The age-related contribution of cognitive function to dual-task gait in middle-aged adults in Spain: observations from a population-based study
Poor dual-task gait performance is associated with a risk of falls and cognitive decline in adults aged 65 years or older. When and why dual-task gait performance begins to deteriorate is unknown. This study aimed to characterise the relationships between age, dual-task gait, and cognitive function...
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| Veröffentlicht in: | The Lancet. Healthy longevity 2023-03, Vol.4 (3), p.e98-e106 |
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| creator | Zhou, Junhong Cattaneo, Gabriele Yu, Wanting Lo, On-Yee Gouskova, Natalia A Delgado-Gallén, Selma Redondo-Camós, Maria España-Irla, Goretti Solana-Sánchez, Javier Tormos, Josep M Lipsitz, Lewis A Bartrés-Faz, David Pascual-Leone, Alvaro Manor, Brad |
| description | Poor dual-task gait performance is associated with a risk of falls and cognitive decline in adults aged 65 years or older. When and why dual-task gait performance begins to deteriorate is unknown. This study aimed to characterise the relationships between age, dual-task gait, and cognitive function in middle age (ie, aged 40–64 years).
We conducted a secondary analysis of data from community-dwelling adults aged 40–64 years that took part in the Barcelona Brain Health Initiative (BBHI) study, an ongoing longitudinal cohort study in Barcelona, Spain. Participants were eligible for inclusion if they were able to walk independently without assistance and had completed assessments of both gait and cognition at the time of analysis and ineligble if they could not understand the study protocol, had any clinically diagnosed neurological or psychiatric diseases, were cognitively impaired, or had lower-extremity pain, osteoarthritis, or rheumatoid arthritis that could cause abnormal gait. Stride time and stride time variability were measured under single-task (ie, walking only) and dual-task (ie, walking while performing serial subtractions) conditions. Dual-task cost (DTC; the percentage increase in the gait outcomes from single-task to dual-task conditions) to each gait outcome was calculated and used as the primary measure in analyses. Global cognitive function and composite scores of five cognitive domains were derived from neuropsychological testing. We used locally estimated scatterplot smoothing to characterise the relationship between age and dual-task gait, and structural equation modelling to establish whether cognitive function mediated the association between observed biological age and dual tasks.
996 people were recruited to the BBHI study between May 5, 2018, and July 7, 2020, of which 640 participants completed gait and cognitive assessments during this time (mean 24 days [SD 34] between first and second visit) and were included in our analysis (342 men and 298 women). Non-linear associations were observed between age and dual-task performance. Starting at 54 years, the DTC to stride time (β=0·27 [95% CI 0·11 to 0·36]; p |
| doi_str_mv | 10.1016/S2666-7568(23)00009-0 |
| format | Article |
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We conducted a secondary analysis of data from community-dwelling adults aged 40–64 years that took part in the Barcelona Brain Health Initiative (BBHI) study, an ongoing longitudinal cohort study in Barcelona, Spain. Participants were eligible for inclusion if they were able to walk independently without assistance and had completed assessments of both gait and cognition at the time of analysis and ineligble if they could not understand the study protocol, had any clinically diagnosed neurological or psychiatric diseases, were cognitively impaired, or had lower-extremity pain, osteoarthritis, or rheumatoid arthritis that could cause abnormal gait. Stride time and stride time variability were measured under single-task (ie, walking only) and dual-task (ie, walking while performing serial subtractions) conditions. Dual-task cost (DTC; the percentage increase in the gait outcomes from single-task to dual-task conditions) to each gait outcome was calculated and used as the primary measure in analyses. Global cognitive function and composite scores of five cognitive domains were derived from neuropsychological testing. We used locally estimated scatterplot smoothing to characterise the relationship between age and dual-task gait, and structural equation modelling to establish whether cognitive function mediated the association between observed biological age and dual tasks.
