W Prime: Evidence-Based Proposal for a New Predictor of Gait Speed in Older Women

Author:

de Oliveira Júnior Gersiel Nascimento1,de Sousa Jairo de Freitas Rodrigues1,Carneiro Marcelo Augusto da Silva12,Martins Fernanda Maria1,Santagnello Samarita Beraldo1,Nomelini Rosekeila Simões3ORCID,de Oliveira Assumpção Cláudio14ORCID,Souza Markus Vinícius Campos14ORCID,Orsatti Fábio Lera14ORCID

Affiliation:

1. Applied Physiology, Nutrition and Exercise Research Group (PhyNER), Exercise Biology Research Laboratory (BioEx), Institute of Health Science, Federal University of Triangulo Mineiro (UFTM), Uberaba 38025-180, MG, Brazil

2. Metabolism, Nutrition, and Exercise Laboratory, Physical Education and Sport Center, State University of Londrina, Londrina 86057-970, PR, Brazil

3. Gynecology and Obstetrics Program, Oncology Research Institute (IPON), Federal University of Triangulo Mineiro (UFTM), Uberaba 38025-180, MG, Brazil

4. Department of Sport Sciences, Health Science Institute, Federal University of Triangulo Mineiro (UFTM), Uberaba 38025-180, MG, Brazil

Abstract

Background: The hyperbolic torque-duration curve depicts critical torque (CT) and W prime (W′), with the curve’s asymptote representing CT as the boundary between heavy- and severe-intensity domains. W′, the curvature constant, indicates cumulative work beyond CT. This study investigated age-related reductions in W′, CT, and gait speed, and whether W′ and CT predict gait speed independently of muscle torque. Methods: three groups (adults, middle-aged, older) totaling 131 women were studied. W′ and CT were determined using 60 maximal isometric voluntary contractions of knee extensors. The fast gait speed was calculated in walking tests at 10 m, 400 m, and six minutes (6 MWT). Results: gait speed decreased (p < 0.05) with age, as did W′ and CT. Both W′ and CT correlated positively with gait speed at different distances (10 m, 400 m, 6 MWT). Adjusted for maximum muscle torque, only W′ maintained a positive association (p < 0.05) with all gait speed tests (10 m: β = 0.201, SE = 0.086; 400 m: β = 0.262, SE = 0.085; 6 MWT: β = 0.187, SE = 0.086). Conclusions: aging led to declines in W′, CT, and gait speed. W′, not CT, remained a significant predictor of gait speed, indicating its importance for older women’s mobility.

Publisher

MDPI AG

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