scholarly journals Excess Body Weight and Gait Influence Energy Cost of Walking in Older Adults

2015 ◽  
Vol 47 (5) ◽  
pp. 1017-1025 ◽  
Author(s):  
DAIN P. LAROCHE ◽  
NISE R. MARQUES ◽  
HEIDI N. SHUMILA ◽  
CHRISTOPHER R. LOGAN ◽  
ROBYN ST. LAURENT ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Weight ◽  
Energy Cost ◽  
Excess Body Weight ◽  
Energy Cost Of Walking

The Association of Mobility Determinants and Life Space Among Older Adults

2021 ◽  
Author(s):  
Pamela M Dunlap ◽  
Andrea L Rosso ◽  
Xiaonan Zhu ◽  
Brooke N Klatt ◽  
Jennifer S Brach
Keyword(s):  
Older Adults ◽  
Lower Extremity ◽  
Energy Cost ◽  
Community Dwelling ◽  
Walk Test ◽  
Personal Factors ◽  
Linear Regression Models ◽  
Life Space ◽  
Mobility Disability ◽  
Energy Cost Of Walking

Abstract Background It is important to understand the factors associated with life space mobility so that mobility disability can be prevented/treated. The purpose of this study was to identify the association between mobility determinants and life space among older adults. Methods This study was a cross-sectional analysis of 249 community-dwelling older adults (mean age=77.4 years, 65.5% female, 88% white) who were recruited for a randomized, controlled, clinical intervention trial. Associations between cognitive, physical, psychosocial, financial, and environmental mobility determinants and the Life Space Assessment (LSA) at baseline were determined using Spearman’s correlation coefficients and one-way analysis of variance. Multivariate analysis was performed using multivariable linear regression models. Results The mean LSA score for the sample was 75.3 (SD=17.8). Personal factors (age, gender, education, comorbidities), cognitive (Trail Making Test A and B), physical (gait speed, lower extremity power, Six Minute Walk Test, Figure of 8 Walk Test, tandem stance, energy cost of walking, and Late Life Function and Disability Function Scale), psychosocial (Modified Gait Efficacy Scale), and financial (neighborhood socio-economic status) domains of mobility were significantly associated with LSA score. In the final regression model, age (β=-0.43), lower extremity power (β=0.03), gait efficacy (β=0.19), and energy cost of walking (β=-57.41) were associated with life space (R 2=0.238). Conclusions Younger age, greater lower extremity power, more confidence in walking, and lower energy cost of walking were associated with greater life space. Clinicians treating individuals with mobility disability should consider personal, physical, and psychosocial factors assessing barriers to life space mobility.

scholarly journals Cycling efficiency and energy cost of walking in young and older adults

2018 ◽  
Vol 124 (2) ◽  
pp. 414-420 ◽  
Author(s):  
Glenn A. Gaesser ◽  
Wesley J. Tucker ◽  
Brandon J. Sawyer ◽  
Dharini M. Bhammar ◽  
Siddhartha S. Angadi
Keyword(s):  
Older Adults ◽  
Individual Variation ◽  
Energy Cost ◽  
Intraclass Correlation ◽  
Age Groups ◽  
Net Energy ◽  
Age Group ◽  
Cycling Efficiency ◽  
Considerable Individual Variation ◽  
Energy Cost Of Walking

To determine whether age affects cycling efficiency and the energy cost of walking (Cw), 190 healthy adults, ages 18–81 yr, cycled on an ergometer at 50 W and walked on a treadmill at 1.34 m/s. Ventilation and gas exchange at rest and during exercise were used to calculate net Cw and net efficiency of cycling. Compared with the 18–40 yr age group (2.17 ± 0.33 J·kg−1·m−1), net Cw was not different in the 60–64 yr (2.20 ± 0.40 J·kg−1·m−1) and 65–69 yr (2.20 ± 0.28 J·kg−1·m−1) age groups, but was significantly ( P < 0.03) higher in the ≥70 yr (2.37 ± 0.33 J·kg−1·m−1) age group. For subjects >60 yr, net Cw was significantly correlated with age ( R2 = 0.123; P = 0.002). Cycling net efficiency was not different between 18–40 yr (23.5 ± 2.9%), 60–64 yr (24.5 ± 3.6%), 65–69 yr (23.3 ± 3.6%) and ≥70 yr (24.7 ± 2.7%) age groups. Repeat tests on a subset of subjects (walking, n = 43; cycling, n = 37) demonstrated high test-retest reliability [intraclass correlation coefficients (ICC), 0.74–0.86] for all energy outcome measures except cycling net energy expenditure (ICC = 0.54) and net efficiency (ICC = 0.50). Coefficients of variation for all variables ranged from 3.1 to 7.7%. Considerable individual variation in Cw and efficiency was evident, with a ~2-fold difference between the least and most economical/efficient subjects. We conclude that, between 18 and 81 yr, net Cw was only higher for ages ≥70 yr, and that cycling net efficiency was not different across age groups. NEW & NOTEWORTHY This study illustrates that the higher energy cost of walking in older adults is only evident for ages ≥70 yr. For older adults ages 60–69 yr, the energy cost of walking is similar to that of young adults. Cycling efficiency, by contrast, is not different across age groups. Considerable individual variation (∼2-fold) in cycling efficiency and energy cost of walking is observed in young and older adults.

scholarly journals Reducing the energy cost of walking in older adults using a passive hip flexion device

