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Anson B. Rosenfeldt, Amanda L. Penko, Andrew S. Bazyk, Matthew C. Streicher, Tanujit Dey, and Jay L. Alberts

, Galvin, & French, 2015 ). Nevertheless, due to the brevity of the test, participants generally have time only to provide a few cognitive responses, which may limit the assessment of DT deficits. Assessing DT decline over a longer ambulation duration, such as with a 2-min walk test (2MWT; Light, Behrman

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Vincent Shieh, Cris Zampieri, Ashwini Sansare, John Collins, Thomas C. Bulea, and Minal Jain

one validation study to date has been conducted, which was limited to young children between 3 and 8 years of age ( Lanovaz et al., 2017 ). Another study, although not focused on validity, utilized the inertial sensors on a 10-m walk test to differentiate gait parameters in children with spina bifida

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Hananeh Younesian, Thomas Legrand, Ludovic Miramand, Sarah Beausoleil, and Katia Turcot

Functional mobility improvement is the main goal of rehabilitation in individuals with lower limb amputation (iLLA) for personal care, community ambulation, and independence. 1 , 2 Functional walk tests have been extensively used to measure the effects of rehabilitation. 2 – 5 In addition

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Puttipong Poncumhak, Arunrat Srithawong, and Winut Duangsanjun

not be a good indication of mobility. The researchers found that the tandem walk test (TWT) is a simple objective and practical tool with less equipment and convenience used in the community setting. The test, a clinical assessment of dynamic balance, has been employed in many studies ( Chantanachai

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Beverly J. Warren, Ruth G. Dotson, David C. Nieman, and Diane E. Butterworth

The accuracy of a 1-mile walking test to estimate aerobic power was assessed in a group of 28 sedentary elderly women (age = 73.5 ±0.8 yrs; body mass = 66.0 ±2.2 kg). Subjects were given the walk test and a graded maximal treadmill test for VO2peak at baseline and then were randomly assigned to either a walking group or a mild calisthenics control group for 12 weeks. Both the treadmill test and the walk test were re-administered at 5 weeks and at 12 weeks. The data suggest that regression approaches underestimate measured VO2peak by 17% in sedentary elderly women, but that accuracy is much improved after 5 weeks of brisk walking. Measurements at 12 weeks demonstrated even closer approximations of the laboratory measurement of VO2peak for the walking group. The 1-mile walk test underestimated VO2peak for the calisthenics group by 11% at the end of the 12 weeks. It was concluded that the 1-mile walk test underestimates measured VO2peak in elderly women unless they are accustomed to brisk walking.

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Carmelo Bazzano, Lee N. Cunningham, Giovanni Cama, and Tony Falconio

This study examined the physiology of the 1-mile walk test as administered in the field with 16 (7 M, 9 F) older adults (mean age 66.1 ± 5.9 yrs). Physiologic data were obtained via a Cosmed K2 miniaturized O2 analyzer with telemetric capabilities during a maximal treadmill (TM) test and a 1-mile walk test (MWT). Oxygen consumption (ml · kg−1 · min−1), minute ventilation (L · min−1), and heart rate (b · min−1) values obtained at maximal levels on the TM were 25.6 ± 7.6, 57 ± 17, and 155 ± 16, respectively. The measured V̇O2 submax during the MWT was 18.5 + 5, V̇E submax was 44 ± 10, and HR submax was 140 ± 19. The subjects were able to hold 74% of the V̇O2max, 81% of V̇Emax, and 91% of HR max. An upward drift for HR and V̇E was noted while V̇O2 remained constant throughout the MWT. The MWT with older subjects requires a vigorous level of metabolic and cardiorespiratory intensity. For healthy older adults who have been properly screened for hidden metabolic and cardiovascular diseases, participation in the MWT appears feasible.

