Evidence map›Paper›PMID 31395494›Full record

ArticleJournal of the American Medical Directors Association2019

Home-Based Gait Speed Assessment: Normative Data and Racial/Ethnic Correlates Among Older Adults.

David A Boulifard, Emmeline Ayers, Joe Verghese

Abstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–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, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  7. Super Movers: Epidemiology and Biology of a Novel Exceptional Aging Phenotype.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  8. Gait Parameters in Healthy Older Adults in Korea.Journal of movement disorders · 2025
    Article
  9. Article
  10. Correlates of Gait Speed Among Older Adults From 6 Countries: Findings From the COSMIC Collaboration.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
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  18. Subjective Motoric Complaints and New Onset Slow Gait.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Article
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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.

David A BoulifardDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY.
Emmeline AyersDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY. Electronic address: Emmeline.ayers@einstein.yu.edu.
Joe VergheseDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY; Department of Medicine, Albert Einstein College of Medicine, Bronx, NY.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Cognitive sequelae of the biological effects of COVID-19 on the nervous system in a health disparity populationUH3NS105565 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI VERGHESE, JOE · 2019 to 2021
$2.8M
5-Cog Battery to improve detection of cognitive impairment and dementiaUG3NS105565 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI VERGHESE, JOE · 2017 to 2018
$1.4M
NIA NIH HHS U01 AG009740NINDS NIH HHS UG3 NS105565NINDS NIH HHS UH3 NS105565
6 · The paper itself

Abstract

objectivesTo determine home-based gait speed performance and its associations with sociodemographic and health-related factors among older adults.

designCross-sectional analysis of a nationally representative US population sample. SETTING AND

participantsHomes of Health and Retirement Study (HRS) participants.

methodsWalk test data measured at home over 2.5 m were aggregated for 6983 individuals, aged ≥65 years (mean age 74.8 ± 6.9 years, 54.2% women), from the 2006 and 2008 HRS waves. Means for gait speed at normal pace were determined for demographic and clinical groupings; association of gait speed with demographic, socioeconomic status, and health factors were examined. Four-year mortality was predicted from baseline slow gait status defined using demographic-based cutoff scores as well as commonly recommended cutoff scores (100 or 60 cm/s).

resultsHome-based gait speed (cm/s) means were lower for female than male (9.6% difference), older than younger (18.0% difference), African American than white (20.5% difference), and Hispanic than Non-Hispanic (10.3% difference) participants. Differences by age group, race, and ethnicity remained significant within sexes (P < .001). Lower speed was associated with African American race and all health problems; higher speed was associated with higher socioeconomic status and alcohol consumption. Four-year mortality was predicted by slow gait status. Predictive validity was, in general, higher for slow gait cutoff scores defined by demographic characteristics. CONCLUSIONS AND IMPLICATIONS: Mean gait speed measured at home differs among older (aged ≥65 years) US resident population groups defined by sex, age, race, ethnicity, health status, and combinations of these factors, and predicts 4-year mortality when substantially slower than group-based norms. These findings may assist researchers and clinicians in determining normal and abnormal gait performance in older adults in community settings.

Indexed as

EthnicityRacial GroupsAgedAged, 80 and overCross-Sectional StudiesFemaleGaitHumansMaleUnited StatesWalking SpeeddemographicsGait speedmedical conditionsmortalityrace disparitiessocioeconomic status

Identifiers

PMID31395494
PMCPMC6768753

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Registered trials

None linked

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.