scholarly journals Decreased Time on the Nondominant One-Leg Standing Test Associated with Repeated Falls in Older Residents with Healthy Aging, Mild Cognitive Impairment, and Dementia: The Wakuya Project

2021 ◽  
pp. 122-128
Author(s):  
Keiichi Kumai ◽  
Mika Kumai ◽  
Junko Takada ◽  
Jiro Oonuma ◽  
Kei Nakamura ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Motor Function ◽  
Healthy Aging ◽  
Community Setting ◽  
Cross Sectional Study ◽  
Clinical Dementia Rating ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Study Participants

<b><i>Introduction:</i></b> The aim of this study is to clarify the association between repeated falls and the dominant/nondominant side in the open-eyed one-leg standing (OLS) test among people who are healthy or have mild cognitive impairment (MCI) or dementia in a community setting. We recruited 180 participants from 39 areas in the town of Wakuya. <b><i>Methods:</i></b> This is a cross-sectional study. Participants were classified into 3 Clinical Dementia Rating (CDR) groups, i.e., CDR 0 (healthy, <i>n</i> = 71), CDR 0.5 (MCI, <i>n</i> = 85), and CDR 1+ (<i>n</i> = 23), and they were investigated for motor function (grip strength, 6-m normal gait speed, timed up and go test, and OLS test) and falls during the past year. <b><i>Results:</i></b> Subjects with a CDR of 0.5 had higher rates of single and repeated falls (13.0 and 23.4%, respectively) than the CDR 0 group (12.1 and 4.5%, respectively), as did those in CDR 1+ group (15.0 and 30.0%). For the CDR 0.5 group, the frequency of falls was negatively (biologically meaningful direction) correlated with the left OLS time. No significant correlations with falls were found for other motor function tests. Another analysis separating the CDR 0.5 group into 2 subgroups (repeated falls vs. no or a single fall) also showed that the left OLS time was lower in subjects with repeated falls. <b><i>Conclusion:</i></b> People with MCI who had fallen repeatedly in the year before the assessment had a significantly lower left OLS time compared to those who had not fallen or had had 1 fall with MCI. None of the other physical measures were associated with past repeat falls including OLS on the dominant right side. No such findings were noted in the CDR 0 and CDR 0+ groups.

scholarly journals The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study

2021 ◽  
Vol 10 (22) ◽  
pp. 5358
Author(s):  
Agnieszka Kasiukiewicz ◽  
Lukasz Magnuszewski ◽  
Marta Swietek ◽  
Zyta Beata Wojszel
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Dual Task ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cognitive Status ◽  
Healthy Controls ◽  
Timed Up And Go ◽  
Geriatric Population ◽  
Cross Sectional

The study aims to assess the performance of dual-task tests in the geriatric population and their association with the cognitive status of the patients. Methods: Patients admitted to the Department of Geriatrics, Hospital of the Ministry of Interior and Administration on Bialystok, Poland, in 2019 and 2020 were enrolled in the study. Data on the patients’ clinical, functional, and cognitive status were collected based on the comprehensive geriatric assessment. Dual-task tests included Timed Up and Go (TUG) test while counting backward (CB7), enumerating animals (EA), and holding a cup (TUG M). Results: 250 patients were included in the study, with a median age of 81.5 years (IQR 76–86) and most above 75 years of age (80.8%). Only 29 (11.6%) of study participants had no cognitive or mood disorders. Depression was diagnosed in 30.4%, MCI in 12%, and dementia in 38.4% of cases with median Mini-Mental Score Evaluation (MMSE) 17 (12–20) points. Dual-task TUG CB7 results did not differ between cognitive conditions of patients. TUG EA differed between healthy controls and other cognitive groups and TUG between healthy controls and depression and dementia, but not mild cognitive impairment (MCI). The performance of all dual-task tests differed in patients with and without dementia. Ability to finish TUG CB7 was low even in the group without dementia. There were statistically significant differences in median scores of MMSE and Clock Drawing Test (CDT) between patients who were able or not to finish single and dual-task gait tests. Conclusion: Dual-task test results and the performance of these tasks can differentiate patients with depression, MCI and dementia compared to healthy controls in the geriatric population.

scholarly journals Menopausal symptoms in rural middle aged women: a community based cross sectional study

