Poor Lower Extremity Functioning Is Associated with Modest Increased Incidence of Probable Dementia

Autor: Sergio L. Teruya; Cara Dimino; Kevin D. Silverman; Thelma Mielenz
Sprache: Englisch
Veröffentlicht: 2021
Quelle: MDPI Open Access Publishing
Online Zugang: https://dx.doi.org/10.3390/geriatrics6030077
https://doi.org/10.3390/geriatrics6030077
Erfassungsnummer: ftmdpi:oai:mdpi.com:/2308-3417/6/3/77/
id ftmdpi:oai:mdpi.com:/2308-3417/6/3/77/
bisp-collection base
recordtype bispbase
url https://dx.doi.org/10.3390/geriatrics6030077
https://doi.org/10.3390/geriatrics6030077
url-type primary
info
spelling aging
physical functioning
Short Physical Performance Battery
cognitive function
Poor Lower Extremity Functioning Is Associated with Modest Increased Incidence of Probable Dementia
publishDate 2021
publishDate_facet 2021
baseCollectionName MDPI Open Access Publishing
baseCountry ch
title Poor Lower Extremity Functioning Is Associated with Modest Increased Incidence of Probable Dementia
spellingShingle Poor Lower Extremity Functioning Is Associated with Modest Increased Incidence of Probable Dementia
title_short Poor Lower Extremity Functioning Is Associated with Modest Increased Incidence of Probable Dementia
title_sort Poor Lower Extremity Functioning Is Associated with Modest Increased Incidence of Probable Dementia
author2 Sergio L. Teruya
Cara Dimino
Kevin D. Silverman
Thelma Mielenz
author_facet Sergio L. Teruya
Cara Dimino
Kevin D. Silverman
Thelma Mielenz
author2-role Autor
Autor
Autor
Autor
abstract Lower extremity functioning in older adults provides a measure of poor physical performance and can predict negative health outcomes. The consequences of reduced lower extremity functioning on cognitive decline, measured as time-varying variables, have not been well documented in previous studies. We aimed to evaluate whether lower extremity functioning is associated with an increased incidence rate of probable dementia among older adults using data from the National Health and Aging Trends Study (NHATS). Participants (n = 6457) were followed for 8 years to examine the relationship between lower extremity functioning, as measured by the Short Physical Performance Battery (SPPB), and incident probable dementia. Using weighted data, a multivariable Poisson regression with generalized estimating equations (GEE) was used to calculate incidence rate ratios (IRR), adjusting for covariates and clustering. Participants with low SPPB scores (0–5) had a 5% increase in incident probable dementia when compared with those who had good SPPB scores (10–12) in the adjusted model (IRR = 1.05; 95% CI = 1.04–1.07). Lower extremity functioning is associated with a modest increase in incident probable dementia. The SPPB score may be helpful in identifying subjects at risk of dementia. Efforts aimed at improving physical functioning may lead to better cognitive outcomes.
abstract_type general
abstract_lang eng
language eng
publisher Multidisciplinary Digital Publishing Institute
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score 13,561537