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Claire Peel and Diane Ballard

The primary purpose of this study was to determine the reproducibility of the 6-min-walk test (6MWT) in older women. A secondary purpose was to document heart rate (HR), blood pressure (BP), and ratings of perceived exertion (RPE) in response to the 6MWT. Twenty-eight women with an average age of 80.0 years (±5.2) participated. They performed 2 trials of the 6MWT on 3 separate days, for a total of 6 trials. Heart rate, BP, RPE, and the total distance walked were recorded for each trial. The results indicated a significant increase from Trial 1 to Trial 2, with no differences between Trials 2–6, F(5, 131) = 7.02, p = .000. HR and BP were consistent across the 6 trials, and RPE was higher for the second trial on the second day of testing, F(5, 131) = 2.72, p = .023. The intraclass correlation coefficient for distance walked was .94. After the initial trial, performance on the 6MWT appears to be stable in older women.

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Kelley K. Pettee Gabriel, Rebecca L. Rankin, Chong Lee, Mary E. Charlton, Pamela D. Swan, and Barbara E. Ainsworth

Background:

The 400 m walk test has been used in older adults; however, the applicability in middle-aged populations is unknown.

Methods:

Data were obtained from the Evaluation of Physical Activity Measures in Middle-Aged Women (PAW) Study and included 66 women (52.6 ± 5.4 years). Participants were instructed to walk at a brisk, maintainable pace; time taken to complete the 400 m was recorded in seconds. Intraclass correlation coefficients (ICC) were used to assess test-retest reliability. Spearman rank order correlation coefficients were used to examine the concurrent validity of the walk test with cardiorespiratory fitness and associations with physical activity, body composition, flexibility, static balance, and muscular fitness, adjusted for age and body mass index.

Results:

Participants completed the walk at visits 4 and 5 in 248.0 and 245.0 seconds, respectively. The walk test had excellent reproducibility [ICC = 0.95 (95% CI: 0.92, 0.97)] and was significantly associated with estimated (ρ = −0.43; P < 0.0001) and measured (ρ = −0.56; P < 0.001) VO2max. The walk test was also significantly related to physical activity, body composition, flexibility, and balance.

Conclusions:

These findings support the utility of the 400 m walk test to estimate cardiorespiratory fitness and reflect free-living physical activity in healthy, middle-aged women.

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Blanche Evans, David Hopkins, and Tracey Toney

The purpose of this study was to determine the metabolic stress of a self-paced half-mile walk test incorporated in the AAHPERD functional fitness assessment for older adults. Forty-three subjects, aged 57 to 75, completed a half-mile walk on an indoor track (IT) and during a treadmill simulation (TS) of the track walk. Treadmill data indicated that subjects exercised at a mean VO2 of 14.7 ml · kg−1 · min−1 and mean heart rate (b · min−1) of 129. A significant difference (p ≤ .05) was found between IT and TS on rating of perceived exertion. Results indicate that older subjects selected a pace that stressed their cardiorespiratory system without producing severe fatigue or medical complications. Therefore, the half-mile walk test appears to be a safe test that may be incorporated in functional fitness testing. However, its ability to determine functional capacity needs further study.

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Karen Kunde and James H. Rimmer

The purpose was to compare heart rates and completion times of adults with MR after performing a 1-mi walk test with and without a pacer. Fifteen participants (8 males, 7 females) with mild or moderate mental retardation (M age = 38.8 years ± 10.2) performed the test a minimum of two times with a pacer and two times without a pacer. Analysis of variance revealed no significant difference between genders; thus data were combined for further analysis. Intraclass reliability coefficients (R) for walk time with a pacer, walk time without a pacer, heart rate with a pacer, and heart rate without a pacer were .99, .99, .91, and .95, respectively. Results indicated that the average walk times for the pacer and no pacer conditions were significantly different, t (14) = 3.11, p = .008. The pacer condition resulted in a faster average walk time by approximately 1 min; however, there was no significant difference between conditions on heart rate. Therefore, it is recommended that, when having adults with MR perform a walk test, a pacer should be used to assure maximum performance.