996 people were recruited to the BBHI study between May 5, 2018, and July 7, 2020, of which 640 participants completed gait and cognitive assessments during this time (mean 24 days [SD 34] between first and second visit) and were included in our analysis (342 men and 298 women). Non-linear associations were observed between age and dual-task performance. Starting at 54 years, the DTC to stride time (β=0·27 [95% CI 0·11 to 0·36]; p<0·0001) and stride time variability (0·24 [0·08 to 0·32]; p=0·0006) increased with advancing age. In individuals aged 54 years or older, decreased global cognitive function correlated with increased DTC to stride time (β=–0·27 [–0·38 to –0·11]; p=0·0006) and increased DTC to stride time variability (β=–0·19 [–0·28 to –0·08]; p=0·0002).
Dual-task gait performance begins to deteriorate in the sixth decade of life and, after this point, interindividual variance in cognition explains a substantial portion of dual-task performance.
La Caixa Foundation, Institut Guttmann, and Fundació Abertis.</description><identifier>ISSN: 2666-7568</identifier><identifier>EISSN: 2666-7568</identifier><identifier>DOI: 10.1016/S2666-7568(23)00009-0</identifier><identifier>PMID: 36870341</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Cognition ; Female ; Gait ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Spain ; Walking</subject><ispartof>The Lancet. Healthy longevity, 2023-03, Vol.4 (3), p.e98-e106</ispartof><rights>2023 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license</rights><rights>Copyright © 2023 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-4a1e0111d9350a86b6d9b1be4d7c1f7d14864407c162ccdecbf1e9b3aa7940a33</citedby><cites>FETCH-LOGICAL-c467t-4a1e0111d9350a86b6d9b1be4d7c1f7d14864407c162ccdecbf1e9b3aa7940a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36870341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Junhong</creatorcontrib><creatorcontrib>Cattaneo, Gabriele</creatorcontrib><creatorcontrib>Yu, Wanting</creatorcontrib><creatorcontrib>Lo, On-Yee</creatorcontrib><creatorcontrib>Gouskova, Natalia A</creatorcontrib><creatorcontrib>Delgado-Gallén, Selma</creatorcontrib><creatorcontrib>Redondo-Camós, Maria</creatorcontrib><creatorcontrib>España-Irla, Goretti</creatorcontrib><creatorcontrib>Solana-Sánchez, Javier</creatorcontrib><creatorcontrib>Tormos, Josep M</creatorcontrib><creatorcontrib>Lipsitz, Lewis A</creatorcontrib><creatorcontrib>Bartrés-Faz, David</creatorcontrib><creatorcontrib>Pascual-Leone, Alvaro</creatorcontrib><creatorcontrib>Manor, Brad</creatorcontrib><title>The age-related contribution of cognitive function to dual-task gait in middle-aged adults in Spain: observations from a population-based study</title><title>The Lancet. Healthy longevity</title><addtitle>Lancet Healthy Longev</addtitle><description>Poor dual-task gait performance is associated with a risk of falls and cognitive decline in adults aged 65 years or older. When and why dual-task gait performance begins to deteriorate is unknown. This study aimed to characterise the relationships between age, dual-task gait, and cognitive function in middle age (ie, aged 40–64 years).
We conducted a secondary analysis of data from community-dwelling adults aged 40–64 years that took part in the Barcelona Brain Health Initiative (BBHI) study, an ongoing longitudinal cohort study in Barcelona, Spain. Participants were eligible for inclusion if they were able to walk independently without assistance and had completed assessments of both gait and cognition at the time of analysis and ineligble if they could not understand the study protocol, had any clinically diagnosed neurological or psychiatric diseases, were cognitively impaired, or had lower-extremity pain, osteoarthritis, or rheumatoid arthritis that could cause abnormal gait. Stride time and stride time variability were measured under single-task (ie, walking only) and dual-task (ie, walking while performing serial subtractions) conditions. Dual-task cost (DTC; the percentage increase in the gait outcomes from single-task to dual-task conditions) to each gait outcome was calculated and used as the primary measure in analyses. Global cognitive function and composite scores of five cognitive domains were derived from neuropsychological testing. We used locally estimated scatterplot smoothing to characterise the relationship between age and dual-task gait, and structural equation modelling to establish whether cognitive function mediated the association between observed biological age and dual tasks.
