Evidence map›Paper›PMID 42535652›Full record

ArticleGeriatrics & gerontology international2026

Novel Gait Speed Cut-Off Values Associated With Prognosis in Older Patients With Heart Failure.

Atsushi Ogi, Kotaro Iwatsu, Yuki Iida, Yuji Kono, Masakazu Saitoh, Koji Sakurada, Yoshinari Funami, Hiroki Sasaki, Tetsuya Takahashi

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Geriatrics & gerontology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Atsushi OgiDepartment of Rehabilitation, Hirakata Kohsai Hospital, Osaka, Japan.ORCID https://orcid.org/0009-0006-5237-943X
Kotaro IwatsuDepartment of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1965-8307
Yuki IidaCommittee of the J-Proof HF, Japanese Society of Cardiovascular Physical Therapy, Tokyo, Japan.
Yuji KonoCommittee of the J-Proof HF, Japanese Society of Cardiovascular Physical Therapy, Tokyo, Japan.ORCID https://orcid.org/0000-0003-2566-3196
Masakazu SaitohCommittee of the J-Proof HF, Japanese Society of Cardiovascular Physical Therapy, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8666-6353
Koji SakuradaCommittee of the J-Proof HF, Japanese Society of Cardiovascular Physical Therapy, Tokyo, Japan.
Yoshinari FunamiCommittee of the J-Proof HF, Japanese Society of Cardiovascular Physical Therapy, Tokyo, Japan.ORCID https://orcid.org/0009-0008-9810-4292
Hiroki SasakiDepartment of Rehabilitation, Hirakata Kohsai Hospital, Osaka, Japan.ORCID https://orcid.org/0009-0009-6812-7781
Tetsuya TakahashiCommittee of the J-Proof HF, Japanese Society of Cardiovascular Physical Therapy, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6068-7623

Funding

the Japanese Society of Cardiovascular Physical Therapy
6 · The paper itself

Abstract

backgroundGait speed is an independent prognostic factor in patients with heart failure (HF) and is recognized as a therapeutic target. Although a single cutoff of 0.98 m/s has been proposed based on post-discharge prognosis, the continuous relationship between gait speed and outcomes suggests the possible presence of multiple cutoffs. Identifying these thresholds may help establish stepwise, attainable goals for a broad range of older HF patients. This study aimed to determine whether additional prognostic gait speed cutoffs exist at discharge in older HF patients.

methodsWe conducted a secondary analysis of the J-Proof HF, comprising 7326 hospitalized patients aged ≥ 65 years with confirmed HF. The cohort was randomly divided into a derivation (60%) and a validation (40%) cohort. The primary outcome was a composite of all-cause death or HF readmission within 1 year. Gait speed cutoffs were identified in the derivation cohort using survival classification and regression tree (CART) analysis and validated in the validation cohort.

resultsThree prognostic cutoffs were identified (< 0.39, < 0.69, and < 1.00 m/s), defining four gait speed categories. Patients with slower gait speed were older, had more comorbidities, and poorer physical function. Gait speed category remained independently associated with outcomes (HR 1.21, 95% CI 1.13-1.30).

conclusionsThis study established new prognostic gait speed cutoffs in older HF patients, which may help set individualized physiotherapy goals based on patient mobility.

trial registrationClinicalTrials.gov identifier: UMIN000047893.

Indexed as

Heart FailureWalking SpeedAgedAged, 80 and overFemaleGeriatric AssessmentHumansMalePrognosisfrailtygaitheart failurephysical therapyprognosis

Identifiers

PMID42535652
PMCPMC13426040

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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.