Cited by 4,558Frailty in Older AdultsBalance, Gait, and Falls PreventionNutrition and Health in Aging

The DOI matches its Crossref record; 73 of the 73 references it cites were found in a registry or an index; none of the 52 sources its claims cite is checked for support yet.

Gait speed and survival in older adults.

Open access

Abstract

CONTEXT: Survival estimates help individualize goals of care for geriatric patients, but life tables fail to account for the great variability in survival. Physical performance measures, such as gait speed, might help account for variability, allowing clinicians to make more individualized estimates. OBJECTIVE: To evaluate the relationship between gait speed and survival. DESIGN, SETTING, AND PARTICIPANTS: Pooled analysis of 9 cohort studies (collected between 1986 and 2000), using individual data from 34,485 community-dwelling older adults aged 65 years or older with baseline gait speed data, followed up for 6 to 21 years. Participants were a mean (SD) age of 73.5 (5.9) years; 59.6%, women; and 79.8%, white; and had a mean (SD) gait speed of 0.92 (0.27) m/s. MAIN OUTCOME MEASURES: Survival rates and life expectancy. RESULTS: There were 17,528 deaths; the overall 5-year survival rate was 84.8% (confidence interval [CI], 79.6%-88.8%) and 10-year survival rate was 59.7% (95% CI, 46.5%-70.6%). Gait speed was associated with survival in all studies (pooled hazard ratio per 0.1 m/s, 0.88; 95% CI, 0.87-0.90; P < .001). Survival increased across the full range of gait speeds, with significant increments per 0.1 m/s. At age 75, predicted 10-year survival across the range of gait speeds ranged from 19% to 87% in men and from 35% to 91% in women. Predicted survival based on age, sex, and gait speed was as accurate as predicted based on age, sex, use of mobility aids, and self-reported function or as age, sex, chronic conditions, smoking history, blood pressure, body mass index, and hospitalization. CONCLUSION: In this pooled analysis of individual data from 9 selected cohorts, gait speed was associated with survival in older adults.

Overview

Integrity signals

Registry

Crossref · 10.1001/jama.2010.1923

Cites

73 of 73 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

43 Own result · 15 Sources not found · 9 Own interpretation · 7 Own method

Show all 18 claims

  • Probably not a substantial claim. 30
  • It may state two separate claims as one. 40
56 of 56
  • The paper relies on this without support.

    There are currently no well-established approaches to predicting life expectancy that incorporate health and function.

    “There are currently no well-established approaches to predicting life expectancy that incorporate health and function, although several models have been developed from individual data sources.3–5”
  • The paper relies on this without support.

    Survival estimates help individualize goals of care for geriatric patients.

    “Survival estimates help individualize goals of care for geriatric patients, but life tables fail to account for the great variability in survival.”
  • The paper relies on this without support.

    Advanced dementia is rare in populations who are competent to consent for research.

    “Only 1 of the 9 studies was based in clinical practice,21 and advanced dementia is rare in populations who are competent to consent for research.”
3 of 3

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

2 of 2

Citations

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Metadata

Authors
Studenski, S.
Affiliations
Universitat Autònoma de Barcelona (ES)
Corresponding author
Studenski, Stephanie
Venue
JAMA
Published
2011-01-05
Volume
305
Issue
1
Pages
50
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
OpenAlex
W2159296038
Cited by
4,558
References
73
Citations by year
2026: 377 · 2025: 333 · 2024: 267 · 2023: 311 · 2022: 355 · 2021: 399 · 2020: 389 · 2019: 358 · 2018: 272 · 2017: 301 · 2016: 255 · 2015: 273 · 2014: 243 · 2013: 184 · 2012: 166
FWCI
100.86
Type
journal article
Language
en
Open access
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • VU Research Portal (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • D-Scholarship@Pitt (University of Pittsburgh) (acceptedVersion)
  • Pure Amsterdam UMC (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Funders
  • National Institutes of Health (UL1TR000005)
  • National Institute on Aging (AG023641, AG 024827, K07AG023641, P30AG024827, P30AG021332)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Keywords
walking speed, survival, older adults, life expectancy, physical performance, mortality prediction, goals of care, community-dwelling older adults
MeSH terms
Aged, Female, Gait, Humans, Life Expectancy, Male, United States, Cohort Studies, Geriatric Assessment, Survival Analysis

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