Evidence map›Paper›PMID 24934147›Full record

ArticleJournal of general internal medicine2014

Walking cadence and mortality among community-dwelling older adults.

Justin C Brown, Michael O Harhay, Meera N Harhay

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Observational
  6. Article
  7. Probabilistic Estimation of Cadence and Walking Speed From Floor Vibrations.IEEE journal of translational engineering in health and medicine · 2024
    Article
  8. Review
  9. Article
  10. Moderate-intensity stepping in older adults: insights from treadmill walking and daily living.The international journal of behavioral nutrition and physical activity · 2023
    Article
  11. Article
  12. Measuring Gait Parameters from Structural Vibrations.Measurement : journal of the International Measurement Confederation · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Walking Cadence to Exercise at Moderate Intensity for Adults: A Systematic Review.Journal of sports medicine (Hindawi Publishing Corporation) · 2017
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Justin C BrownCenter for Clinical Epidemiology & Biostatistics, University of Pennsylvania, Philadelphia, PA, USA, brownjus@mail.med.upenn.edu.
Michael O Harhay
Meera N Harhay

Funding

The Women In Steady Exercise Research (WISER) SurwVor TrialU54CA155850 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CHODOSH, LEWIS A · 2011 to 2015
$9.1M
Training in Renal ResearchT32DK007006 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI HOLZMAN, LAWRENCE B. · 1986 to 2023
$8.5M
Comparative Efficacy, Acceptance and Effectiveness of Health Incentive StructuresR01CA159932 · NCI · UNIVERSITY OF PENNSYLVANIA · PI HALPERN, SCOTT D · 2010 to 2014
$3.0M
Rehospitalization after Renal Transplant: Patterns, Predictors, & ImplicationsF32DK096758 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI HARHAY, MEERA NAIR · 2013 to 2013
$73k
NCI NIH HHS R01 CA159932NCI NIH HHS U54 CA155850NIDDK NIH HHS 5T32DK007006-38NIDDK NIH HHS F32 DK096758NIDDK NIH HHS F32DK096758-01NIDDK NIH HHS T32 DK007006
6 · The paper itself

Abstract

backgroundOlder adults are encouraged to walk ≥100 steps∙minute(-1) for moderate-intensity physical activity (i.e., brisk walking). It is unknown if the ability to walk ≥100 steps∙minute(-1) predicts mortality.

objectiveTo determine if the ability to walk ≥100 steps∙minute(-1) predicts mortality among older adults. DESIGN, SETTING, AND PATIENTS: A population-based cohort study among 5,000 older adults from the Third National Health and Nutrition Survey (NHANES III; 1988-1994). Vital status and cause of death were collected through December 31, 2006. Median follow-up was 13.4 years. Average participant age was 70.6 years. MEASUREMENTS: Walking cadence (steps∙minute(-1)) was calculated using a timed 2.4-m walk. Walking cadence was dichotomized at 100 steps∙minute(-1) (≥100 steps∙minute(-1) versus <100 steps∙minute(-1)) to demarcate the lower threshold of absolutely defined moderate-intensity physical activity. Walking cadence was also analyzed as a continuous variable. Predicted survival was compared between walking cadence and gait speed. The primary outcome was all-cause mortality. Secondary outcomes included cardiovascular-specific and cancer-specific mortality and mortality from other causes.

resultsAmong 5,000 participants, 3,039 (61 %) walked ≥100 steps∙minute(-1). During follow-up, 3,171 subjects died. In multivariable-adjusted analysis, ability to walk ≥100 steps∙minute(-1) predicted a 21 % reduction in all-cause mortality (hazard ratio [HR], 0.79; 95 % confidence interval [95 % CI], 0.71-0.89, p < 0.001). Each ten-step increase in walking cadence predicted a 4 % reduction in all-cause mortality (HR, 0.96, [0.94-0.98], p < 0.001). In secondary analyses, ability to walk ≥100 steps∙minute(-1) predicted reductions in cardiovascular-specific mortality (HR, 0.79 [0.67-0.92], p = 0.002), cancer-specific mortality (HR, 0.76 [0.58-0.99], p = 0.050), and mortality from other causes (HR, 0.82 [0.68-0.97], p = 0.025). Predicted survival, adjusted for age and sex, was not different using walking cadence versus gait speed. LIMITATIONS: Walking cadence was a cross-sectional measurement.

conclusionsThe ability to walk ≥100 steps∙minute(-1) predicts a reduction in mortality among a sample of community-dwelling older adults.

Indexed as

Population SurveillanceResidence CharacteristicsAgedCohort StudiesFemaleFollow-Up StudiesGaitHumansMaleMortalityNutrition SurveysTime FactorsWalking

Identifiers

PMID24934147
PMCPMC4139514

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.