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Pérez Silva Mercado RR, Ascencio EJ, Vidal-Cuellar CL, Aliaga EG, Casas PM, Ruiz-Grosso P, Tello T. Gait speed according to cognitive status in older adults: a cross-sectional study in a resource-limited country. Aging Ment Health 2023; 27:2153-2161. [PMID: 37132488 DOI: 10.1080/13607863.2023.2208043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 04/24/2023] [Indexed: 05/04/2023]
Abstract
OBJECTIVE We aimed to investigate the association between gait speed and cognitive status in outpatient older adults from a resource-limited setting in Peru. METHODS We performed a cross-sectional study including older adults aged ≥60 years attending a geriatrics outpatient clinic between July 2017 and February 2020. Gait speed was measured over a 10-meters distance without considering the first and last meter traveled. Cognitive status was assessed through the Short Portable Mental Status Questionnaire (SPMSQ) and the Mini-Mental State Examination (MMSE). We used a multivariate binomial logistic regression to conduct both an epidemiological and fully adjusted models. RESULTS We included 519 older adults (mean age: 75 years; IQR = 10), of whom 95 (18.3%) and 151 (31.5%) were cognitively impaired according to the SPMSQ and MMSE, respectively. Gait speed was slower among patients with poorer cognitive status as assessed by both tools (p < 0.001). Malnutrition (PR: 1.74; CI: 1.45-2.08) and functional dependency (PR: 4.35; CI: 2.68-7.08) were associated with a greater prevalence of cognitive impairment according to the SPMSQ, whereas a faster gait speed (PR: 0.27, CI: 0.14-0.52) and longer years of education (PR: 0.83, CI: 0.77-0.88) were associated with a less prevalence. CONCLUSIONS Slower gait speed was associated with poorer cognitive status in outpatient older adults. Gait speed may be a complementary tool in the cognitive assessment of older adults from resource-limited settings.
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Affiliation(s)
| | - Edson J Ascencio
- School of Medicine 'Alberto Hurtado', Universidad Peruana Cayetano Heredia, Lima, Peru
- Health Innovation Laboratory, Institute of Tropical Medicine 'Alexander von Humboldt', Universidad Peruana Cayetano Heredia, Lima, Peru
| | | | | | - Paola M Casas
- Gerontology Institute, Universidad Peruana Cayetano Heredia, Lima, Peru
- Cayetano Heredia Hospital, Lima, Peru
| | - Paulo Ruiz-Grosso
- School of Medicine 'Alberto Hurtado', Universidad Peruana Cayetano Heredia, Lima, Peru
- National Institute of Mental Health, Lima, Peru
| | - Tania Tello
- School of Medicine 'Alberto Hurtado', Universidad Peruana Cayetano Heredia, Lima, Peru
- Gerontology Institute, Universidad Peruana Cayetano Heredia, Lima, Peru
- Cayetano Heredia Hospital, Lima, Peru
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Nascimento MDM, Gouveia ÉR, Gouveia BR, Marques A, Martins F, Przednowek K, França C, Peralta M, Ihle A. Associations of Gait Speed, Cadence, Gait Stability Ratio, and Body Balance with Falls in Older Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192113926. [PMID: 36360802 PMCID: PMC9655734 DOI: 10.3390/ijerph192113926] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 10/24/2022] [Accepted: 10/24/2022] [Indexed: 06/07/2023]
Abstract
To investigate the association between gait speed (GS), cadence (CAD), gait stability ratio (GSR), and body balance (BB) with falls in a large sample of older adults. The analysis included 619 individuals-305 men and 314 women (69.50 ± 5.62 years)-residing in the Autonomous Region of Madeira, Portugal. Mobility in GS, CAD, and GSR was assessed using the 50-foot walk test and BB by the Fullerton Advanced Balance scale. The frequency of falls was obtained by self-report. Linear regression analysis showed that higher performance in GS and BB was able to reduce the risk of falling by up to 0.34 and 0.44 times, respectively. An increase in the GSR value enhanced the risk of falling by up to 0.10 times. Multinomial analysis indicated that, in relation to the highest tertile (reference), older adults classified with GS and BB performance in the lowest tertile (lowest) had an increased chance (OR) of falling by up to 149.3% and 48.8%, respectively. Moreover, in relation to the highest tertile, the performance of the GSR classified in the lowest and medium tercile showed an increase in the chance of falling by up to 57.4% and 56.4%, respectively.
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Affiliation(s)
- Marcelo de Maio Nascimento
- Department of Physical Education, Federal University of Vale do São Francisco, 56304-917 Petrolina, Brazil
| | - Élvio Rúbio Gouveia
- Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
- LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
| | - Bruna R. Gouveia
- LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
- Regional Directorate of Health, Secretary of Health of the Autonomous Region of Madeira, 9004-515 Funchal, Portugal
- Saint Joseph of Cluny Higher School of Nursing, 9050-535 Funchal, Portugal
| | - Adilson Marques
- Faculty of Human Kinetics, University of Lisbon (CIPER), 1495-751 Lisbon, Portugal
- Faculty of Medicine, University of Lisbon (ISAMB), 1649-020 Lisbon, Portugal
| | - Francisco Martins
- Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
- LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
| | - Krzysztof Przednowek
- Institute of Physical Culture Sciences, Medical College, University of Rzeszów, 35-959 Rzeszów, Poland
| | - Cíntia França
- Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
- LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
| | - Miguel Peralta
- Faculty of Human Kinetics, University of Lisbon (CIPER), 1495-751 Lisbon, Portugal
- Faculty of Medicine, University of Lisbon (ISAMB), 1649-020 Lisbon, Portugal
| | - Andreas Ihle
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
- Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
- Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland
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Evaluation of the Suitability of Smart Health Products for Aging Based on the IIVAHP-CRITIC Model: A Case Study of Smart Health Kiosk. SUSTAINABILITY 2022. [DOI: 10.3390/su14159212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
In the global situation of an aging population, the evaluation of the suitability of smart health products for aging is very important in order to achieve sustainable development goals. However, few evaluation methods have been adopted for smart health products for older individuals. An objective and comprehensive evaluation system and evaluation methods need to be established to guide the design of smart health products. In this study, a Smart Health Kiosk (SHK) was used as an example, and an index system was established for the evaluation of the suitability for aging based on the influencing factors from four dimensions. To address the problem that it is difficult to quantify the subjective and objective weights in the evaluation, this study proposes a method of evaluating suitability for aging based on the combination of the Improved Interval-Valued Analytic Hierarchy Process and the Criteria Importance Though Intercrieria Correlation (IIVAHP-CRITIC) method. The results show that the method integrates the influence of subjective and objective weights on the evaluation and avoids the limitations of a single evaluation. It takes into account the relationship between the various levels of indicators and the subjective and objective indicators. Weights calculated by the IIVAHP-CRITIC method help to better assess the objectivity and validity of the design solutions. This evaluation method can effectively reflect the related attributes of each element in the aging-suitability design stage of smart health products. The evaluation results help to improve the quality and ergonomic comfort of aging products, and can effectively reduce the occurrence of design problems.
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