单任务和双任务步态速度在社区居住老年人衰弱筛查中的作用。

IF 3 Q1 PRIMARY HEALTH CARE
Joey Yeo, Laura Tay, Yong Hao Pua, Shi Min Mah, Ee Ling Tay, Min Xian Wang, Yee Sien Ng
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引用次数: 0

摘要

目的:本研究比较了基于社区的衰弱筛查项目中健壮和虚弱老年人的双任务(DT)步态速度。方法:对50岁以上的老年人进行横断面研究。参与者被分类为健壮,虚弱或虚弱使用虚弱表型。在单任务(ST)和2 DT条件下测量步态速度:算术(DT1)和语言流畅(DT2)任务。对于算术任务,参与者从16开始,以2的倍数向上数。在语言流畅性测试中,他们一边走路一边给不同的动物命名。结果:共招募了976名参与者,其中779名健全人,181名体弱,16名体弱。稳健的参与者表现出明显更快的DT步态速度(DT1: 1.12 (0.25)m/s;DT1: 0.97 (0.27)m/s比虚弱前/虚弱(PFF)参与者(DT1: 0.88 (0.30)m/s);DT2: 0.78 (0.30)m/s)。稳健的参与者也表现出明显更快的ST步速(1.31 (0.22)m/s) vs 1.05 (0.31)m/s)。结论:DT步态评估结合了身体和认知领域,可以作为社区早期虚弱检测的更全面的工具。观察到的DT步态速度的显著差异突出了将认知评估纳入虚弱筛查方案的必要性,支持及时干预以改善健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Single and Dual Task Gait Speed in Frailty Screening of Community-Dwelling Older Adults.

Objective: This study compares dual task (DT) gait speed between robust and frail older adults in the setting of a community-based frailty screening program.

Methods: A cross-sectional study was conducted involving older adults aged 50 years or older. Participants were categorized as robust, pre-frail or frail using the FRAIL phenotype. Gait speed was measured under single task (ST) and 2 DT conditions: arithmetic (DT1) and verbal fluency (DT2) tasks. For the arithmetic task, participants counted upwards in multiples of 2, starting from 16. For the verbal fluency task, they named different animals as they walked.

Results: A total of 976 participants were recruited, of which 779 were robust, 181 were pre-frail and 16 were frail. Robust participants exhibited significantly faster DT gait speeds (DT1: 1.12 (0.25)m/s; DT2: 0.97 (0.27)m/s than pre-frail/frail (PFF) participants (DT1: 0.88 (0.30)m/s); DT2: 0.78 (0.30)m/s). Robust participants also demonstrated a significantly faster ST gait speed (1.31 (0.22)m/s) vs 1.05 (0.31)m/s).

Conclusion: DT gait assessment combines both physical and cognitive domains and may serve as a more holistic tool for early frailty detection in the community. The significant differences observed in DT gait speeds highlight the need for integrating cognitive assessments into frailty screening protocols, supporting timely interventions to improve health outcomes.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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