996 people were recruited to the BBHI study between May 5, 2018, and July 7, 2020, of which 640 participants completed gait and cognitive assessments during this time (mean 24 days [SD 34] between first and second visit) and were included in our analysis (342 men and 298 women). Non-linear associations were observed between age and dual-task performance. Starting at 54 years, the DTC to stride time (β=0·27 [95% CI 0·11 to 0·36]; p<0·0001) and stride time variability (0·24 [0·08 to 0·32]; p=0·0006) increased with advancing age. In individuals aged 54 years or older, decreased global cognitive function correlated with increased DTC to stride time (β=–0·27 [–0·38 to –0·11]; p=0·0006) and increased DTC to stride time variability (β=–0·19 [–0·28 to –0·08]; p=0·0002).
Dual-task gait performance begins to deteriorate in the sixth decade of life and, after this point, interindividual variance in cognition explains a substantial portion of dual-task performance.
La Caixa Foundation, Institut Guttmann, and Fundació Abertis.</description><subject>Cognition</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Spain</subject><subject>Walking</subject><issn>2666-7568</issn><issn>2666-7568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1v3CAUtKpGTZTmJ6TimB5owdjY9NAqivolRcohyRk9w_OG1jYu4JXyK_qXi3fTVXoqF3jDzLwHUxTnnL3jjMv3t6WUkja1bC9K8ZblpSh7UZwc4JfPzsfFWYw_MqesueCtelUcC9k2TFT8pPh994AENkgDDpDQEuOnFFy3JOcn4vtcbyaX3BZJv0xmhyZP7AIDTRB_kg24RNxERmftgDRbWQJ2GVJc0dsZ3PSB-C5i2MKqjqQPfiRAZj8vww6iHcSsimmxj6-Lox6GiGdP-2lx_-Xz3dU3en3z9fvV5TU1lWwSrYAj45xbJWoGreykVR3vsLKN4X1jedXKqmK5kKUxFk3Xc1SdAGhUxUCI0-Lj3ndeuhGtwfxqGPQc3AjhUXtw-t-byT3ojd9qpVTZyjobXDwZBP9rwZj06KLBYYAJ_RJ12bSiUrVs1l71nmqCjzFgf2jDmV7z1Ls89RqWLoXe5alZ1r15PuNB9Te9TPi0J2D-qa3DoKNxOBm0LqBJ2nr3nxZ_AILNs9E</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Zhou, Junhong</creator><creator>Cattaneo, Gabriele</creator><creator>Yu, Wanting</creator><creator>Lo, On-Yee</creator><creator>Gouskova, Natalia A</creator><creator>Delgado-Gallén, Selma</creator><creator>Redondo-Camós, Maria</creator><creator>España-Irla, Goretti</creator><creator>Solana-Sánchez, Javier</creator><creator>Tormos, Josep M</creator><creator>Lipsitz, Lewis A</creator><creator>Bartrés-Faz, David</creator><creator>Pascual-Leone, Alvaro</creator><creator>Manor, Brad</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202303</creationdate><title>The age-related contribution of cognitive function to dual-task gait in middle-aged adults in Spain: observations from a population-based study</title><author>Zhou, Junhong ; Cattaneo, Gabriele ; Yu, Wanting ; Lo, On-Yee ; Gouskova, Natalia A ; Delgado-Gallén, Selma ; Redondo-Camós, Maria ; España-Irla, Goretti ; Solana-Sánchez, Javier ; Tormos, Josep M ; Lipsitz, Lewis A ; Bartrés-Faz, David ; Pascual-Leone, Alvaro ; Manor, Brad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-4a1e0111d9350a86b6d9b1be4d7c1f7d14864407c162ccdecbf1e9b3aa7940a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cognition</topic><topic>Female</topic><topic>Gait</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Spain</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Junhong</creatorcontrib><creatorcontrib>Cattaneo, Gabriele</creatorcontrib><creatorcontrib>Yu, Wanting</creatorcontrib><creatorcontrib>Lo, On-Yee</creatorcontrib><creatorcontrib>Gouskova, Natalia A</creatorcontrib><creatorcontrib>Delgado-Gallén, Selma</creatorcontrib><creatorcontrib>Redondo-Camós, Maria</creatorcontrib><creatorcontrib>España-Irla, Goretti</creatorcontrib><creatorcontrib>Solana-Sánchez, Javier</creatorcontrib><creatorcontrib>Tormos, Josep M</creatorcontrib><creatorcontrib>Lipsitz, Lewis A</creatorcontrib><creatorcontrib>Bartrés-Faz, David</creatorcontrib><creatorcontrib>Pascual-Leone, Alvaro</creatorcontrib><creatorcontrib>Manor, Brad</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Lancet. Healthy longevity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Junhong</au><au>Cattaneo, Gabriele</au><au>Yu, Wanting</au><au>Lo, On-Yee</au><au>Gouskova, Natalia