Walking Economy and Preferred Speed in Old and Very Old Men.

Abstract

Purpose: With aging, the decline in preferred walking speed (PWS), influenced by the increased energy cost of walking (CoW), is a key predictor of morbidity. However, the determinants associated with PWS and CoW remain poorly understood, especially after 80 yr old. The aim of the study was to characterize the amplitude and mechanisms of age-related decline in CoW and PWS in old (OM) and very old (VOM) men.

Methods: Thirty-nine young men (YM; 22.1 ± 3.4 yr), 34 OM (71.7 ± 4.1 yr), and 23 VOM (85.8 ± 2.7 yr) performed aerobic, neuromuscular, and gait assessments. Net CoW was measured on a treadmill. Physical activity (PA) was evaluated by questionnaire and accelerometry.

Results: Net CoW was 32% ( P < 0.001), 19% ( P < 0.01), and 26% ( P < 0.001) higher in VOM compared with OM for 1.11 m·s -1 , 1.67 m·s -1 , and PWS. Net CoW was also 27% ( P < 0.001), 26% ( P < 0.01), and 29% ( P < 0.001) higher in OM compared with YM at these speeds. Linear regression stratified by age showed that net CoW at PWS was associated with step frequency ( r = 0.79; P < 0.001) for OM and with both coefficient of variation of stride mean time ( r = 0.48; P < 0.05) and maximal strength of knee extensors ( r = -0.54; P < 0.05) for VOM. The same analysis revealed that PWS was correlated with net CoW ( r = -0.56; P < 0.05) and PA ( r = 0.47; P < 0.05) in VOM.

Conclusions: The progressive increase in net CoW with age was associated with gait and neuromuscular impairments, particularly after the age of 80 yr. This increase in net CoW was related to a decrease in PWS in VOM, suggesting an adaptation of PWS to compensate for the increase in energy demand. Maintaining a high level of PA may potentially delay the age-related decline in PWS despite an age-related increase in net CoW.