Walking into aging: real-world mobility patterns and digital benchmarks from the InCHIANTI Study
Mobility is a cornerstone of health and quality of life, particularly in older adults. Digital mobility outcomes (DMOs) from real-world walking data offer crucial insights into the functional status and early markers of mobility decline. This study provides reference values for walking activity, pace, rhythm, and gait bout-to-bout variability in community-dwelling older adults and evaluates the effects of age, sex, height, and weight on these parameters. Using data from 200 older adults (aged 65-94 years) from the InCHIANTI Study and applying the Mobilise-D computational pipeline, we analyzed real-world walking over a week. Significant differences by sex and age were found, with males showing higher walking activity in younger age groups (65-74 and 75-84 years) but not in the oldest group (85-94 years). Additionally, we observed non-linear trends in mobility metrics with age, indicating an accelerated reduction in mobility at certain age ranges. These findings underscore the importance of monitoring real-world walking data to pinpoint critical periods of mobility decline and guide targeted interventions. This work offers valuable benchmarks for clinical assessments and future research.
Authors
- Andrea Cereatti (ORCID: https://orcid.org/0000-0002-7276-5382)
- Lorenzo Chiari (ORCID: https://orcid.org/0000-0002-2318-4370)
- Luca Palmerini (ORCID: https://orcid.org/0000-0003-4758-662X)
- José Albites-Sanabria (ORCID: https://orcid.org/0000-0001-7688-6221)
- Arne Küderle (ORCID: https://orcid.org/0000-0002-5686-281X)
- Ilaria D’Ascanio (ORCID: https://orcid.org/0009-0000-1568-7149)
- Sabato Mellone (ORCID: https://orcid.org/0000-0001-7688-0188)
- Judith García‐Aymerich (ORCID: https://orcid.org/0000-0002-7097-4586)
- Luigi Ferrucci (ORCID: https://orcid.org/0000-0002-6273-1613)
- Laura Delgado‐Ortiz (ORCID: https://orcid.org/0000-0003-0311-7661)
- Silvia Del Din (ORCID: https://orcid.org/0000-0003-1154-4751)
- Anisoara Paraschiv-Ionescu (ORCID: https://orcid.org/0000-0002-2341-4383)
- Lynn Rochester (ORCID: https://orcid.org/0000-0001-5774-9272)
- Eran Gazit (ORCID: https://orcid.org/0009-0009-1085-9664)
- Jochen Klenk (ORCID: https://orcid.org/0000-0002-5987-447X)
- Clemens Becker (ORCID: https://orcid.org/0000-0003-1624-8353)
- Pierpaolo Palumbo (ORCID: https://orcid.org/0000-0002-4438-1787)
- Felix Kluge (ORCID: https://orcid.org/0000-0003-4921-6104)
- Carl-Philipp Jansen (ORCID: https://orcid.org/0000-0002-2779-7019)
- Stefania Bandinelli (ORCID: https://orcid.org/0000-0002-6491-0850)
Institutions
- Novartis (Switzerland) (CH)
- Universitat Pompeu Fabra (ES)
- Politecnico di Torino (IT)
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- University of Basel (CH)
- Universität Ulm (DE)
- Heidelberg University (DE)
- Tel Aviv Sourasky Medical Center (IL)
- Marconi University (IT)
- University Hospital Heidelberg (DE)
- Robert Bosch Hospital (DE)
- Stuttgart Technical University of Applied Sciences (DE)
- Laboratori Guglielmo Marconi (Italy) (IT)
- Zimmer Biomet (Germany) (DE)
- Azienda Sanitaria di Firenze (IT)
- NIHR Newcastle Biomedical Research Centre (GB)
- National Institute on Aging (US)
- Barcelona Institute for Global Health (ES)
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES)
- École Polytechnique Fédérale de Lausanne (CH)
- Newcastle University (GB)
- Heidelberg University (US)
- University of Bologna (IT)
Publication Details
- Journal
- npj Aging
- Published
- 2025-07-05
- DOI
- https://doi.org/10.1038/s41514-025-00245-w
- Citations
- 3
- Primary Topic
- Frailty in Older Adults
- Type
- article
- Field-Weighted Citation Impact
- 3.67
Funders
- Wellcome Trust
- European Federation of Pharmaceutical Industries and Associations
- UK Research and Innovation
- National Institute for Health and Care Research
- Newcastle University
- European Commission
- Ministero della Salute
- Newcastle upon Tyne Hospitals NHS Foundation Trust
- Seventh Framework Programme
- Engineering and Physical Sciences Research Council
- Horizon 2020
- NIHR Newcastle Biomedical Research Centre
- National Institute on Aging