Episodic memory and executive function impairments in non-demented older adults: which are the respective and combined effects on gait performances?

Details

Serval ID
serval:BIB_8333FAF0D621
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Episodic memory and executive function impairments in non-demented older adults: which are the respective and combined effects on gait performances?
Journal
Age
Author(s)
Beauchet O., Launay C.P., Fantino B., Annweiler C., Allali G.
ISSN
1574-4647 (Electronic)
ISSN-L
0161-9152
Publication state
Published
Issued date
08/2015
Peer-reviewed
Oui
Volume
37
Number
4
Pages
9812
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Gait control depends in part on cognition. This study aims to examine the separate and combined effects of episodic memory and executive function impairments on the mean value and the coefficient of variation (CoV) of stride time among non-demented older community dwellers. Based on a cross-sectional design, 1458 older community dwellers without dementia (70.6 ± 4.9 years; 49.2 % female) were recruited and separated into cognitively healthy individuals (CHI) and individuals with cognitive impairment. A score ≤5/6 on the Short Mini-Mental State Examination defined episodic memory impairment. Impaired executive function was defined by errors on the clock-drawing test. Mean value and CoV of stride time were measured by the GAITRite® system. A total of 517 participants (35.5 %) had cognitive impairment in at least one cognitive domain. Participants with memory impairment (P = 0.006) and those with combined cognitive impairments (P < 0.001) had greater (i.e., worse gait performance) mean value of stride time (P = 0.006) compared to CHI. Participants with combined cognitive impairment had a greater CoV of stride time (i.e., worse gait performance) compared to CHI (P = 0.004) and to those with separate memory impairment (P = 0.037). Among participants with combined cognitive impairments, mean value and CoV of stride time had the highest effect size (respectively, effect size = 0.49 [95 % confidence interval (CI) 0.27;0.71] and effect size = 0.40 [95 %CI 0.18;0.62]). Participants with episodic memory or executive impairments had a greater mean value and CoV of stride time compared to those with no cognitive impairment. Combined episodic memory and executive impairments exceeded the sum of separate impairments on gait performances, suggesting a complex interplay going beyond a simple additive effect.
Keywords
Aged, Case-Control Studies, Cognition Disorders/complications, Cognition Disorders/physiopathology, Cross-Sectional Studies, Executive Function/physiology, Female, France, Gait/physiology, Humans, Independent Living, Male, Memory Disorders/complications, Memory Disorders/physiopathology, Memory, Episodic
Pubmed
Web of science
Create date
06/10/2023 8:11
Last modification date
07/10/2023 5:58
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