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Complex Gait Is Related to Cognitive Functioning in Older People: A Cross-Sectional Study Providing an Innovative Test.
Gerontology. 2020; 66(4):401-408.G

Abstract

BACKGROUND

Many studies have demonstrated an inverse relationship between gait performance and cognitive impairment. The main purposes of this study were: (1) to design and validate a complex gait test (CGT) in older people, (2) to analyze the effects of age and sex on CGT, and (3) to analyze the association between CGT performance and physical functioning and cognitive measures.

METHODS

A total of 279 older people (60-97 years) were analyzed in 2019. Fitness tests, gait performance, and several cognitive measures such asthe Trail-Walking Test and Montreal Cognitive Assessment were used.

RESULTS

The CGT reported adequate reliability and validity parameters. In the test-retest analysis, the intra-class correlation coefficient was 0.868 (p < 0.001). There was a significant correlation between the CGT and Trail-Walking Test (r = 0.592; p < 0.001). The linear regression analysis showed that the CGT was associated with the Montreal Cognitive Assessment (R2 = 0.357; p =0.001). The binary logistic regression analysis revealed that a high CGT score was a risk factor for mild cognitive impairment (odds ratio 1.201, 95% CI 1.081-1.334; p = 0.001). The ROC curve of the mild cognitive impairment was predicted by the CGT performance (area under the curve = 0.768, 95% CI 0.647-0.889; p < 0.001), reaching the cut-off point at 20.25 s.

CONCLUSIONS

The CGT showed good reliability and validity and may serve as a potential biomarker in mild cognitive impairment prediction in older adults aged 60-97 years.

Authors+Show Affiliations

Department of Didactic of Music, Plastic and Body Expression, University of Jaén, Jaén, Spain.Department of Didactic of Music, Plastic and Body Expression, University of Jaén, Jaén, Spain, mmjimene@ujaen.es.Universidad Autónoma de Chile, Temuco, Chile.Department of Didactic of Music, Plastic and Body Expression, University of Jaén, Jaén, Spain.Department of Didactic of Music, Plastic and Body Expression, University of Jaén, Jaén, Spain.Department of Sports and Computer Sciences, University Pablo de Olavide, Sevilla, Spain.Department of Didactic of Music, Plastic and Body Expression, University of Jaén, Jaén, Spain.Department of Didactic of Music, Plastic and Body Expression, University of Jaén, Jaén, Spain.Department of Didactic of Music, Plastic and Body Expression, University of Jaén, Jaén, Spain.Department of Didactic of Music, Plastic and Body Expression, University of Jaén, Jaén, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32623430

Citation

Latorre Román, Pedro Ángel, et al. "Complex Gait Is Related to Cognitive Functioning in Older People: a Cross-Sectional Study Providing an Innovative Test." Gerontology, vol. 66, no. 4, 2020, pp. 401-408.
Latorre Román PÁ, Muñoz Jiménez M, Salas Sánchez J, et al. Complex Gait Is Related to Cognitive Functioning in Older People: A Cross-Sectional Study Providing an Innovative Test. Gerontology. 2020;66(4):401-408.
Latorre Román, P. Á., Muñoz Jiménez, M., Salas Sánchez, J., Consuegra González, P., Moreno Del Castillo, R., Herrador Sánchez, J. A., López Ivanco, M. D. A., Linares Jiménez, C., Navas Morales, J. F., & Párraga Montilla, J. A. (2020). Complex Gait Is Related to Cognitive Functioning in Older People: A Cross-Sectional Study Providing an Innovative Test. Gerontology, 66(4), 401-408. https://doi.org/10.1159/000508245
Latorre Román PÁ, et al. Complex Gait Is Related to Cognitive Functioning in Older People: a Cross-Sectional Study Providing an Innovative Test. Gerontology. 2020;66(4):401-408. PubMed PMID: 32623430.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Complex Gait Is Related to Cognitive Functioning in Older People: A Cross-Sectional Study Providing an Innovative Test. AU - Latorre Román,Pedro Ángel, AU - Muñoz Jiménez,Marcos, AU - Salas Sánchez,Jesús, AU - Consuegra González,Pedro, AU - Moreno Del Castillo,Rafael, AU - Herrador Sánchez,Julio A, AU - López Ivanco,María Del Amor, AU - Linares Jiménez,Claudia, AU - Navas Morales,Juan Francisco, AU - Párraga Montilla,Juan Antonio, Y1 - 2020/07/03/ PY - 2020/03/27/received PY - 2020/04/27/accepted PY - 2020/7/6/pubmed PY - 2020/7/6/medline PY - 2020/7/6/entrez KW - Clinical evaluation KW - Cognitive impairment KW - Cognitive task KW - Fitness KW - Functional evaluation KW - Gait performance SP - 401 EP - 408 JF - Gerontology JO - Gerontology VL - 66 IS - 4 N2 - BACKGROUND: Many studies have demonstrated an inverse relationship between gait performance and cognitive impairment. The main purposes of this study were: (1) to design and validate a complex gait test (CGT) in older people, (2) to analyze the effects of age and sex on CGT, and (3) to analyze the association between CGT performance and physical functioning and cognitive measures. METHODS: A total of 279 older people (60-97 years) were analyzed in 2019. Fitness tests, gait performance, and several cognitive measures such asthe Trail-Walking Test and Montreal Cognitive Assessment were used. RESULTS: The CGT reported adequate reliability and validity parameters. In the test-retest analysis, the intra-class correlation coefficient was 0.868 (p < 0.001). There was a significant correlation between the CGT and Trail-Walking Test (r = 0.592; p < 0.001). The linear regression analysis showed that the CGT was associated with the Montreal Cognitive Assessment (R2 = 0.357; p =0.001). The binary logistic regression analysis revealed that a high CGT score was a risk factor for mild cognitive impairment (odds ratio 1.201, 95% CI 1.081-1.334; p = 0.001). The ROC curve of the mild cognitive impairment was predicted by the CGT performance (area under the curve = 0.768, 95% CI 0.647-0.889; p < 0.001), reaching the cut-off point at 20.25 s. CONCLUSIONS: The CGT showed good reliability and validity and may serve as a potential biomarker in mild cognitive impairment prediction in older adults aged 60-97 years. SN - 1423-0003 UR - https://www.unboundmedicine.com/medline/citation/32623430/Complex_Gait_Is_Related_to_Cognitive_Functioning_in_Older_People:_A_Cross-Sectional_Study_Providing_an_Innovative_Test L2 - https://www.karger.com?DOI=10.1159/000508245 DB - PRIME DP - Unbound Medicine ER -