scholarly journals RELATIONSHIP BETWEEN COGNITIVE FUNCTION AND PHYSICAL PERFORMANCE IN OLDER ADULTS

2010 ◽  
Vol 59 (3) ◽  
pp. 313-322 ◽  
Author(s):  
JI-YEONG YOON ◽  
TOMOHIRO OKURA ◽  
KENJI TSUNODA ◽  
TAISHI TSUJI ◽  
YOSHIE KOHDA ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Physical Performance

Cognitive Function Improvements Mediate Exercise Intervention Effects on Physical Performance in Acutely Hospitalized Older Adults

2020 ◽  
Author(s):  
Mikel L. Sáez de Asteasu ◽  
Nicolás Martínez-Velilla ◽  
Fabricio Zambom-Ferraresi ◽  
Robinson Ramírez-Vélez ◽  
Antonio García-Hermoso ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Physical Performance ◽  
Exercise Intervention ◽  
Intervention Effects ◽  
Hospitalized Older Adults

scholarly journals The association between injurious falls and older adults’ cognitive function: the role of depressive mood and physical performance

2021 ◽  
Author(s):  
Caterina Trevisan ◽  
Enrico Ripamonti ◽  
Giulia Grande ◽  
Federico Triolo ◽  
Stina Ek ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Physical Performance ◽  
Walking Speed ◽  
Depressive Mood ◽  
Time Interval ◽  
Injurious Falls

Abstract Background The impact of falls on cognitive function is unclear. We explored whether injurious falls are associated with cognitive decline in older adults, and evaluated the role of changes in psychological and physical health as mediators of such association. Methods This prospective study involved 2,267 community-dwelling participants in the Swedish National study on Aging and Care in Kungsholmen (≥60 years). Data on injurious falls (i.e., falls requiring medical attention) during each 3-year time interval of follow-up were obtained from national registers. Assessment of cognitive function (Mini-Mental State Examination[MMSE]), depressive mood (Montgomery-Åsberg Depression Rating Scale), and physical performance (walking speed) were carried out every 3 or 6 years over a 12-year follow-up. The association between falls and cognition was estimated through linear mixed effects models, and the mediating role of changes in depressive mood and physical performance was tested using mediation analysis. Results After adjusting for potential confounders, individuals who experienced injurious falls had a greater annual decline in MMSE in the subsequent time interval (β=-1.49, 95%CI:-1.84;-1.13), than those who did not. The association increased with the occurrence of ≥2 falls (β=-2.13, 95%CI:-2.70;-1.56). Worsening of walking speed and depressive mood explained around 26% and 8%, respectively, of the association between falls and cognitive decline. Conclusions Injurious falls are associated with greater cognitive decline, and this association is partly mediated by worsening of physical performance and, in a lesser extent, of depressive mood. These findings suggest that physical deficits and low mood are potential therapeutic targets for mitigating the association between falls and cognitive decline.

scholarly journals Prevalence of Dementia, Emotional State and Physical Performance among Older Adults in the Metropolitan Area of Guadalajara, Jalisco, Mexico

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Irma E. Velázquez-Brizuela ◽  
Genaro G. Ortiz ◽  
Lucia Ventura-Castro ◽  
Elva D. Árias-Merino ◽  
Fermín P. Pacheco-Moisés ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Physical Performance ◽  
Functional Disability ◽  
Emotional State ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cross Sectional ◽  
Level Of Education ◽  
Low Level

Background. Dementia affects memory, thinking, language, judgment, and behavior. Depression, is common in older adults with dementia. The concomitance of dementia and depression increases disability with impaired activities of daily living (ADL), increasing the chances of institutionalization and mortality.Methods. Cross-sectional study of a population 60 years and older who live in the State of Jalisco, Mexico. A total of 1142 persons were assessed regarding their cognitive function, emotional state, and physical performance. Door-to-door interview technique was assigned in condition with multistage probability random sampling. Cognitive function, depression and functional disability were assessed by applying standardized Minimental State Examination (Folstein), Geriatric Depression Scale, and the Katz index, respectively. Diagnosis of dementia was performed according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, the Fourth Edition. Data were analyzed using SPSS software.Results. Prevalence of demency was 9.5% (63.35% women, and 36.7% men). Demency was associated with being woman, being older than 70 years, low level of education, not having the economic benefit of retirement, being single or living without a partner, low level of education, suffering from depression and have functional disability in ADL.Conclusion. Dementia is more common in women and is related to depression and disability.

scholarly journals Association between physical performance and cognitive function in older adults across multiple studies: A pooled analysis study

2020 ◽  
Author(s):  
Elizabeth P Handing ◽  
Xiaoyan Iris Leng ◽  
Stephen B Kritchevsky ◽  
Suzanne Craft
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Physical Function ◽  
Physical Performance ◽  
Pooled Analysis ◽  
Linear Regression Models ◽  
Older Americans ◽  
Mini Mental Status Exam ◽  
Symbol Substitution ◽  
Design And Methods

