Association of gait speed and handgrip strength with falls in older adults: the role of cognition.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-06-17 eCollection Date: 2024-01-01 DOI:10.55730/1300-0144.5882

Neslihan Kayahan Satiş, Sultan Keskin Demircan, Mehmet İlkin Naharci

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引用次数: 0

Abstract

Background/aim: Fall risk assessment is crucial for older adults because falls are associated with morbidity and mortality. This study investigated the relationship of gait speed (GS) and handgrip strength (HGS) with falls and assessed whether cognition mediates this causality.

Materials and methods: The study was conducted in a tertiary referral geriatric outpatient clinic. The physical performance of participants was evaluated by GS and HGS. All falls in the previous year were noted and factors associated with falls were analyzed using multivariate regression analysis.

Results: A total of 1018 older adults with a mean age of 78.8 ± 7.2 years, 64.2% of whom were female, were stratified into two groups: those who were cognitively impaired (n = 331) and those who were cognitively healthy (n = 660). In the study population, 22.8% (n = 226) had a history of falls in the previous year. The rates of low GS and HGS were 29.1% and 80.6%, respectively. After adjusting for confounding factors, low GS (OR = 2.01, 95% CI: 1.10-3.77, p = 0.019), low HGS (OR = 3.57, 95% CI: 1.10-11.35, p = 0.038), and low GS plus low HGS (OR = 4.52, 95% CI: 1.14-15.78, p = 0.024) in the cognitively impaired group and low GS (OR = 2.13, 95% CI: 1.39-3.52, p = 0.003) in the cognitively healthy group were independently associated with falls.

Conclusion: GS is an efficient and practical assessment tool for identifying older adults at risk of falls regardless of their cognitive status.

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步速和握力与老年人跌倒的关系：认知的作用。

背景/目的：跌倒风险评估对老年人至关重要，因为跌倒与发病率和死亡率相关。本研究调查了步速（GS）和手握力（HGS）与跌倒之间的关系，并评估了认知是否能调节这种因果关系：研究在一家三级转诊老年病门诊进行。通过GS和HGS评估参与者的体能表现。研究人员记录了参与者在过去一年中的所有跌倒情况，并使用多变量回归分析法对与跌倒相关的因素进行了分析：研究人员将 1018 名平均年龄为 78.8 ± 7.2 岁的老年人分为两组：认知障碍组（331 人）和认知健康组（660 人），其中女性占 64.2%。在研究人群中，22.8%（n = 226）的人在前一年有过跌倒史。低GS和HGS的比例分别为29.1%和80.6%。调整混杂因素后，低 GS（OR = 2.01，95% CI：1.10-3.77，p = 0.019）、低 HGS（OR = 3.57，95% CI：1.10-11.35，p = 0.038）、低 GS 加低 HGS（OR = 4.52，95% CI：1.14-15.78, p = 0.024）和认知健康组的低 GS（OR = 2.13, 95% CI: 1.39-3.52, p = 0.003）与跌倒独立相关：无论老年人的认知状况如何，GS 都是一种高效实用的评估工具，可用于识别有跌倒风险的老年人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.