scholarly journals Balance and gait disorders in a memory clinic population: A prospective observational cross‐sectional study

2021 ◽  
Vol 17 (S6) ◽  
Author(s):  
George Razay
RMD Open ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. e000631 ◽  
Author(s):  
Agnete Malm Gulati ◽  
Brigitte Michelsen ◽  
Andreas Diamantopoulos ◽  
Berit Grandaunet ◽  
Øyvind Salvesen ◽  
...  

2021 ◽  
pp. 1-8
Author(s):  
Maria Eduarda Pinheiro Hüttner Feijó ◽  
Patrícia Haas ◽  
Danúbia Hillesheim ◽  
André Junqueira Xavier ◽  
Anna Quialheiro ◽  
...  

Purpose The prevalence of dementia has increased in recent years and, along with hearing loss, can negatively impact the health of older adults. The purpose of this retrospective cross-sectional study was to establish self-reported hearing loss and associated factors in older adults at a memory clinic. Method Researchers conducted a retrospective cross-sectional study on factors associated with self-reported hearing loss (i.e., lifestyle, general health, cognition, functional capacity). Data were taken from medical records of older adults (≥ 60 years old) who received care between 2017 and 2018 at a memory clinic located at the Southern Santa Catarina University in Brazil. Analysis included the Pearson chi-squared test and logistic regression, estimation of the crude and adjusted odds ratios ( OR ), with respective confidence intervals of 95%. Results Researchers analyzed the medical records of 257 older adults and verified a prevalence of 13.2% of these adults with self-reported hearing loss. There was a higher prevalence of the outcome (i.e., self-reported hearing loss) in older adults who reported tinnitus (35.2%), those with mild cognitive impairment (14.7%), and those who were sedentary (19.2%). After adjustment for confusion factors, tinnitus ( OR = 4.63; p = .019) and sedentarism ( OR = 2.89; p = .029) were still associated with the outcome. Conclusions Tinnitus and sedentarism were associated with hearing loss in older adults receiving care at a memory clinic. As a public health issue, presbycusis needs to be included in the health planning and health promotion agendas, with effective control, prevention, and treatment measures.


Author(s):  
Anna Quialheiro ◽  
Thaynara Maestri ◽  
Thiane Aparecida Zimermann ◽  
Rozelaine Maria da Silva Ziemann ◽  
Michelli Vitória Silvestre ◽  
...  

2021 ◽  
pp. 1-8
Author(s):  
Kazuhisa Watanabe ◽  
Hiroyuki Umegaki ◽  
Taiki Sugimoto ◽  
Chisato Fujisawa ◽  
Hitoshi Komiya ◽  
...  

Background: Polypharmacy, usually defined as the use of 5 or more drugs, is associated with reduced quality of life, adverse events, and frailty. Slow gait speed is a component of physical frailty, and some studies have suggested an association between polypharmacy and slow gait speed. Objective: We aimed to determine the effects of polypharmacy on the gait difference according to stages of cognitive decline in a cross-sectional study of memory clinic patients. Methods: Participants were 431 outpatients aged 65 year or older who were cognitively normal (CN) or had mild cognitive impairment (MCI) or Alzheimer’s disease. Participants were divided into a polypharmacy group and a non-polypharmacy group in each group. Multiple regression analysis and logistic analysis were used for data analysis. Results: There were 182 patients in the polypharmacy group and 249 patients in the non-polypharmacy group. Multiple regression analysis revealed that gait speed had significant negative associations with number of medications and polypharmacy status in the CN group (β: –0.026 [–0.041 to –0.0018] and –0.128 [–0.022 to –0.0033], respectively) and MCI group (–0.018 [–0.028 to –0.0009] and –0.100 [–0.166 to –0.0034]). Logistic regression analysis also showed that number of medications was associated with slow gait status (<  1 m/s) in the CN group (OR: 1.336 [1.115 to 1.601]) and MCI group (1.128 [1.022 to 1.244]). Conclusion: CN and MCI patients with polypharmacy have slower gait speed. Attention should be paid to decreased gait speed in older adults with polypharmacy even when their cognitive function is relatively preserved.


2015 ◽  
Vol 35 (6) ◽  
pp. 239 ◽  
Author(s):  
Nian-Sheng Tzeng ◽  
Chiung-Wen Chang ◽  
Ju-Yueh Hsu ◽  
Yu-Ching Chou ◽  
Hsin-An Chang ◽  
...  

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