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Association between gait speed and bone strength
REGULAR ARTICLE
Association between gait speed and bone strength
in community-dwelling postmenopausal
Japanese women
Takahiko Sakazaki ? Teruhiko Koike ?
Yuji Yanagimoto ? Yoshiharu Oshida
Received: 5 November 2011 / Accepted: 10 January 2012
The Japanese Society for Hygiene 2012
Abstract
Objectives It is unclear whether gait speed can be used to
predict bone status or to diagnose osteopenia or osteopo-
rosis. The aim of our study was to determine whether the
measurement of physical performance predicts bone
strength in community-dwelling postmenopausal Japanese
women.
Methods We measured speed of sound (SOS), weight
bearing index (WBI), maximum or usual gait speed, step
length of each gait, single leg balance time with or without
eyes closed, and grip strength among 1,061 postmenopausal
women (mean age ± standard deviation 68 ± 8 years).
Results After adjustments for age and body mass index,
SOS was associated with maximum or usual gait speed and
with step length during maximum speed gait, but not with
WBI, grip strength, single-leg balance time with or without
eyes closed, or step-length time during usual gait speed.
When subjects were divided into quartile groups based on
WBI (a marker of lower extremity strength), significant
associations between usual or maximum gait speed and
SOS were found only in the lowest and second lowest
groups (first and second quartiles). Finally, analysis of
sensitivity and specificity at various cut-off points of
maximum gait speed to predict decreased SOS showed
relatively high specificity compared with the corresponding
sensitivity among those with low gait speed.
Conclusions Maximum gait speed together with WBI
may be a useful and specific test to predict bone status in
postmenopausal older women.
Keywords Weight bearing index Speed of sound Gait
speed Postmenopausal women Physical function
Introduction
Life expectancy in developed countries was prolonged by
approximately 30 years during the twentieth century. The
result
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