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We followed the guidelines for data analysis of JAGES [14]. First, we conducted descriptive statistics and carried out zero-inflated Poisson regression analyses because of a significant overdispersion (z/poisson = 7.24), using STATA 15.0 software (Stata Corp, TX, USA). Zero-inflated Poisson models were defined using the zero-inflated package in R [15]. Estimated regression coefficients and their 95% confidence intervals were reported. We also conducted logistic regression analyses to investigate the association between each outcome and baseline variables such as age, genders, and falls incidents. In addition, we explored the association between the prevalence of the three walking speeds mentioned above and falls incidents. We identified the threshold where the probability that the participant’s observation fell into the lowest bin (0-1.9 m/sec) was equal to the probability that he/she fell into the second lowest bin (1.99-2.5 m/sec). Odds ratios (OR) and the 95% confidence intervals were reported. P <.05 was considered statistically significant. The exact binomial method was used instead of the dichotomous method if either standard errors or standard deviations were < 1 [16].

As mentioned earlier, the role of walking is one of the most important categories to define physical fitness in older adults [13, 17]. Since walking may be affected by aging and pathology, however, a significant unhealthy effect occurred in older adults during gait [13, 16-18]. Thus, proper norms of walking speeds are essential to maintain physical fitness in older adults. In this paper, we established the following three predetermined walking speeds: a slow average walking speed (0-1.96 m/sec), a normal average walking speed (from 1.97 to 2.55 m/sec), and a fast average walking speed (≥2.56 m/sec). In this paper, we calculated the average walking speed of the previous five instances, and defined this new variable as the average walking speed. We also calculated the average walking speed of one’s 10-year instances, as was previously proposed [13,16]. Furthermore, we assigned this variable to a three-category variable, as was done in previous studies [13, 16].


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