{"title":"Handgrip strength and gait speed relationships with cognitive impairment in Iranian older adults: Birjand longitudinal aging study","authors":"Amirabbas Nikkhah MD , Hossein Fakhrzadeh MD , Mitra Moodi PhD , Huriye Khodabakhshi PhD , Masoumeh Khorashadizadeh MSc , Seyed Masoud Arzaghi MD , Mehdi Varmaghani PhD , Hanieh-Sadat Ejtahed PhD , Farshad Sharifi MD, PhD","doi":"10.1016/j.gerinurse.2025.03.052","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Cognitive impairment prevalence is rising with population aging. This study examined the relationship between handgrip strength and gait speed with cognitive impairment and performance in older adults.</div></div><div><h3>Methods</h3><div>This cross-sectional study used baseline data from Birjand Longitudinal Aging Study (BLAS), including 1347 older adults. Cognitive function was evaluated using the six-item Cognitive Impairment Test (6-CIT). Gait speed was measured over six meters, and grip strength was assessed with hand dynamometers.</div></div><div><h3>Results</h3><div>After adjusting for potential confounders, the association between low handgrip strength and cognitive impairment lost its significance (relative risk ratio (RRR) = 1.07, 95% CI: 0.70, 1.63). However, low gait speed remained significantly associated with dementia (RRR = 1.92, 95% CI: 1.23, 3.01) after adjusting for age, sex, education, body mass index (BMI), hypertension, and depressive symptoms.</div></div><div><h3>Conclusion</h3><div>Low gait speed is significantly associated with dementia, highlighting the importance of incorporating physical function measures into dementia risk assessments.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 280-287"},"PeriodicalIF":2.5000,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0197457225001399","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Cognitive impairment prevalence is rising with population aging. This study examined the relationship between handgrip strength and gait speed with cognitive impairment and performance in older adults.
Methods
This cross-sectional study used baseline data from Birjand Longitudinal Aging Study (BLAS), including 1347 older adults. Cognitive function was evaluated using the six-item Cognitive Impairment Test (6-CIT). Gait speed was measured over six meters, and grip strength was assessed with hand dynamometers.
Results
After adjusting for potential confounders, the association between low handgrip strength and cognitive impairment lost its significance (relative risk ratio (RRR) = 1.07, 95% CI: 0.70, 1.63). However, low gait speed remained significantly associated with dementia (RRR = 1.92, 95% CI: 1.23, 3.01) after adjusting for age, sex, education, body mass index (BMI), hypertension, and depressive symptoms.
Conclusion
Low gait speed is significantly associated with dementia, highlighting the importance of incorporating physical function measures into dementia risk assessments.
期刊介绍:
Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.