ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2019
Hospitalization-Associated Change in Gait Speed and Risk of Functional Limitations for Older Adults.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and meta-analysis: Assessment of hospital walking programs among older patients.Nursing open · 2023Pooled it
- Contralateral Adaptations After Unilateral Power Training in Older Adults: The Effect of Intensity of Load.Scandinavian journal of medicine & science in sports · 2025Trial
- HOMEFOOD Randomised Trial - Six-Month Nutrition Therapy in Discharged Older Adults Reduces Hospital Readmissions and Length of Stay at Hospital Up to 18 Months of Follow-Up.The journal of nutrition, health & aging · 2023Trial
- Trial
- Prevalence and impact of sarcopenic obesity at hospital admission according to ESPEN-EASO approach on functional status of older adults: results of a retrospective and prospective observational study.European journal of clinical nutrition · 2026Article
- Effect of hospitalization on cognitive and physical function in people with HIV.AIDS (London, England) · 2026Article
- Article
- Multimodal gait dataset with floor accelerations, inertial sensor data, and synchronized video from controlled walking trials.Data in brief · 2026Article
- Loneliness and Risk of 30-Day Hospital Readmission After Acute Myocardial Infarction.Medical care · 2025Article
- Benefits of Cardiac Rehabilitation: Mechanisms to Restore Function and Clinical Impact.Circulation research · 2025Review
- Metabolic Markers Demonstrate the Heterogeneity of Walking Ability in Non-Disabled Community-Dwelling Older Adults.Metabolites · 2025Article
- Predicting In-Hospital Fall Risk Using Machine Learning With Real-Time Location System and Electronic Medical Records.Journal of cachexia, sarcopenia and muscle · 2025Article
- Walking netEuropean journal of applied physiology · 2024Article
- Low Physical Performance Could Be Associated with Adverse Health Outcomes over Time: Results from a Cohort of Older Adults.International journal of environmental research and public health · 2024Article
- Clinical improvements in temporospatial gait variables after a spinal tap test in individuals with idiopathic normal pressure hydrocephalus.Scientific reports · 2024Article
- Multidisciplinary understanding of modifiable physical disability risk factors for health professionals: A scoping review protocol.PloS one · 2024Article
- Probabilistic Estimation of Cadence and Walking Speed From Floor Vibrations.IEEE journal of translational engineering in health and medicine · 2024Article
- Article
- A pilot observational study of gait changes over time before and after an unplanned hospital visit in long-term care residents with dementia.BMC geriatrics · 2023Observational
- Cognitive-motor interventions based on virtual reality and instrumental activities of daily living (iADL): an overview.Frontiers in aging neuroscience · 2023Review
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundHospitalization-associated functional decline is a common problem for older adults, but it is unclear how hospitalizations affect physical performance measures such as gait speed. We sought to determine hospitalization-associated change in gait speed and likelihood of new limitations in mobility and activities of daily living (ADLs).
methodsWe used longitudinal data over 5 years from the Health, Aging and Body Composition Study, a prospective cohort of black and white community-dwelling men and women, aged 70-79 years, who had no limitations in mobility (difficulty walking 1/4 mile or climbing 10 steps) or ADLs (transferring, bathing, dressing, and eating) at baseline. Gait speed, and new self-reported limitations in mobility and ADLs were assessed annually. Selected participants (n = 2,963) had no limitations at the beginning of each 1-year interval. Hospitalizations were self-reported every 6 months and verified with medical record data. Generalized estimating equations were used to examine hospitalization-associated change in gait speed and odds of new limitations over each 1-year interval. Fully adjusted models included demographics, hospitalization within the past year, health conditions, symptoms, body mass index, and health-related behaviors.
resultsIn fully adjusted models, any hospitalization was associated with decrease in gait speed (-0.04 m/s; 95% confidence interval [CI]: -0.05 to -0.03) and higher odds of new limitations in mobility or ADLs (odds ratio = 1.97, 95% CI: 1.70-2.28), and separately with increased odds of new mobility limitation (odds ratio = 2.22, 95% CI: 1.90-2.60) and new ADL limitations (odds ratio = 1.84, 95% CI: 1.53-2.21). Multiple hospitalizations within a year were associated with gait speed decline (-0.06 m/s; 95% CI: -0.08 to -0.04) and greater odds of new limitations in mobility or ADLs (odds ratio = 2.96, 95% CI: 2.23-3.95).
conclusionsFunctionally independent older adults experienced hospitalization-associated declines in gait speed and new limitations in mobility and ADLs.
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