The Factors Affecting Slow Gait Speed in Older Adults

Year 2020, Volume: 13 Issue: 2, 108 - 114, 15.04.2020

Süleyman Emre Koçyiğit , Fatma Sena Dost Günay , Ali Ekrem Aydın

Abstract

Background: Slow gait speed is an important problem in older adults and can be affected by many factors. Objectives: Aims of this study are to compare the all participants, performed comprehensive geiratric assessment (CGA), in terms of gait speed and determine the factors affecting slow walking speed in elderly. Methods: In the cross-sectional and observational study, 311 older patients who applied to our geriatric clinics were assessed between 2017 and 2019. All patients underwent CGA. Gait speed was measured by 4-meter walking test. Results Of 311 patients, 71.4% were female and mean age of the participants was 75.37±7.58. The frequencies of urinary incontinence, congestive heart failure, osteoarthritis, dementia, orthostatic hypotension and polypharmacy were higher in patients with slower gait speed (p<.05). While activities of Daily Living (ADL), nutritional assessment, Mini-mental State Examination scores were lower, geriatric depression score (GDS) was higher in patients with slower gait speed than normal gait speed (p<.05). When logistic regression analysis was perfomed adjusted as age, gender and education years, slow gait speed was associated with urinary incontinence, the presence of dementia, higher GDS score, impairment of ADLs and lower nutritional assessment score (p<.05). Conclusion: Slow gait speed may increase some geriatric syndromes. Assesment of gait speed is important in geriatric practice. Gait speed should be considered as a significant component of CGA.

Keywords

Slow Gait Speed, Ageing, Comprehensive Geriatric Assessment

Yaşlı Bireylerde Düşük Yürüme Hızını Etkileyen Faktörler

Abstract

Giriş: Yaşlı bireylerde düşük yürüme hızı önemli bir sorundur ve düşük yürüme hızını birçok faktör etkileyebilmektedir. Amaç: Bu çalışmanın amacı kapsamlı geriatrik değerlendirme (KGD) kapsamında yürüme hızına göre yaşlı bireyleri karşılaştırmak ve düşük yürüme hızını etkileyen faktörleri belirlemektir. Yöntem: Kesitsel ve gözlemsel olan bu çalışmada, 2017-2019 yılları arasında geriatri kliniğine başvuran 311 hasta değerlendirildi ve tüm hastalara KGD uygulandı. Yürüme hızı, 4-metre yürüme testi ile ölçüldü. Bulgular: 311 hastanın %71.4’ü kadın ve ortalama yaşı 75.37±7.58 idi. Üriner inkontinans, konjestif kalp yetmezliği, osteoartrit, demans, ortostatik hipotansiyon ve polifarmasi sıklığı düşük yürüme hızı olan yaşlılarda daha fazla oranda saptandı (p<.05). Günlük yaşam aktivite (GYA) ve nütrisyonel değerlendirme, Mini-mental durum muayenesi skorları düşük yürüme hızı grubunda daha düşükken, geriatrik depresyon skoru (GDS) daha yüksek olarak tespit edildi (p<.05). Yaş, cinsiyet ve eğitim yılına göre lojistik regresyon analizinde düşük yürüme hızı üriner inkontinans, demans, yüksek GDS skoru, GYA’larda bozulma ve nütrisyonel skor düşüklüğü ile ilişkili bulunmuştur (p<.05). Sonuç: Yaşlı bireylerde düşük yürüme hızı birçok geriatrik sendromun riskini artırabilir. Geriatri pratiğinde yürüme hızını değerlendirme önemlidir. Yürüme hızı, KGD’nin önemli bir bileşeni olarak kabul edilmelidir.

Keywords

Düşük Yürüme Hızı, Yaşlılık, Kapsamlı Geriatrik Değerlendirme

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