Influence of frailty and cognitive decline on dual task performance in older adults: an analytical cross-sectional study.

IF 1.5 4区医学 Q3 NURSING

Revista Latino-Americana De Enfermagem Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7159.4485

Francine Golghetto Casemiro, Lucas Pelegrini Nogueira de Carvalho, Fernanda de Brito Matiello, Marcela Cristina Resende, Rosalina Aparecida Partezani Rodrigues

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Abstract

Objective: to analyze the influence of frailty and cognitive decline on dual-task performance in older adults.

Methods: cross-sectional study carried out with older adults at a geriatrics outpatient clinic, in São Paulo. Sociodemographic data, cognitive performance, frailty phenotype, gait speed and dual-task assessments were used. The analysis was descriptive, combined with a multiple linear regression model.

Results: 219 older adults participated, with a mean age of 72.55 years, aged between 60 and 79 years (82.65%) and predominantly female (70.32%). Among them, 86 (39.27%) were frail and 123 (57.48%) presented cognitive decline. The mean time for simple walking was 15.95 (7.02) seconds; for the motor dual-task, 17.64 (8.44) seconds; and for the cognitive dual-task, 23.88 (11.87) seconds. Women without a partner, living with family, and with low education (0-4 years) required more time to perform both the cognitive and motor dual-tasks compared to the time for simple walking. Frail older adults exhibited impared gait performance, both in simple and dual motor/cognitive tasks.

Conclusion: frail older adults experienced a significant decline in performance in simple gait and in dual motor/cognitive tasks, with no difference in performance between those with and without cognitive decline. Multidisciplinary interventions should focus on promoting the health of older adults.

Background: (1) Frailty and sarcopenia are important syndromes that need to be assessed in older adults. (2) Older adults with T2DM have a higher vulnerability to developing frailty. (3) Nurses should implement preventive measures to address frailty and sarcopenia.

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.