{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:11:31Z","timestamp":1747185091367,"version":"3.40.5"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,16]],"date-time":"2023-12-16T00:00:00Z","timestamp":1702684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to calculate the minimal clinically important difference (MCID) for a modified Gait Efficacy Scale (mGES) over 3\u2009years and to clarify the predictors of mGES decline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In total, 87 community\u2010dwelling older adults were enrolled in this 3\u2010year longitudinal study. The mGES, fall history and physical function (chair stand frequency, open\u2010eyes one\u2010leg stand, open\u2013close stepping test, walking speed, walking endurance [shuttle stamina walk test] and physical activity) were assessed at baseline. After a 3\u2010year follow\u2010up period, the mGES and Global Rating of Change Scale were assessed. The MCID was calculated using anchor\u2010based methods, with the Global Rating of Change Scale as an anchor. The participants were classified into the decline and keep groups based on whether the changes in the mGES were greater than the MCID. A logistic regression analysis was conducted using the mGES as the dependent variable and physical characteristics, fall history, and physical function as independent variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The MCID for the mGES over 3\u2009years was \u22127.38 points. A logistic regression analysis identified low open\u2013close stepping (odds ratio, 0.87; 95% confidence interval, 0.782\u20130.985; <jats:italic>P<\/jats:italic>\u2009=\u20090.027) and the shuttle stamina walk test (odds ratio, 0.974; 95% confidence interval, 0.949\u20131.000; <jats:italic>P<\/jats:italic>\u2009=\u20090.049) as predictors of the mGES decline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings suggest that a change of 7.38 points in the mGES was clinically significant and that poor agility and walking endurance can predict future decline in the mGES. <jats:bold>Geriatr Gerontol Int 2024; 24: 90\u201394<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.14767","type":"journal-article","created":{"date-parts":[[2023,12,16]],"date-time":"2023-12-16T10:22:45Z","timestamp":1702722165000},"page":"90-94","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Age\u2010related change in gait efficacy and predictors of its decline: A 3\u2010year longitudinal study"],"prefix":"10.1111","volume":"24","author":[{"given":"Yu","family":"Sato","sequence":"first","affiliation":[{"name":"Human Health Sciences, Graduate School of Medicine Kyoto University  Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0548-0210","authenticated-orcid":false,"given":"Masashi","family":"Taniguchi","sequence":"additional","affiliation":[{"name":"Human Health Sciences, Graduate School of Medicine Kyoto University  Kyoto 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