The Need for Speed: Walking Speed and Cognitive Function in Older Adults

Published on August 1, 2022

Imagine you’re taking a leisurely stroll in a peaceful suburban neighborhood. As you walk, you can’t help but notice that your speed may be linked to something more than just physical fitness. A group of scientists in China sought to uncover the relationship between walking speed and cognitive function in older adults living in a Chinese suburb. They recruited 625 elderly individuals, both men and women, and assessed their walking speed, cognitive impairment, and cognitive domain functions. The results showed that slower walking speed was associated with cognitive impairment, particularly in men. Interestingly, impaired orientation was found to be related to walking speed in both men and women. These findings suggest that assessing the walking speed of older adults could be a valuable tool in detecting and preventing cognitive decline. So, next time you take a walk, pay attention to your speed – it could be an indicator of your brain health!

ObjectiveTo examine the relationship among walking speed, cognitive impairment, and cognitive domain functions in older men and women living in a Chinese suburban community.MethodsIn total, 625 elderly (72.54 ± 5.80 years old) men (n = 258) and women (n = 367) from the Chongming district of Shanghai participated in this study. All participants had Mini-Mental State Examination (MMSE), 4-m walking test, medical history questionnaire, and physical examination. They were grouped according to walking speed (>0.8 vs. ≤ 0.8 m/s) with the stratification of sex. The odds ratio (OR) and the 95% confidence interval (CI) were assessed using the chi-square test and logistic regression analysis.ResultsAround 11.6% of men and 14.2% of women had slow walking speeds. After adjusting for age, body mass index (BMI), education level, spouse, faller, the Geriatric Depression Scale (GDS) score, heart disease, stroke, arthritis, and low back pain, walking speed was negatively related to cognitive impairment in men (OR 0.11 [95% CI: 0.01, 0.94]; p = 0.043). In addition, the relationship between walking speed and impaired orientation was significant in both men (OR 0.003 [95% CI: 0.001, 0.05]; p < 0.001) and women (OR 0.15 [95% CI: 0.03, 0.75]; p = 0.021).ConclusionThe relationship between walking speed and cognitive impairment was only significant in men, but the association with impaired orientation was found in both men and women. Assessing the walking speed of the elderly is beneficial, which may help with early detection and early therapeutic prevention of cognitive impairment.

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