{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:54:49Z","timestamp":1791302089789,"version":"4.1.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Usual walking speed may predict cardiovascular disease in type 2 diabetes, but it is not routinely assessed in UK primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the feasibility of three methods of assessing walking speed in patients with diabetes in general practice: timed walking, accelerometry, and treadmill walking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We approached consecutive mobile patients attending a general practice diabetes clinic. Consenting participants performed a timed 28-m walk (4 \u00d7 7 m) at their usual pace in the surgery corridor while wearing an accelerometer, followed by a 3-minute treadmill walk. Measures were repeated after 6 months. Differences in walking speeds between methods and between timepoints were assessed by Bland\u2013Altman limits of agreement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Recruitment rate was 91% (30\/33). Mean age of participants was 59.6 years (range 37\u201375), mean body mass index was 30.6\u2005kg\/m2 (21.0\u201346.4), and 17% had a history of cardiovascular disease. Average duration of diabetes was 10 years (range 1\u201340). Twenty-five participants (83%) repeated assessments at 6-month follow-up.<\/jats:p>\n                    <jats:p>Average (SD) walking speed on the timed walk was similar to both accelerometer and treadmill: 1.12 (0.13), 1.15 (0.16), and 1.01 (0.39)\u2005m\/s, respectively. Bland\u2013Altman analysis showed good agreement for repeat tests and, on average, between methods. Limits of agreement between timed walk and treadmill were wide. Feedback from seven participants and three practice staff indicated acceptability of all tests, but treadmill testing took longer and least feasible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Timed walk was the most feasible and acceptable to patients and staff. Results were similar on average to accelerometry and treadmill.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmag067","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T11:36:51Z","timestamp":1787053011000},"source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of measuring walking speed in a diabetes clinic in primary care"],"prefix":"10.1093","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3552-5355","authenticated-orcid":false,"given":"Richard","family":"Baskerville","sequence":"first","affiliation":[{"name":"Faculty of Health, Science and Technology, Oxford Brookes University , Oxford OX3 0BP ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Reid","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences and Medicine, King's College London , London WC2R 2LS ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Dawes","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital Birmingham, Birmingham University Hospitals Trust , Birmingham B152GW ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Esser","sequence":"additional","affiliation":[{"name":"Faculty of Health, Science and Technology, Oxford Brookes University , Oxford OX3 0BP ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pippa","family":"Oakeshott","sequence":"additional","affiliation":[{"name":"Population Health Research Institute, City St George's, University of London , London EC1V 0HB ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"2026100611072531400_cmag067-B1","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1123\/japa.2013-0236","article-title":"Walking speed: the functional vital sign","volume":"23","author":"Middleton","year":"2015","journal-title":"J Aging Phys Act"},{"key":"2026100611072531400_cmag067-B2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b4460","article-title":"Slow walking speed and cardiovascular death in well functioning older adults: prospective cohort study","volume":"339","author":"Dumurgier","year":"2009","journal-title":"BMJ"},{"key":"2026100611072531400_cmag067-B3","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1001\/jama.2010.1923","article-title":"Gait speed and survival in older adults","volume":"305","author":"Studenski","year":"2011","journal-title":"JAMA"},{"key":"2026100611072531400_cmag067-B4","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1097\/MBP.0000000000000562","article-title":"Mobility speed predicts new-onset hypertension: a longitudinal study","volume":"27","author":"Chen","year":"2022","journal-title":"Blood Press Monit"},{"key":"2026100611072531400_cmag067-B5","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1002\/alz.12537","article-title":"Slowing gait speed precedes cognitive decline by several years","volume":"18","author":"Skillb\u00e4ck","year":"2022","journal-title":"Alzheimers Dement"},{"key":"2026100611072531400_cmag067-B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2025.102696","article-title":"Association of frailty and pre-frailty with all-cause and cardiovascular mortality in diabetes: three prospective cohorts and a meta-analysis","volume":"106","author":"Wen","year":"2025","journal-title":"Ageing Res Rev"},{"key":"2026100611072531400_cmag067-B7","doi-asserted-by":"publisher","DOI":"10.3399\/BJGPO.2025.0162","article-title":"Slow walking speed and risk of cardiovascular events in type 2 diabetes: a systematic review","volume":"10","author":"Baskerville","year":"2026","journal-title":"BJGP Open"},{"key":"2026100611072531400_cmag067-B8","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1186\/s12877-015-0061-9","article-title":"What type, or combination of exercise can improve preferred gait speed in older adults? 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