A high intensity vs. casual speed walking intervention to reverse frailty among older adults: a cluster randomized controlled trial.

PLoS OneSep 30, 2026 (epub)
Clinical ResearchGeriatrics

Margaret Danilovich, Daniel S Rubin, David E Conroy et al.

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In 30 seconds

This cluster-randomized controlled trial evaluated the effects of high-intensity walking (HIW) versus casual-speed walking (CSW) on frailty in 165 prefrail and frail adults aged ≥60 years. The study found that 69.6% of HIW participants improved in frailty category compared to 46.4% in the CSW group (OR = 2.91, p = 0.02), indicating HIW's superior effectiveness in reversing frailty.

Key findings

  • 69.6% of HIW participants improved in frailty category compared to 46.4% in CSW (OR = 2.91, p = 0.02).
  • HIW participants had a mean gait speed increase of 0.08 m/s (p = 0.036).
  • HIW participants walked 48.99 meters further in the 6MWT compared to CSW (p = 0.0088).
  • Mean HRmax was significantly higher in HIW (71%) than in CSW (59%, p < 0.001).

Why it matters

Understanding the impact of walking intensity on frailty can guide interventions aimed at improving mobility and quality of life in older adults, potentially reducing disability and healthcare costs associated with frailty.

Source

Published in PLoS One. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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