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认知能力下降会对身体机能产生负面影响。

Cognitive decline negatively impacts physical function.

机构信息

Exercise Science Research Center, Department of Health, Human Performance, and Recreation, University of Arkansas, USA.

Exercise Science Research Center, Department of Health, Human Performance, and Recreation, University of Arkansas, USA.

出版信息

Exp Gerontol. 2021 Jan;143:111164. doi: 10.1016/j.exger.2020.111164. Epub 2020 Nov 21.

Abstract

Many older adults report difficulty performing one or more activities of daily living. These difficulties may be attributed to cognitive decline and as a result, measuring cognitive status among aging adults may help provide an understanding of current functional status. The purpose of the present investigation was to determine the association between cognitive status and measures of physical functioning. Seventy-six older adults participated in this study; 41 were categorized as normal memory function (NM) and 35 were poor memory function (PM). NM participants had significantly higher physical function as measured by Short Physical Performance Battery (SPPB; 9.4 ± 2.2 vs. 8.4 ± 2.0; p = .03) and peak velocity (0.67 ± 0.16 vs. 0.56 ± 0.19; p = .04) during a quick sit-to-stand task. Dual-task walking velocities were 22% and 126% slower between cognitive groups for the fast and habitual trials, respectively when compared to the single-task walking condition. Significant correlations existed between measures of memory and physical function. The largest correlations with memory were for peak (r = 0.42) and average (r = 0.38) velocity. The results suggest a positive relationship between physical function and cognitive status. However, further research is needed to determine the mechanism of the underlying relationships between physical and cognitive function.

摘要

许多老年人报告说在进行一项或多项日常生活活动时存在困难。这些困难可能归因于认知能力下降,因此,测量老年人的认知状态可能有助于了解当前的功能状态。本研究的目的是确定认知状态与身体功能测量之间的关系。76 名老年人参与了这项研究;41 人被归类为正常记忆功能 (NM),35 人被归类为记忆功能差 (PM)。NM 参与者的身体功能明显更高,短体物理表现电池 (SPPB;9.4±2.2 与 8.4±2.0;p=0.03) 和峰值速度 (0.67±0.16 与 0.56±0.19;p=0.04) 在快速坐站任务中。与单任务行走条件相比,在快速和习惯性试验中,认知组之间的双重任务行走速度分别慢了 22%和 126%。记忆和身体功能之间存在显著相关性。与记忆相关性最大的是峰值(r=0.42)和平均(r=0.38)速度。结果表明,身体功能与认知状态之间存在正相关关系。然而,需要进一步的研究来确定身体和认知功能之间潜在关系的机制。

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