2018 ◽  
Vol 7 (9) ◽  
pp. 3678
Author(s):  
Najma Akhtar ◽  
Rajiv K. Gupta ◽  
Kiran Bala ◽  
Vijay Mengi ◽  
Chandni Gupta
Keyword(s):  
Postmenopausal Women ◽  
Healthy Aging ◽  
Community Setting ◽  
Cross Sectional Study ◽  
Menopausal Symptoms ◽  
Health Coverage ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Participants

Background: Menopause poses a big challenge to the healthy aging of a woman. With growing emphasis on universal health coverage and improving quality of life, it is the need of hour to address the issues population of postmenopausal women to enhance our understanding of women’s experiences during menopause.Methods: This cross-sectional study was conducted using non-probability purposive sampling and house-to-house visit in randomly selected villages falling under rural Health Block Kot-Bhalwal. 245 postmenopausal women were interviewed in accordance with pretested questionnaire consisting of Sociodemographic data and Greene Climacteric Scale.Results: Muscle and joint pains was the most common complaint (89.0%), followed by feeling tired or lacking in energy (87.4%), difficulty in sleeping (82.5%) and difficulty in concentrating (80.4%). Nearly three-fourth of the study participants reported to be suffering from Irritability (77.6%), feeling tense/nervous (77.5%), Headaches (76.7%), loss of interest in most things (75.9%), feeling unhappy or depressed (74.29%), sweating at night (73.47%), attacks of anxiety, panic (73.5%), pressure or tightness in head (72.6%), and feeling dizzy or faint (71.8%).Conclusions: A higher prevalence of menopausal symptoms was found. However, more research studies are needed to determine rural urban differences in prevalence and severity of the symptoms using a standardized tool on a larger sample in the community setting.

scholarly journals Accuracy of mobility tests for screening the risk of falls in patients with mild cognitive impairment and alzheimer’s disease

2019 ◽  
Vol 26 (3) ◽  
pp. 258-264
Author(s):  
Juliana Hotta Ansai ◽  
Verena Vassimon-Barroso ◽  
Ana Claudia Silva Farche ◽  
Marcele Stephanie de Souza Buto ◽  
Larissa Pires de Andrade ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cross Sectional Study ◽  
Functional Mobility ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Risk Of Falls ◽  
Falls In Older Adults

ABSTRACT Identifying gait and balance disorders in the earlier stages of Alzheimer’s disease (AD) and Mild Cognitive Impairment (MCI) could reduce or prevent falls in older adults. This cross-sectional study aimed to determine which mobility tests best discriminate the risk of falls in MCI and mild AD. Functional mobility was assessed by the timed up and go test (TUG) and 10-meter walk test (10MWT). A calendar of falls was produced, with follow-up via telephone calls during 6 months. For the MCI Group (n=38), time spent on the 10MWT was the best variable for discriminating fallers, with a cut-off point of 10.69 seconds associated with the highest accuracy (76.3%). In the AD Group (n=37), 10MWT cadence was the best variable for discriminating fallers, with a cut-off point of 101.39 steps per minute associated with an accuracy of 81.1%. As a conclusion, 10MWT time and cadence were the most accurate variables for screening the risk of falls in MCI and mild AD, respectively. The 10MWT is a functional, simple and easy test and it should be widely used in clinical practice.

Association of Dietary Habits with Mild Cognitive Impairment among Elderly in Rural Area of North China

2021 ◽  
Vol 18 ◽  
Author(s):  
Huilian Duan ◽  
Changqing Sun ◽  
Yun Zhu ◽  
Qian Liu ◽  
Yue Du ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Rural Area ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Cooking Oil ◽  
Meal Timing

Background: Recent findings suggest a possible role of diet, particularly nutrient in- takes and dietary patterns, in the prevalence of mild cognitive impairment (MCI); few studies, how- ever, have been explicitly devoted to the relationship between dietary habits and MCI. Objectives: We aimed to explore the association between dietary habits, including meal timing, and MCI among older Chinese adults. Methods: This cross-sectional study involved data collected at the baseline of the Tianjin Elderly Nutrition and Cognition Cohort (TENCC) study, in which 3,111 community-dwelling older adults (326 MCI patients and 2,785 non-MCIs) from a rural area of Tianjin, China, were recruited. In March 2018 to June 2019, all participants underwent a detailed neuropsychological evaluation that allowed for psychometric MCI classification. Information on self-reported dietary behaviors was gathered via face-to-face interviews. Crude and multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using logistic regression models. Results: In the multivariable-adjusted models, eating breakfast 4 to 6 times per week (vs. ≤3 times per week, OR: 0.45; 95% CI: 0.26, 0.75), drinking water before breakfast (yes vs. no, OR: 0.64; 95% CI: 0.51, 0.82), consuming water ≥1.5L per day (vs. <1.5L per day, OR: 0.64; 95% CI: 0.51, 0.82), and having lunch after 12:00 (vs. before 12:00, OR: 0.59; 95% CI: 0.47, 0.75) were associat- ed with decreased risk of MCI. Participants who consumed higher amounts of cooking oil were at a higher risk of MCI (moderate vs. low, OR: 1.42; 95% CI: 1.04, 1.92; high vs. low, OR: 1.40; 95% CI: 1.07-1.83). Conclusion : This study suggests that dietary habits, including breakfast frequency, daily water consumption, cooking oil consumption, and meal timing, may be associated with the risk of MCI. If replicated, these findings would open new possibilities of dietary interventions for MCI.

