Evidence map›Paper›PMID 40991115›Full record

ArticleGeroScience2026

Real-world walking patterns are associated with regional brain atrophy and white matter lesions in middle-aged and older people: a Watch Walk-UK Biobank study.

Takahiro Tajimi, Lloyd L Y Chan, Yoshiro Okubo, Stephen R Lord

Abstract read
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Takahiro TajimiFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Margarete Ainsworth Building, 139 Baker Street, Randwick, Sydney, NSW 2031, Australia. t.tajimi@neura.edu.au.ORCID http://orcid.org/0000-0002-6762-6505
Lloyd L Y ChanFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Margarete Ainsworth Building, 139 Baker Street, Randwick, Sydney, NSW 2031, Australia.
Yoshiro OkuboFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Margarete Ainsworth Building, 139 Baker Street, Randwick, Sydney, NSW 2031, Australia.
Stephen R LordFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Margarete Ainsworth Building, 139 Baker Street, Randwick, Sydney, NSW 2031, Australia.

Funding

Melanoma Centre of Research Excellence 1170910National Health and Medical Research Council 2002096
6 · The paper itself

Abstract

Clinic-based gait performance is associated with cognitive function and brain structure. This study investigated associations between multiple remotely collected digital gait biomarkers and brain structural changes in a large population-based cohort. Cross-sectional analysis of 6412 participants from the UK Biobank, with both valid wrist-worn accelerometer and brain MRI data. Digital gait parameters, including step count, usual and maximal gait speed, cadence, and stride regularity, were derived from accelerometry data using the validated Watch Walk algorithm. Brain volumes (total brain volume, white matter lesion volume, and frontal lobe, hippocampal, insular, and amygdala gray matter volumes) were measured using MRI. Multiple linear regression models were used to assess associations between gait parameters and brain volumes, adjusting for potential confounders, including demographic, lifestyle, and health-related factors. Restricted cubic splines explored the shape of associations. Faster maximal and usual gait speed and higher stride regularity were associated with lower white matter lesion volume and larger frontal lobe, hippocampal, insular, and amygdala gray matter volumes. Restricted cubic spline analyses revealed that the relationships between maximal gait speed and stride regularity, on one hand, and white matter lesion volume, frontal lobe, hippocampal, insular, and amygdala gray matter volumes, on the other hand, were predominantly linear. Gait speed and stride regularity, objectively measured using wrist-worn accelerometers in real-world settings, are significantly associated with brain structural integrity. These findings highlight the potential of digital gait biomarkers as scalable and cost-effective tools for monitoring brain health and identifying individuals at risk for cognitive decline.

Indexed as

BrainGaitWalkingWhite MatterAccelerometryAgedAtrophyBiological Specimen BanksCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedUK BiobankUnited KingdomBrain MRIReal-world gaitSmartwatchesUK BiobankWearable sensors

Identifiers

PMID40991115
PMCPMC13356196

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.