PMID- 31252159 OWN - NLM STAT- MEDLINE DCOM- 20200911 LR - 20200911 IS - 1873-6815 (Electronic) IS - 0531-5565 (Linking) VI - 124 DP - 2019 Sep TI - Peak oxygen uptake, six-minute walk distance, six-meter walk speed, and pulse pressure as predictors of seven year all-cause and cardiovascular mortality in community-living older adults. PG - 110645 LID - S0531-5565(18)30787-3 [pii] LID - 10.1016/j.exger.2019.110645 [doi] AB - Cardiorespiratory fitness and physical performance measures predict mortality. It is uncertain whether pulse pressure (PP), a measure that is routinely available in healthcare settings, may also predict mortality with a comparable degree of accuracy. In a study consisting of older adults (709 men and 467 women) living in the community, we examined the relationship between PP, peak oxygen uptake (VO2 peak), 6-minute walk distance (6MWD) and 6-meter walking speed (6MWS) and seven year all-cause and cardiovascular mortality. Receiver operator characteristic (ROC) curve was used to compare predictive performance. In the prediction of all-cause mortality, in men, 6MWD, 6MWS and PP all have comparable area under curve (AUC) values compared with VO2 peak: 0.736, 0.723, 0.736 and 0.734 respectively. Similar results were observed for women, although all the AUC values were slightly lower (corresponding values were 0.723, 0.713, 0.702 and 0.747 respectively). For cardiovascular mortality, the findings are similar although in men all AUC values were higher. We conclude that PP predicts 7 year all-cause and cardiovascular mortality in older adults with an accuracy similar to VO2 peak, 6MWD and 6MWS, although the association is less strong in women. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Woo, Jean AU - Woo J AD - Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong. Electronic address: jeanwoowong@cuhk.edu.hk. FAU - Yau, Forrest AU - Yau F AD - Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong. FAU - Leung, Jason AU - Leung J AD - The Jockey Club Centre for Osteoporosis Care and Control, The Chinese University of Hong Kong, Hong Kong. FAU - Chan, Ruth AU - Chan R AD - Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong. LA - eng PT - Journal Article DEP - 20190625 PL - England TA - Exp Gerontol JT - Experimental gerontology JID - 0047061 SB - IM MH - Aged MH - Aged, 80 and over MH - *Blood Pressure MH - Body Mass Index MH - Cardiorespiratory Fitness MH - Cardiovascular Diseases/*mortality/physiopathology MH - Exercise Tolerance MH - Female MH - Hong Kong/epidemiology MH - Humans MH - Male MH - *Mortality MH - *Oxygen Consumption MH - Predictive Value of Tests MH - ROC Curve MH - *Walk Test MH - *Walking Speed OTO - NOTNLM OT - 6-minute walk test OT - Cardiorespiratory fitness OT - Mortality OT - Pulse pressure OT - Walking speed EDAT- 2019/06/30 06:00 MHDA- 2020/09/12 06:00 CRDT- 2019/06/29 06:00 PHST- 2018/12/06 00:00 [received] PHST- 2019/06/24 00:00 [revised] PHST- 2019/06/24 00:00 [accepted] PHST- 2019/06/30 06:00 [pubmed] PHST- 2020/09/12 06:00 [medline] PHST- 2019/06/29 06:00 [entrez] AID - S0531-5565(18)30787-3 [pii] AID - 10.1016/j.exger.2019.110645 [doi] PST - ppublish SO - Exp Gerontol. 2019 Sep;124:110645. doi: 10.1016/j.exger.2019.110645. Epub 2019 Jun 25.