PMID- 12098148 OWN - NLM STAT- MEDLINE DCOM- 20020802 LR - 20220331 IS - 0003-9993 (Print) IS - 0003-9993 (Linking) VI - 83 IP - 7 DP - 2002 Jul TI - Physiologic, psychologic, and health predictors of 6-minute walk performance in older people. PG - 907-11 AB - OBJECTIVE: To determine the extent to which physiologic, psychologic, and health-related factors predict 6-minute walk distance (6MWD) in older people. DESIGN: Cross-sectional study. SETTING: Retirement villages. PARTICIPANTS: A total of 515 people between the ages of 62 and 95 years (mean +/- standard deviation, 79.5+/-6.4y) residing in retirement villages in Australia. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Quantitative tests of vision, strength, peripheral sensation, reaction time, and balance and short Mini-Mental State Examination, Geriatric Depression Scale, Positive and Negative Affect Schedule (PANAS), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and 6MWD. RESULTS: All physiologic, psychologic, and health scores were significantly associated with 6MWD. Multiple regression analysis revealed that 10 factors (visual contrast sensitivity, lower-limb strength, simple reaction time, postural sway, maximal balance range, PANAS positive scale score, SF-36 pain score, number of medications used, SF-36 general health subscale score, age) were significant and independent predictors of 6MWD performance. Of these measures, strength, maximal balance range, medication use, and age explained the largest proportions of the variance in 6MWD. The final regression model explained over half (52.5%) of the variance in 6MWD (multiple r=.72). CONCLUSIONS: In older people, 6MWD depends on multiple physiologic, psychologic, and health factors. Thus, 6MWD appears to provide a measure of overall mobility and physical functioning in this population group rather than a specific measure of cardiovascular fitness. CI - Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of physical Medicine and Rehabilitation FAU - Lord, Stephen R AU - Lord SR AD - Prince of Wales Medical Research Institute, Randwick NSW, Australia. s.lord@unsw.edu.au FAU - Menz, Hylton B AU - Menz HB LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Phys Med Rehabil JT - Archives of physical medicine and rehabilitation JID - 2985158R SB - IM MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Australia MH - Contrast Sensitivity/physiology MH - Cross-Sectional Studies MH - Depression MH - *Exercise Tolerance MH - Female MH - *Health Status MH - Humans MH - Male MH - Middle Aged MH - Multiple Sclerosis MH - Neuropsychological Tests MH - Postural Balance MH - Posture MH - Predictive Value of Tests MH - Reaction Time/physiology MH - Sex Distribution MH - Walking/*physiology EDAT- 2002/07/05 10:00 MHDA- 2002/08/03 10:01 CRDT- 2002/07/05 10:00 PHST- 2002/07/05 10:00 [pubmed] PHST- 2002/08/03 10:01 [medline] PHST- 2002/07/05 10:00 [entrez] AID - S0003-9993(02)00004-7 [pii] AID - 10.1053/apmr.2002.33227 [doi] PST - ppublish SO - Arch Phys Med Rehabil. 2002 Jul;83(7):907-11. doi: 10.1053/apmr.2002.33227.