[Purpose] The main objective of this study was to determine the contributions and extent
to which certain physical measurements explain performance in the 6-minute walk test in
healthy older adults living in a geriatric nursing home and for older adults dwelling in
the community. [Subjects] The subjects were 122 adults aged 65 and older with no cognitive
impairment who were independent in their daily activities. [Methods] The 6-minute walk
test, age, body mass index, walking speed, chair stand test, Berg Balance Scale, Timed
Up-and-Go test, rectus femoris cross-sectional area, Short Physical Performance Battery,
and hand-grip strength were examined. [Results] Strong significant associations were found
between mobility, lower-limb function, balance, and the 6-minute walk test. A stepwise
multiple regression on the entire sample showed that lower-limb function was a significant
and independent predictor for the 6-minute walk test. Additionally, lower-limb function
was a strong predictor for the 6-minute walk test in our nursing home group, whereas
mobility was found to be the best predictor in our community-dwelling group. [Conclusion]
Better lower-limb function, balance, and mobility result in a higher distance covered by
healthy older adults. Lower-limb function and mobility appeared to best determine walking
performance in the nursing home and community-dwelling groups, respectively.
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