Six-month change in gait speed to discriminate between those with and without falls history in older people with Mild Cognitive Impairment and mild Alzheimer disease.

Autor: Masse FAA; Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil., Ansai JH; Departament of Gerontology, Federal University of São Carlos, São Carlos, São Paulo, Brazil., Gerassi RC; Departament of Gerontology, Federal University of São Carlos, São Carlos, São Paulo, Brazil., Tsen C; Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil., Cezar NOC; Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil., de Andrade LP; Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil. Electronic address: larissa.andrade@ufscar.br.
Jazyk: angličtina
Zdroj: Geriatric nursing (New York, N.Y.) [Geriatr Nurs] 2022 Nov-Dec; Vol. 48, pp. 274-279. Date of Electronic Publication: 2022 Nov 03.
DOI: 10.1016/j.gerinurse.2022.10.002
Abstrakt: Background and Purpose: The purposes of this study were to identify differences in gait speed performance over 6 months between older people with Preserved Cognition (PrC), with Mild Cognitive Impairment (MCI) and with Alzheimer disease (AD) in mild stage; and to verify if the change in gait speed could discriminate fallers in older people with MCI and AD in a mild stage METHODS: A longitudinal study was conducted with community-dwelling older adults, including 40 with PrC, 36 with MCI and 34 with AD in the mild stage. Gait speed (in m/s) changes were captured through a 10-meter walk test. We documented the number of self-reported falls by monthly calendars that were returned after a 6-month follow-up. During this period, the participants received monthly telephone calls to remind them to fill in the calendar RESULTS: There was a significant difference in terms of sex and age between the groups: 23%, 31% and 19% were female and had a mean age of 72.8, 75.9 and 76.9 years in the PrC, MCI and AD groups respectively. During the follow-up, 45%, 52.7% and 52.9% of the PrC, MCI and AD groups fell. The MCI and AD groups presented lower gait speed compared to the PrC Group at both moments. There was no significant difference in the change of gait speed between groups. In the model adjusted by age, the change in gait speed failed to discriminate fallers in older people with MCI and with AD CONCLUSION: Older people with MCI and AD in the mild stage present lower gait speed compared to older people with PrC. Changes in gait speed over a short period of time do not discriminate fallers in older people with MCI or AD in a mild stage.
Competing Interests: Declaration of Competing Interest The authors declare no conflict of interest.
(Copyright © 2022. Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: