Gait speed and the appearance of neurocognitive disorders in older adults: Results of a Peruvian cohort

2.50
Hdl Handle:
http://hdl.handle.net/10757/622328
Title:
Gait speed and the appearance of neurocognitive disorders in older adults: Results of a Peruvian cohort
Other Titles:
Velocidad de marcha y desarrollo de trastornos neurocognitivos en adultos mayores: resultados de una cohorte peruana
Authors:
Parodi, José F; Nieto-Gutierrez, Wendy; Tellez, Walter A; Ventocilla-Gonzales, Iris; Runzer-Colmenares, Fernando M; Taype-Rondan, Alvaro
Citation:
[Gait speed and the appearance of neurocognitive disorders in older adults: Results of a Peruvian cohort]. 2017 Rev Esp Geriatr Gerontol
Publisher:
Elsevier España
Journal:
Revista espanola de geriatria y gerontologia
Issue Date:
7-Sep-2017
URI:
http://hdl.handle.net/10757/622328
DOI:
10.1016/j.regg.2017.08.001
PubMed ID:
28890141
Additional Links:
https://www.ncbi.nlm.nih.gov/pubmed/?term=28890141%5Buid%5D
Abstract:
INTRODUCTION: The prevention and management of neurocognitive disorders (NCD) among older adults can be improved by early identification of risk factors such as walking speed. The objective of the study is to assess the association between gait speed and NCD onset in a population of Peruvian older adults. MATERIAL AND METHODS: Cohort conducted in older adults who attended the geriatrics service of Naval Medical Center (Callao, Peru). During the baseline assessment, participants' gait speed was recorded. Subsequently, participants were followed-up annually for 5 years, with a mean of 21 months. NCD onset was defined as the occurrence of a score ≤24 points on the Mini Mental State Examination (screening test) during follow-up. The hazard ratios (HR) and their 95% confidence intervals (95% CI) were calculated using Cox regression. RESULTS: The study included 657 participants, with a mean age of 73.4±9.2 (SD) years, of whom 47.0% were male, 47.8% had a gait speed <0.8 m/s, and 20.1% developed NCD during the follow up. It was found that older adults who had gait speed <0.8 m/s at baseline were more likely to develop NCD than those who had a gait speed ≥0.8 m/s (adjusted HR=1.41, 95% CI=1.34-1.47). CONCLUSION: A longitudinal association was found between decreased gait speed and NCD onset, suggesting that gait speed could be useful to identify patients at risk of NCD onset.
Abstract:
Introducción La prevención y el manejo de los trastornos neurocognitivos (TNC) en adultos mayores puede mejorar si se identifica tempranamente sus factores de riesgo, como la velocidad de marcha. El objetivo del estudio es evaluar la asociación entre velocidad de la marcha y el desarrollo de TNC en una población de adultos mayores del Perú. Material y métodos Cohorte realizada en adultos mayores que acudieron al servicio de geriatría del Centro Médico Naval (Callao, Perú). Se registró la velocidad de la marcha de los participantes durante la evaluación basal, sometiéndoles a seguimiento anualmente hasta 60 meses, con un promedio de 21 meses. El desarrollo de TNC fue definido como la ocurrencia de una puntuación≤24 puntos en el Mini Mental State Examination (test de cribado) durante el seguimiento. Se hallaron hazard ratio (HR) y sus intervalos de confianza al 95% (IC 95%) usando regresiones de Cox. Resultados Se incluyeron 657 adultos mayores, con edad promedio de 73,4±9,2 (DE) años, de los cuales el 47,0% fueron varones. El 47,8% reportaron una velocidad de marcha <0,8 m/s, y el 20,1% desarrollaron TNC durante el seguimiento. Se encontró que los adultos mayores con una velocidad de marcha <0,8 m/s en la evaluación basal tuvieron más probabilidades de desarrollar TNC que aquellos con una velocidad de marcha ≥0,8 m/s (HR ajustada=1,41; IC 95%=1,34-1,47). Conclusión Encontramos asociación entre la velocidad de marcha disminuida y el desarrollo de TNC, lo cual sugeriría que la velocidad de marcha podría ser útil para identificar pacientes en riesgo para tal trastorno. Abstract Introduction The prevention and management of neurocognitive disorders (NCD) among older adults can be improved by early identification of risk factors such as walking speed. The objective of the study is to assess the association between gait speed and NCD onset in a population of Peruvian older adults. Material and methods Cohort conducted in older adults who attended the geriatrics service of Naval Medical Center (Callao, Peru). During the baseline assessment, participants’ gait speed was recorded. Subsequently, participants were followed-up annually for 5 years, with a mean of 21 months. NCD onset was defined as the occurrence of a score ≤24 points on the Mini Mental State Examination (screening test) during follow-up. The hazard ratios (HR) and their 95% confidence intervals (95% CI) were calculated using Cox regression. Results The study included 657 participants, with a mean age of 73.4±9.2 (SD) years, of whom 47.0% were male, 47.8% had a gait speed <0.8 m/s, and 20.1% developed NCD during the follow up. It was found that older adults who had gait speed <0.8 m/s at baseline were more likely to develop NCD than those who had a gait speed ≥0.8 m/s (adjusted HR=1.41, 95% CI=1.34-1.47). Conclusion A longitudinal association was found between decreased gait speed and NCD onset, suggesting that gait speed could be useful to identify patients at risk of NCD onset.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/restrictedAccess
Language:
spa
Description:
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Keywords:
Adulto mayor; Elderly; Gait disorders; Marcha; Neurocognitive disorders; Neurological; Neurológico; Trastornos de la marcha; Trastornos del conocimiento
ISSN:
1578-1747

Full metadata record

DC FieldValue Language
dc.contributor.authorParodi, José Fes
dc.contributor.authorNieto-Gutierrez, Wendyes
dc.contributor.authorTellez, Walter Aes
dc.contributor.authorVentocilla-Gonzales, Irises
dc.contributor.authorRunzer-Colmenares, Fernando Mes
dc.contributor.authorTaype-Rondan, Alvaroes
dc.date.accessioned2017-10-27T20:37:25Z-
dc.date.available2017-10-27T20:37:25Z-
dc.date.issued2017-09-07-
dc.identifier.citation[Gait speed and the appearance of neurocognitive disorders in older adults: Results of a Peruvian cohort]. 2017 Rev Esp Geriatr Gerontoles
dc.identifier.issn1578-1747-
dc.identifier.pmid28890141-
dc.identifier.doi10.1016/j.regg.2017.08.001-
dc.identifier.urihttp://hdl.handle.net/10757/622328-
dc.descriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.es
dc.description.abstractINTRODUCTION: The prevention and management of neurocognitive disorders (NCD) among older adults can be improved by early identification of risk factors such as walking speed. The objective of the study is to assess the association between gait speed and NCD onset in a population of Peruvian older adults. MATERIAL AND METHODS: Cohort conducted in older adults who attended the geriatrics service of Naval Medical Center (Callao, Peru). During the baseline assessment, participants' gait speed was recorded. Subsequently, participants were followed-up annually for 5 years, with a mean of 21 months. NCD onset was defined as the occurrence of a score ≤24 points on the Mini Mental State Examination (screening test) during follow-up. The hazard ratios (HR) and their 95% confidence intervals (95% CI) were calculated using Cox regression. RESULTS: The study included 657 participants, with a mean age of 73.4±9.2 (SD) years, of whom 47.0% were male, 47.8% had a gait speed <0.8 m/s, and 20.1% developed NCD during the follow up. It was found that older adults who had gait speed <0.8 m/s at baseline were more likely to develop NCD than those who had a gait speed ≥0.8 m/s (adjusted HR=1.41, 95% CI=1.34-1.47). CONCLUSION: A longitudinal association was found between decreased gait speed and NCD onset, suggesting that gait speed could be useful to identify patients at risk of NCD onset.es
dc.description.abstractIntroducción La prevención y el manejo de los trastornos neurocognitivos (TNC) en adultos mayores puede mejorar si se identifica tempranamente sus factores de riesgo, como la velocidad de marcha. El objetivo del estudio es evaluar la asociación entre velocidad de la marcha y el desarrollo de TNC en una población de adultos mayores del Perú. Material y métodos Cohorte realizada en adultos mayores que acudieron al servicio de geriatría del Centro Médico Naval (Callao, Perú). Se registró la velocidad de la marcha de los participantes durante la evaluación basal, sometiéndoles a seguimiento anualmente hasta 60 meses, con un promedio de 21 meses. El desarrollo de TNC fue definido como la ocurrencia de una puntuación≤24 puntos en el Mini Mental State Examination (test de cribado) durante el seguimiento. Se hallaron hazard ratio (HR) y sus intervalos de confianza al 95% (IC 