A</au><au>Delgado-Gallén, Selma</au><au>Redondo-Camós, Maria</au><au>España-Irla, Goretti</au><au>Solana-Sánchez, Javier</au><au>Tormos, Josep M</au><au>Lipsitz, Lewis A</au><au>Bartrés-Faz, David</au><au>Pascual-Leone, Alvaro</au><au>Manor, Brad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The age-related contribution of cognitive function to dual-task gait in middle-aged adults in Spain: observations from a population-based study</atitle><jtitle>The Lancet. Healthy longevity</jtitle><addtitle>Lancet Healthy Longev</addtitle><date>2023-03</date><risdate>2023</risdate><volume>4</volume><issue>3</issue><spage>e98</spage><epage>e106</epage><pages>e98-e106</pages><issn>2666-7568</issn><eissn>2666-7568</eissn><abstract>Poor dual-task gait performance is associated with a risk of falls and cognitive decline in adults aged 65 years or older. When and why dual-task gait performance begins to deteriorate is unknown. This study aimed to characterise the relationships between age, dual-task gait, and cognitive function in middle age (ie, aged 40–64 years).
We conducted a secondary analysis of data from community-dwelling adults aged 40–64 years that took part in the Barcelona Brain Health Initiative (BBHI) study, an ongoing longitudinal cohort study in Barcelona, Spain. Participants were eligible for inclusion if they were able to walk independently without assistance and had completed assessments of both gait and cognition at the time of analysis and ineligble if they could not understand the study protocol, had any clinically diagnosed neurological or psychiatric diseases, were cognitively impaired, or had lower-extremity pain, osteoarthritis, or rheumatoid arthritis that could cause abnormal gait. Stride time and stride time variability were measured under single-task (ie, walking only) and dual-task (ie, walking while performing serial subtractions) conditions. Dual-task cost (DTC; the percentage increase in the gait outcomes from single-task to dual-task conditions) to each gait outcome was calculated and used as the primary measure in analyses. Global cognitive function and composite scores of five cognitive domains were derived from neuropsychological testing. We used locally estimated scatterplot smoothing to characterise the relationship between age and dual-task gait, and structural equation modelling to establish whether cognitive function mediated the association between observed biological age and dual tasks.
996 people were recruited to the BBHI study between May 5, 2018, and July 7, 2020, of which 640 participants completed gait and cognitive assessments during this time (mean 24 days [SD 34] between first and second visit) and were included in our analysis (342 men and 298 women). Non-linear associations were observed between age and dual-task performance. Starting at 54 years, the DTC to stride time (β=0·27 [95% CI 0·11 to 0·36]; p<0·0001) and stride time variability (0·24 [0·08 to 0·32]; p=0·0006) increased with advancing age. In individuals aged 54 years or older, decreased global cognitive function correlated with increased DTC to stride time (β=–0·27 [–0·38 to –0·11]; p=0·0006) and increased DTC to stride time variability (β=–0·19 [–0·28 to –0·08]; p=0·0002).
Dual-task gait performance begins to deteriorate in the sixth decade of life and, after this point, interindividual variance in cognition explains a substantial portion of dual-task performance.
La Caixa Foundation, Institut Guttmann, and Fundació Abertis.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>36870341</pmid><doi>10.1016/S2666-7568(23)00009-0</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | The Lancet. Healthy longevity, 2023-03, Vol.4 (3), p.e98-e106 |
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| subjects | Cognition Female Gait Humans Longitudinal Studies Male Middle Aged Spain Walking |
| title | The age-related contribution of cognitive function to dual-task gait in middle-aged adults in Spain: observations from a population-based study |
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