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Fausto A. Panizzolo ◽  
Chiara Bolgiani ◽  
Laura Di Liddo ◽  
Eugenio Annese ◽  
Giuseppe Marcolin
Keyword(s):  
Older Adults ◽  
Energy Cost ◽  
Perceived Exertion ◽  
Optical Measurement ◽  
Assistive Device ◽  
Older Individuals ◽  
Metabolic Power ◽  
Temporal Parameters ◽  
Spatio Temporal ◽  
Energy Cost Of Walking

Abstract Background Elevated energy cost is a hallmark feature of gait in older adults. As such, older adults display a general avoidance of walking which contributes to declining health status and risk of morbidity. Exoskeletons offer a great potential for lowering the energy cost of walking, however their complexity and cost often limit their use. To overcome some of these issues, in the present work we propose a passive wearable assistive device, namely Exoband, that applies a torque to the hip flexors thus reducing the net metabolic power of wearers. Methods Nine participants (age: 62.1 ± 5.6 yr; height: 1.71 ± 0.05 m; weight: 76.3 ± 11.9 kg) walked on a treadmill at a speed of 1.1 m/s with and without the Exoband. Metabolic power was measured by indirect calorimetry and spatio-temporal parameters measured using an optical measurement system. Heart rate and ratings of perceived exertion were recorded during data collection to monitor relative intensity of the walking trials. Results The Exoband was able to provide a consistent torque (~ 0.03–0.05 Nm/kg of peak torque) to the wearers. When walking with the Exoband, participants displayed a lower net metabolic power with respect to free walking (− 3.3 ± 3.0%; p = 0.02). There were no differences in spatio-temporal parameters or relative intensities when walking with or without the Exoband. Conclusions This study demonstrated that it is possible to reduce metabolic power during walking in older adults with the assistance of a passive device that applies a torque to the hip joint. Wearable, lightweight and low-cost devices such as the Exoband have the potential to make walking less metabolically demanding for older individuals.

scholarly journals The association between energy cost of walking and physical function in older adults

2013 ◽  
Vol 57 (2) ◽  
pp. 198-203 ◽  
Author(s):  
David M. Wert ◽  
Jennifer S. Brach ◽  
Subashan Perera ◽  
Jessie VanSwearingen
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Energy Cost ◽  
Energy Cost Of Walking

PREDICTING THE ENERGY COST OF WALKING IN OLDER ADULTS 985

1996 ◽  
Vol 28 (Supplement) ◽  
pp. 165 ◽  
Author(s):  
A. F. Maliszewski ◽  
S. M. Puhl
Keyword(s):  
Older Adults ◽  
Energy Cost ◽  
Energy Cost Of Walking

A note on the energy cost of walking in cattle

1977 ◽  
Vol 25 (1) ◽  
pp. 107-110 ◽  
Author(s):  
J. M. de C. R. Ribeiro ◽  
J. M. Brockway ◽  
A. J. F. Webster
Keyword(s):  
Body Weight ◽  
Heat Production ◽  
Energy Cost ◽  
Energy Cost Of Walking

SUMMARYMeasurements were made of the heat production of cattle while standing at rest or walking on a treadmill at different speeds, both on the level and at a gradient of 6°. The energy cost of horizontal locomotion was about 2 J/kg per m at speeds of 40 to 85 m/min, irrespective of body weight or plane of nutrition. The energy cost of vertical locomotion was about 26 J/kg per vertical m.

scholarly journals Achilles tendon stiffness minimizes the energy cost in simulations of walking in older but not in young adults

2020 ◽  
Author(s):  
Tijs Delabastita ◽  
Friedl De Groote ◽  
Benedicte Vanwanseele
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Achilles Tendon ◽  
Energy Cost ◽  
Experimental Studies ◽  
Triceps Surae ◽  
Whole Body ◽  
Tendon Stiffness ◽  
Body Energy ◽  
Energy Cost Of Walking

AbstractBoth Achilles tendon stiffness and walking patterns influence the energy cost of walking, but their relative contributions remain unclear. These independent contributions can only be investigated using simulations. We created models for 16 young (24±2 years) and 15 older (75±4 years) subjects, with individualized (using optimal parameter estimations) and generic triceps surae muscle-tendon parameters. We varied Achilles tendon stiffness and calculated the energy cost of walking. Both in young and older adults, Achilles tendon stiffness independently contributed to the energy cost of walking. However, overall, a 25% increase in Achilles tendon stiffness increased the triceps surae and whole-body energy cost of walking with approximately 7% and 1.5%, respectively. Therefore, the influence of Achilles tendon stiffness is rather limited. Walking patterns also independently contributed to the energy cost of walking because the plantarflexor (including, but not limited to the triceps surae) energy cost of walking was lower in older than in young adults. Hence, training interventions should probably rather target specific walking patterns than Achilles tendon stiffness to decrease the energy cost of walking. However, based on the results of previous experimental studies, we expected that the calculated hip extensor and whole-body energy cost of walking would be higher in older than in young adults. This was not confirmed in our results. Future research might therefore assess the contribution of the walking pattern to the energy cost of walking by individualizing maximal isometric muscle force and by using three-dimensional models of muscle contraction.Summary statementAchilles tendon stiffness and walking patterns independently contribute to the energy cost in simulations of walking in young and older adults. The influence of Achilles tendon stiffness is rather small.

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