95%) usando regresiones de Cox. Resultados Se incluyeron 657 adultos mayores, con edad promedio de 73,4±9,2 (DE) años, de los cuales el 47,0% fueron varones. El 47,8% reportaron una velocidad de marcha <0,8 m/s, y el 20,1% desarrollaron TNC durante el seguimiento. Se encontró que los adultos mayores con una velocidad de marcha <0,8 m/s en la evaluación basal tuvieron más probabilidades de desarrollar TNC que aquellos con una velocidad de marcha ≥0,8 m/s (HR ajustada=1,41; IC 95%=1,34-1,47). Conclusión Encontramos asociación entre la velocidad de marcha disminuida y el desarrollo de TNC, lo cual sugeriría que la velocidad de marcha podría ser útil para identificar pacientes en riesgo para tal trastorno. Abstract Introduction The prevention and management of neurocognitive disorders (NCD) among older adults can be improved by early identification of risk factors such as walking speed. The objective of the study is to assess the association between gait speed and NCD onset in a population of Peruvian older adults. Material and methods Cohort conducted in older adults who attended the geriatrics service of Naval Medical Center (Callao, Peru). During the baseline assessment, participants’ gait speed was recorded. Subsequently, participants were followed-up annually for 5 years, with a mean of 21 months. NCD onset was defined as the occurrence of a score ≤24 points on the Mini Mental State Examination (screening test) during follow-up. The hazard ratios (HR) and their 95% confidence intervals (95% CI) were calculated using Cox regression. Results The study included 657 participants, with a mean age of 73.4±9.2 (SD) years, of whom 47.0% were male, 47.8% had a gait speed <0.8 m/s, and 20.1% developed NCD during the follow up. It was found that older adults who had gait speed <0.8 m/s at baseline were more likely to develop NCD than those who had a gait speed ≥0.8 m/s (adjusted HR=1.41, 95% CI=1.34-1.47). Conclusion A longitudinal association was found between decreased gait speed and NCD onset, suggesting that gait speed could be useful to identify patients at risk of NCD onset.es_PE
dc.formatapplication/pdfes
dc.languagespa-
dc.language.isospaes
dc.publisherElsevier Españaes
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/?term=28890141%5Buid%5Des
dc.rightsinfo:eu-repo/semantics/restrictedAccesses
dc.subjectAdulto mayores
dc.subjectElderlyes
dc.subjectGait disorderses
dc.subjectMarcha; Neurocognitive disorderses
dc.subjectNeurologicales
dc.subjectNeurológicoes
dc.subjectTrastornos de la marchaes
dc.subjectTrastornos del conocimientoes
dc.titleGait speed and the appearance of neurocognitive disorders in older adults: Results of a Peruvian cohortes
dc.title.alternativeVelocidad de marcha y desarrollo de trastornos neurocognitivos en adultos mayores: resultados de una cohorte peruanaes_PE
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.journalRevista espanola de geriatria y gerontologiaes
dc.description.peerreviewRevisión por pareses_PE

Related articles on PubMed

All Items in UPC are protected by copyright, with all rights reserved, unless otherwise indicated.