Physical performance tests for preliminary cognitive screening in older adults: A systematic review of strength, walking, and balance assessments

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2024-12-09 DOI:10.1016/j.archger.2024.105722

Pau Ferrer-Ramos , Manuel V. Garnacho-Castaño , Montserrat Girabent-Farrés , Marcos Faundez-Zanuy , Noemí Serra-Payá

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引用次数: 0

Abstract

Objective

The aim of this systematic review is to determine which physical tests, particularly those assessing strength, walking abilities and balance stability, can provide the most pertinent information for a preliminary screening of cognitive status, facilitating further cognitive evaluation.

Methods

A systematic search was conducted using the PubMed and Web of Science databases. Studies that assessed both strength or balance stability and cognitive state in community-dwelling adults aged ≥60 years old were selected for inclusion.

Results

The search strategy identified a total of 864 studies. After removing duplicates and applying inclusion and exclusion criteria, ten studies comprising a total of 6868 subjects were included in the review. According to the GRADE system, the studies were classified as low quality. Cognitively healthy individuals exhibited better balance, higher strength levels, greater gait speed and higher instrumental activities of daily living scores compared to those with mild cognitive impairment or cognitive impairment.

Conclusion

The assessment of physical function in older adults may serve as a useful tool in identifying impairments associated with physical frailty, sarcopenia, and cognitive decline. Early screening based on physical performance could assist healthcare professionals in determining the need for further cognitive assessment, potentially aiding in the prevention or early detection of cognitive decline.

查看原文本刊更多论文

用于老年人初步认知筛查的体能测试：对力量、行走和平衡评估的系统回顾。

目的：本系统综述的目的是确定哪些体能测试，特别是那些评估力量、行走能力和平衡稳定性的测试，可以为初步筛选认知状态提供最相关的信息，从而促进进一步的认知评估。方法：系统检索PubMed和Web of Science数据库。评估≥60岁社区居民力量或平衡稳定性和认知状态的研究入选。结果：搜索策略共确定了864项研究。在排除重复并应用纳入和排除标准后，10项研究共6868名受试者被纳入本综述。根据GRADE系统，这些研究被归类为低质量。与轻度认知障碍或认知障碍患者相比，认知健康个体表现出更好的平衡性、更高的力量水平、更快的步态速度和更高的日常生活工具活动得分。结论：对老年人身体功能的评估可以作为识别与身体虚弱、肌肉减少和认知能力下降相关的损伤的有用工具。基于身体表现的早期筛查可以帮助医疗保健专业人员确定是否需要进一步的认知评估，可能有助于预防或早期发现认知衰退。

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

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.