PMID- 38102928 OWN - NLM STAT- MEDLINE DCOM- 20240105 LR - 20240105 IS - 1447-0594 (Electronic) IS - 1447-0594 (Linking) VI - 24 IP - 1 DP - 2024 Jan TI - Age-related change in gait efficacy and predictors of its decline: A 3-year longitudinal study. PG - 90-94 LID - 10.1111/ggi.14767 [doi] AB - AIM: This study aimed to calculate the minimal clinically important difference (MCID) for a modified Gait Efficacy Scale (mGES) over 3 years and to clarify the predictors of mGES decline. METHODS: In total, 87 community-dwelling older adults were enrolled in this 3-year longitudinal study. The mGES, fall history and physical function (chair stand frequency, open-eyes one-leg stand, open-close stepping test, walking speed, walking endurance [shuttle stamina walk test] and physical activity) were assessed at baseline. After a 3-year follow-up period, the mGES and Global Rating of Change Scale were assessed. The MCID was calculated using anchor-based methods, with the Global Rating of Change Scale as an anchor. The participants were classified into the decline and keep groups based on whether the changes in the mGES were greater than the MCID. A logistic regression analysis was conducted using the mGES as the dependent variable and physical characteristics, fall history, and physical function as independent variables. RESULTS: The MCID for the mGES over 3 years was -7.38 points. A logistic regression analysis identified low open-close stepping (odds ratio, 0.87; 95% confidence interval, 0.782-0.985; P = 0.027) and the shuttle stamina walk test (odds ratio, 0.974; 95% confidence interval, 0.949-1.000; P = 0.049) as predictors of the mGES decline. CONCLUSION: These findings suggest that a change of 7.38 points in the mGES was clinically significant and that poor agility and walking endurance can predict future decline in the mGES. Geriatr Gerontol Int 2024; 24: 90-94. CI - (c) 2023 Japan Geriatrics Society. FAU - Sato, Yu AU - Sato Y AD - Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Taniguchi, Masashi AU - Taniguchi M AUID- ORCID: 0000-0003-0548-0210 AD - Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Fukumoto, Yoshihiro AU - Fukumoto Y AUID- ORCID: 0000-0003-0516-770X AD - Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. AD - Faculty of Rehabilitation, Kansai Medical University, Hirakata, Japan. FAU - Okada, Shogo AU - Okada S AUID- ORCID: 0000-0002-7956-5017 AD - Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. AD - Research Fellow of the Japan Society for the Promotion of Science, Chiyoda-ku, Japan. FAU - Wang, Zimin AU - Wang Z AUID- ORCID: 0000-0002-0701-3870 AD - Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. AD - Research Fellow of the Japan Society for the Promotion of Science, Chiyoda-ku, Japan. FAU - Nakazato, Kaede AU - Nakazato K AUID- ORCID: 0000-0002-9126-9843 AD - Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Niiya, Nanami AU - Niiya N AUID- ORCID: 0000-0003-4054-9607 AD - Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Yamada, Yosuke AU - Yamada Y AUID- ORCID: 0000-0002-4284-6317 AD - National Institutes of Biomedical Innovation, Health and Nutrition, Ibaraki, Japan. FAU - Kimura, Misaka AU - Kimura M AUID- ORCID: 0000-0001-8110-8299 AD - Institute for Active Health, Kyoto University of Advanced Science, Kameoka, Japan. FAU - Ichihashi, Noriaki AU - Ichihashi N AUID- ORCID: 0000-0003-2508-2172 AD - Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. LA - eng PT - Journal Article DEP - 20231216 PL - Japan TA - Geriatr Gerontol Int JT - Geriatrics & gerontology international JID - 101135738 SB - IM MH - Humans MH - Aged MH - Longitudinal Studies MH - *Geriatric Assessment/methods MH - *Gait MH - Walking MH - Walking Speed OTO - NOTNLM OT - community-dwelling OT - longitudinal study OT - minimal clinically important difference OT - older adults OT - self-efficacy EDAT- 2023/12/16 11:44 MHDA- 2024/01/05 06:42 CRDT- 2023/12/16 05:27 PHST- 2023/11/16 00:00 [revised] PHST- 2023/07/16 00:00 [received] PHST- 2023/11/20 00:00 [accepted] PHST- 2024/01/05 06:42 [medline] PHST- 2023/12/16 11:44 [pubmed] PHST- 2023/12/16 05:27 [entrez] AID - 10.1111/ggi.14767 [doi] PST - ppublish SO - Geriatr Gerontol Int. 2024 Jan;24(1):90-94. doi: 10.1111/ggi.14767. Epub 2023 Dec 16.