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衰弱和认知障碍是否会影响最年长的机构养老患者行走时的双重任务成本?

Do frailty and cognitive impairment affect dual-task cost during walking in the oldest old institutionalized patients?

作者信息

Cadore Eduardo L, Casas-Herrero Alvaro, Zambom-Ferraresi Fabricio, Martínez-Ramírez Alicia, Millor Nora, Gómez Marisol, Moneo Ana B Bays, Izquierdo Mikel

机构信息

Exercise Research Laboratory, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

Division of Geriatric Medicine, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.

出版信息

Age (Dordr). 2015 Dec;37(6):124. doi: 10.1007/s11357-015-9862-1. Epub 2015 Dec 14.

Abstract

The objective of this study was to investigate dual-task costs in several elderly populations, including robust oldest old, frail oldest old with MCI, frail oldest old without MCI, and frail elderly with dementia. Sixty-four elderly men and women categorized into frail without MCI (age 93.4 ± 3.2 years, n = 20), frail with MCI (age 92.4 ± 4.2 years, n = 13), robust (age 88.2 ± 4.1 years, n = 10), and patients with dementia (age 88.1 ± 5.1 years, n = 21). Five-meter gait ability and timed-up-and-go (TUG) tests with single and dual-task performance were assessed in the groups. Dual-task cost in both 5-m habitual gait velocity test and TUG test was calculated by the time differences between single and dual-task performance. The robust group exhibited better 5-m gait and TUG test performances in the single and dual-task conditions compared with the other three groups (P < 0.001), and the frail and frail + MCI groups exhibited better performances than the dementia group (P < 0.001). No significant differences were observed between the frail and frail + MCI groups. However, all groups exhibited lower gait velocities in the verbal and arithmetic task conditions, but the dual-task cost of the groups were similar. Robust individuals exhibited superior single and dual-task walking performances than the other three groups, and the frail and frail + MCI individuals exhibited performances that were superior to those of the patients with dementia. However, the dual-task costs, i.e., the changes in gait performance when elderly participants switch from a single to a dual task, were similar among all four of the investigated groups. Therefore, these results demonstrated that the magnitude of the impairment in gait pattern is independent of frailty and cognitive impairment status.

摘要

本研究的目的是调查若干老年人群的双重任务成本,包括健康的高龄老人、患有轻度认知障碍(MCI)的体弱高龄老人、未患MCI的体弱高龄老人以及患有痴呆症的体弱老人。64名老年男性和女性被分为未患MCI的体弱组(年龄93.4±3.2岁,n = 20)、患有MCI的体弱组(年龄92.4±4.2岁,n = 13)、健康组(年龄88.2±4.1岁,n = 10)和痴呆症患者组(年龄88.1±5.1岁,n = 21)。对这些组进行了5米步态能力测试以及单任务和双任务表现的定时起立行走(TUG)测试。5米习惯性步态速度测试和TUG测试中的双重任务成本通过单任务和双任务表现之间的时间差来计算。与其他三组相比,健康组在单任务和双任务条件下的5米步态和TUG测试表现更好(P < 0.001),体弱组和体弱+MCI组的表现优于痴呆症组(P < 0.001)。体弱组和体弱+MCI组之间未观察到显著差异。然而,所有组在言语和算术任务条件下的步态速度均较低,但各组的双重任务成本相似。健康个体的单任务和双任务行走表现优于其他三组,体弱和体弱+MCI个体的表现优于痴呆症患者。然而,在所有四个被调查组中,双重任务成本,即老年参与者从单任务转换为双任务时步态表现的变化是相似的。因此,这些结果表明步态模式受损的程度与身体虚弱和认知障碍状态无关。

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