Shin Dabi, Kang Eun Kyoung
Department of Rehabilitation Medicine, Kangwon National University Hospital.
Department of Rehabilitation Medicine, School of Medicine, Kangwon National University, Chuncheon, Republic of Korea.
Medicine (Baltimore). 2020 Jul 2;99(27):e20720. doi: 10.1097/MD.0000000000020720.
Dual-task interference (DTI) is a decreased performance when conducting 2 tasks simultaneously, such as cognitive and motor tasks. This study aimed to identify the DTI-related factors with individually computerized interference and analyze the relative implications of decreasing DTI in healthy farmers.It followed 3 computerized experiments:The reaction time of correct releases (CRT) of BT1 in all tasks was measured, and the CRT ratios of DT were divided by the CRT values from CT and MT to obtain the DTI value. CRT during CT and MT was decreased compared to that during DT. The interference by CT (CRT of DT/CRT of MT × 100, CTI) was increased compared to the interference by MT (CRT of DT/CRT of CT×100, MTI). Additionally, comprehensive baseline characteristics, body composition, psycho-cognitive, and physical factors were assessed.Of a total of 54 participants, 16 are males (67.2 ± 8.9 years) and 38 females (62.5 ± 6.6 years). CTI showed significant correlations with age (r = 0.436, P < .001), farming period (r = 0.290, P = .033), score of the Mini-Mental State Examination in the Korean version of CERAD Assessment Packet (r = -0.329, P = .015), CRT of the Go/No-Go test (r = 0.67, P < .001), score of the short physical performance battery (r = -0.304, P = .026), and time of the timed up and go test (r = 0.364, P = .007). Regression analysis showed that the CRT of the Go/No-Go test (β = 0.558, P < .001) was the most explanatory factors for CTI.Based on the individualized DTI values quantified, interference during cognitive task was mostly related to CRT of Go/No-Go test, reflecting the attentional level. These results could suggest strategies for the active attentional training to reduce DTI and passive simplification and modification of lifestyles.
双重任务干扰(DTI)是指在同时进行两项任务(如认知任务和运动任务)时表现下降。本研究旨在通过个体计算机化干扰识别与DTI相关的因素,并分析在健康农民中减少DTI的相关影响。该研究进行了3项计算机化实验:测量了所有任务中BT1的正确释放反应时间(CRT),并将DT的CRT比率除以CT和MT的CRT值以获得DTI值。与DT期间相比,CT和MT期间的CRT降低。与MT的干扰(DT的CRT/CT的CRT×100,MTI)相比,CT的干扰(DT的CRT/MT的CRT×100,CTI)增加。此外,还评估了综合基线特征、身体成分、心理认知和身体因素。在总共54名参与者中,16名是男性(67.2±8.9岁),38名是女性(62.5±6.6岁)。CTI与年龄(r = 0.436,P <.001)、务农年限(r = 0.290,P = 0.033)、韩国版CERAD评估包中的简易精神状态检查表得分(r = -0.329,P = 0.015)、Go/No-Go测试的CRT(r = 0.67,P <.001)、简短身体表现电池得分(r = -0.304,P = 0.026)以及计时起立行走测试时间(r = 0.364,P = 0.007)显著相关。回归分析表明,Go/No-Go测试的CRT(β = 0.558,P <.001)是CTI的最具解释力的因素。基于量化的个体化DTI值,认知任务期间的干扰主要与Go/No-Go测试的CRT相关,反映了注意力水平。这些结果可为主动注意力训练以减少DTI以及被动简化和改变生活方式提供策略建议。