Ferrer-Ramos Pau, Garnacho-Castaño Manuel V, Girabent-Farrés Montserrat, Faundez-Zanuy Marcos, Serra-Payá Noemí
Department of Health Sciences, TecnoCampus, Research Group in Technology Applied to High Performance and Health, Universitat Pompeu Fabra, Mataró, Barcelona, Spain; Faculty of Psychology, Education and Sport Sciences, Universitat Ramon Llull, Barcelona, Spain.
Campus Docent Sant Joan de Déu, Universitat de Vic - Universitat Central de Catalunya (UVIC-UCC), C/ Sant Benito Menni, 18-20, Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Sant Boi de Llobregat, 08830, Spain.
Arch Gerontol Geriatr. 2025 Mar;130:105722. doi: 10.1016/j.archger.2024.105722. Epub 2024 Dec 9.
The aim of this systematic review is to determine which physical tests, particularly those assessing strength, walking abilities and balance stability, can provide the most pertinent information for a preliminary screening of cognitive status, facilitating further cognitive evaluation.
A systematic search was conducted using the PubMed and Web of Science databases. Studies that assessed both strength or balance stability and cognitive state in community-dwelling adults aged ≥60 years old were selected for inclusion.
The search strategy identified a total of 864 studies. After removing duplicates and applying inclusion and exclusion criteria, ten studies comprising a total of 6868 subjects were included in the review. According to the GRADE system, the studies were classified as low quality. Cognitively healthy individuals exhibited better balance, higher strength levels, greater gait speed and higher instrumental activities of daily living scores compared to those with mild cognitive impairment or cognitive impairment.
The assessment of physical function in older adults may serve as a useful tool in identifying impairments associated with physical frailty, sarcopenia, and cognitive decline. Early screening based on physical performance could assist healthcare professionals in determining the need for further cognitive assessment, potentially aiding in the prevention or early detection of cognitive decline.
本系统评价的目的是确定哪些体格检查，特别是那些评估力量、行走能力和平衡稳定性的检查，能够为认知状态的初步筛查提供最相关的信息，以促进进一步的认知评估。
使用PubMed和Web of Science数据库进行系统检索。纳入评估年龄≥60岁的社区居住成年人的力量或平衡稳定性以及认知状态的研究。
检索策略共识别出864项研究。在去除重复项并应用纳入和排除标准后，本评价纳入了10项研究，共6868名受试者。根据GRADE系统，这些研究被归类为低质量。与轻度认知障碍或认知障碍患者相比，认知健康的个体表现出更好的平衡、更高的力量水平、更快的步态速度和更高的日常生活工具性活动得分。
对老年人身体功能的评估可能是识别与身体虚弱、肌肉减少症和认知衰退相关损伤的有用工具。基于身体表现的早期筛查可以帮助医疗保健专业人员确定是否需要进一步的认知评估，可能有助于预防或早期发现认知衰退。