Abstract Background and Objectives While several studies have examined the association between cognitive and physical function, the consistency of these associations across functional contexts is unclear. The consistency of association between cognitive and physical function performance was examined at baseline across 17 clinical studies with diverse and heterogeneous conditions such as overweight/obese, sedentary, at risk for a mobility disability, osteoarthritis, low vitamin D, or had signs of cognitive impairment. Research Design and Methods Data are from 1,388 adults 50 years and older who completed a cognitive and physical function assessment as part of a research study at the Wake Forest Alzheimer’s Disease Research Center or the Wake Forest Older Americans Independence Center. Linear regression models were used to relate cognitive measures [Mini Mental Status Exam (MMSE), Montreal Cognitive Assessment (MoCA), and the Digit Symbol Substitution Task (DSST)], and physical measures [the Short Physical Performance Battery (SPPB) and hand grip strength] for the whole sample and treat each study as a fixed effect. All models controlled for age, sex, race, and body mass index (BMI). Results Overall, there was a significant association between higher scores on the MMSE (per standard deviation) and better physical function performance (SPPB score b= 0.24, p <0.001) and its components (gait speed, chair rise, and standing balance; p’s <0.05). Higher scores on the MoCA produced similar results (SPPB score b= 0.31, p= <0.001) and higher scores on the DSST were also significantly associated with a better SPPB score (b= 0.75, p <0.001). The relationship between DSST and physical function performance demonstrated a stronger magnitude of association compared to the MMSE or MoCA. Discussion and Implications Older adults with heterogenous health conditions showed a consistent pattern between better cognitive function and better physical function performance with the strongest association among DSST scores.

scholarly journals Correlation between Cognitive Function and Physical Performance in Community-Dwelling Older Adults

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Amanda Risviandari ◽  
Rensa Rensa
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Physical Performance ◽  
Rank Correlation ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Spearman’S Rank Correlation ◽  
Community Dwelling Older Adults

Background: One of the health problems often found among older adults in Indonesia is cognitive impairment, resulting in difficulties daily life and a significant decrease in functional status. This study aimed to determine the correlation between cognitive function and physical performance in community-dwelling older adults.Methods: This was a cross-sectional study conducted from October–November 2019. Samples were collected from North Jakarta through consecutive sampling (n=38). Cognitive function was measured using the Mini-Mental State Examination (MMSE) and the physical performance was measured using the Timed Up and Go Test (TUG) method. The statistical test applied in this study was Spearman’s rank correlation (p<0.05). Results: The majority of the subjects in this study were mostly female young older adults with the most received ≥12 years of education. The results for both MMSE and TUG were normal. There was a negative correlation between MMSE and TUG scores (r= -0.357, p=0.028).Conclusions: There is a weak but significant correlation between cognitive function and physical performance in community-dwelling older adults. A further study exploring cognitive dysfunction and physical performance in older adults is needed.

scholarly journals 46 The Relationship between Cognitive Function and Physical Performance among Older Adults Attending a Falls and Syncope Service in Kuala Lumpur

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv9-iv12
Author(s):  
Sun Zek Jong ◽  
Norizzati Saedon ◽  
Sarah Kiyu ◽  
Pey June Tan ◽  
Maw Pin Tan
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Grip Strength ◽  
Physical Performance ◽  
Cognitive Assessment ◽  
Assessment Tool ◽  
Timed Up And Go ◽  
Functional Reach ◽  
The Mean ◽  
The Relationship

Abstract Introduction Recent studies identified a relationship between gait difficulties and risk of developing dementia, a condition now termed motoric cognitive risk. We interrogated a clinical dataset to determine the relationship between cognitive assessment scores and physical performance scores to identify the strength of association between these two types of measures. Methods Consecutive patients referred to the falls and syncope service and the University of Malaya Medical Centre were recruited. The cognitive function of consenting individuals was assessed using the Montreal Cognitive Assessment (MoCA) and Visual Cognitive Assessment Tool (VCAT). Physical performance was assessed using hand grip strength (HGS), timed-up-and-go (TUG) and functional reach (FR). Results One hundred and forty-seven individuals, mean age (standard deviation,SD)=76.1 (7.8) years, 85 (58%) women were included. The mean (SD) for right and left HGS, FR and TUG scores for the overall population were 19.1 (7.0)kg, 19.0 (12.1)kg, 28.9 (39.7)cm, TUG 19.2 (11.0)s respectively. The mean MoCA and VCAT scores were 21.1 (7.1) and 20.3 (6.3) respectively. Right HGS correlated moderately with MoCA (r=0.367) and VCAT scores (r=0.397). Left HGS had a weak to moderate correlation with MoCA (r=0.281) and VCAT (0.271). FR, however, was not correlated with either MoCA (r=0.073) and VCAT (0.020). TUG scores were moderately negatively correlated with MoCA (-0.3206) but weakly correlated with VCAT (-0.175) Conclusion Our evaluation of the relationship between cognitive scores and physical performance in a falls and syncope clinic setting found that a relationship exists between muscle strength measured with grip strength and composite assessment of gait and balance using the TUG. Dynamic balance measured with functional reach, however, was not associated with cognitive function. Future studies will need to identify the possible mechanisms linking cognitive function with strength and gait in order to establish cognitive function as a modifiable risk factor for falls in older adults.

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