3 chronic conditions was 0.24 m/s. In crude models, coefficients decreased by a significant exponential factor for every increase in the number of chronic conditions. Further adjustment attenuated these estimates. <br><br>CONCLUSIONS: Slower speed gaits are observed across the spectrum of multimorbidity in older adults without functional dependency. The role of gait speed as a simple indicator to evaluate and monitor general health status in older populations is expanded to include older adults without dependency.<br><br>© 2017 Japan Geriatrics Society.<p />  <p>Language: en</p>
LA  - en
SN  - 1444-1586
UR  - http://dx.doi.org/10.1111/ggi.13182
ID  - ref1
ER  -