Peng Hao, Yao Na, Song Yan-Ping, Huang Li, Chen Hong-Bo, Jiang Yang, Chen Qi-Gang
College of Physical Education, Yunnan Normal University, Kunming 650500, Yunnan Province, China.
Department of Rehabilitation, Kunming Municipal Hospital of Traditional Chinese Medicine, Kunming 650011, Yunnan Province, China.
World J Psychiatry. 2025 Apr 19;15(4):101800. doi: 10.5498/wjp.v15.i4.101800.
The aging global population is driving an increase in dementia, making the early identification of at-risk individuals crucial. Studies have shown that elderly people often exhibit a slowing gait before dementia diagnosis, which is linked to cognitive decline and predicts dementia risk. With 30% of those over 65 years of age experiencing falls annually, managing fall risk is essential. Motoric cognitive risk syndrome (MCR), characterized by subjective memory impairment and slow gait, is a pre-dementia condition that can identify high-risk individuals without extensive evaluation. The prevalence of MCR varies globally and is associated with an increased risk of falls, disability, and death. Early screening and intervention for MCR can delay dementia and improve fall regulation, offering a new perspective on elderly health management. This review synthesizes the current understanding of MCR-related falls, evaluates risk assessment methods, and discusses health strategies to provide a theoretical basis for fall prevention in community-dwelling older adults.
全球人口老龄化导致痴呆症患者增多，因此尽早识别高危个体至关重要。研究表明，老年人在被诊断出患有痴呆症之前通常会出现步态迟缓的情况，这与认知能力下降有关，并可预测痴呆症风险。每年有30%的65岁以上老人会跌倒，因此管理跌倒风险至关重要。运动认知风险综合征（MCR）以主观记忆障碍和步态迟缓为特征，是一种痴呆前状态，无需进行广泛评估就能识别高危个体。MCR的患病率在全球范围内各不相同，并且与跌倒、残疾和死亡风险增加有关。对MCR进行早期筛查和干预可以延缓痴呆症的发生并改善跌倒控制，为老年人健康管理提供了新的视角。本综述综合了目前对与MCR相关跌倒的认识，评估了风险评估方法，并讨论了健康策略，为社区居住的老年人预防跌倒提供理论依据。