scholarly journals Impaired abstract thinking may discriminate between normal aging and vascular mild cognitive impairment

2010 ◽  
Vol 68 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Felipe Kenji Sudo ◽  
Gilberto Sousa Alves ◽  
Carlos Eduardo de Oliveira Alves ◽  
Maria Elisa Lanna ◽  
Letice Ericeira-Valente ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cerebrovascular Disease ◽  
Cognitive Deficits ◽  
Cross Sectional Study ◽  
Abstract Thinking ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Healthy Elderly

OBJECTIVE: Cerebrovascular disease (CVD) is associated with cognitive deficits. This cross-sectional study examines differences among healthy elderly controls and patients with vascular mild cognitive impairment (VaMCI) and vascular dementia (VaD) in performances on CAMCOG subscales. METHOD: Elderly individuals (n=61) were divided into 3 groups, according to cognitive and neuroimaging status: 16 controls, 20 VaMCI and 25 VaD. VaMCI and VaD individuals scored over 4 points on the Hachinski Ischemic Scale. RESULTS: Significant differences in total CAMCOG scores were observed across the three groups (p<0.001). VaD subjects performed worse than those with VaMCI in most CAMCOG subscales (p<0.001). All subscales showed differences between controls and VaD (p<0.001). Performance on abstract thinking showed difference between VaMCI and controls (p<0.001). CONCLUSION: CAMCOG discriminated controls from VaMCI and VaD. Assessment of abstract thinking may be useful as a screening item for diagnosis of VaMCI.

scholarly journals Association between H-type hypertension and Cognitive impairment in Kailuan community of China: A cross-sectional study.

2019 ◽  
Author(s):  
Xueyu Chen ◽  
Hui Xi ◽  
Long Ji ◽  
Weijia Xing ◽  
Haifeng Hou ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Cognitive Impairment ◽  
Cross Sectional Study ◽  
Practice Management ◽  
Health Practice ◽  
Sectional Study ◽  
Cross Sectional ◽  
Intervention Measures ◽  
Study Participants ◽  
Over 40 Years

Abstract Background Hypertension (HTN) and hyperhomocysteinemia (HHcy) have been reported to be independent predictors of cognitive impairment. However, the conclusions were inconsistent and few studies had reported the combination prediction of HTN and HHcy for cognitive impairment. Our study aimed to evaluate the association between H-type HTN, HTN and HHcy and the risk of cognitive impairment.Methods We used a cross-sectional study- participants aged over 40 years, which were selected from Kailuan communities in China. Cognitive impairment was determined by MMSE scale (MMSE<24). Multivariable logistic regression was used to analyze the association of H-type HTN and cognitive impairment, and we also made stratification analysis by age of participants.Results A total of 3454 participants were included in our study, and ≥65 years old was 16.79%; the gender of male was 56.77%. The prevalence of cognitive impairment in the H-type HTN (HTN+/HHcy+) group (10.74%) was significantly higher than other three groups (2.92%, 6.42%, 5.86%, respectively). The logistic regression results showed that participants with H-type HTN was positively associated with cognitive impairment risk (OR = 2.57, 95% CI: 1.38-4.80). Similar results were observed in participants stratified by age (65 years) (<65 years old: OR =2.01, 95% CI: 0.87- 4.67 ; ≥65 years old: OR=3.63, 95% CI: 1.32-10.01).Conclusion Our finding indicated that H-type HTN was positively associated with the risk of cognitive impairment, especially in ≥ 65 years old. H-type HTN could be the major intervention measures to decrease the incidence of cognitive impairment as well as the stroke in Health Practice Management.

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