Does Gait Speed Replace Comprehensive Geriatric Assessment in the Elderly?

Tian, Qi; Zhang, Man; Deng, Yongtao; Duan, Jingxi; Tu, Qiuyun; Cao, Ying; Zhu, Qinlan; Yu, Weihua; Lü, Yang

doi:10.1016/j.ijge.2016.03.010

Cited by 12 publications

(7 citation statements)

References 34 publications

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“…Significant differences were seen between males and females in the HS ROC curve analysis, with cutoff points of 16.5 kg in women, and 25.5 kg in men. Similar values have been reported; in a cross-sectional study about the comprehensive geriatric assessment and GS, performed by the Chongqing Medical University, GS below 0.73 m/s had an AUC of 0.716 (48). Even so, a multivariate logistic regression reported by DeCock et al (49) with a GS below 0.43 m/s predicted cognitive impairment with 88% accuracy.…”

Section: Discussionsupporting

confidence: 79%

Muscular Function as an Alternative to Identify Cognitive Impairment: A Secondary Analysis From SABE Colombia

et al. 2022

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BackgroundIdentification of cognitive impairment is based traditionally on the neuropsychological tests and biomarkers that are not available widely. This study aimed to establish the association between motor function (gait speed and handgrip strength) and cognitive performance in the Mini-Mental State Examination, globally and by domains. A secondary goal was calculating a cut-off point for gait speed and handgrip strength to classify older adults as cognitively impaired.MethodsThis is a secondary analysis of SABE Colombia (Salud, Bienestar & Envejecimiento), a survey that was conducted in 2015 on health, wellbeing, and aging in Colombia. This study used linear regression models to search for an association between motor function and cognitive performance. The accuracy of motor function measurements in identifying cognitive impairment was assessed with receiver operating characteristic (ROC) curves. This study also analyzed other clinical and sociodemographical variables.ResultsGait speed was associated with orientation (r2 = 0.16), language (r2 = 0.15), recall memory (r2 = 0.14), and counting (r2 = 0.08). Similarly, handgrip strength was associated with orientation (r2 = 0.175), language (r2 = 0.164), recall memory (r2 = 0.137), and counting (r2 = 0.08). To differentiate older adults with and without cognitive impairment, a gait speed cut-off point of 0.59 m/s had an area under the curve (AUC) of 0.629 (0.613–0.646), and a weak handgrip (strength below 17.5 kg) had an AUC of 0.653 (0.645-0.661). The cut-off points for handgrip strength and gait speed were significantly higher in male participants.ConclusionsGait speed and handgrip strength are similarly associated with the cognitive performance, exhibiting the most extensive association with orientation and language domains of the Mini-Mental State Examination. Gait speed and handgrip strength can easily be measured by any clinician, and they prove to be useful screening tools to detect cognitive impairment.

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Section: Discussionsupporting

confidence: 79%

Muscular Function as an Alternative to Identify Cognitive Impairment: A Secondary Analysis From SABE Colombia

et al. 2022

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“…The consensus group criteria utilize three established stages of sarcopenia classification; Presarcopenia is defined as having low Appendicular Lean Mass (ALM)/height 2 only, sarcopenia was defined with low Appendicular Lean Mass/height 2 (<5.67 kg/m 2 ) and the presence of low gait speed (≤0.8 m/s) or low grip strength (<20 kg) and severe sarcopenia classification requires low ALM/height 2 , gait speed, and grip strength. Gait speed test is used to a large degree in clinical practice to measure a plethora of adverse health outcomes, such as mobility disability, frailty, general physical condition, falls, loss of independence and poor general health [61][62][63][64] . Bohannon and Andrews 65 stated that "gait speed has been recommended as a 'vital sign" for assessing health related risks in elderly.…”

Section: Sarcopeniamentioning

confidence: 99%

Osteosarcopenic obesity, the coexistence of osteoporosis, sarcopenia and obesity and consequences in the quality of life in older adults ≥365 years-old in Greece

Keramidaki

Tsagari

Hiona

et al. 2019

JFSF

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Objective: We investigated the coexistence of sarcopenia and obesity in older adults≥65 years diagnosed with osteoporosis and the association with Quality of Life (QoL). Methods: A Cross-sectional survey has been performed on a randomized sample of 50 diagnosed osteoporotic elderly people from both sexes (Men=16; Women=34). Measurements: Quantitative ultrasound was conducted to identify osteoporosis and defined with a T score ≤2.5. Validated anthropometric equations were used in order to estimate body fat percentage and skeletal muscle mass so as to detect the reallocation of body fat and lean muscle. 10m gait speed and hand grip strength was measured in order to diagnose sarcopenia according to European Society for Clinical Nutrition and Metabolism (ESPEN) algorithm. The evaluation of QoL was conducted using a QoL questionnaire specific to osteoporosis. The data were analyzed with descriptive statistics and a chi-square test was performed to examine if Osteosarcopenic Obesity (OSO) is sex related and the correlation between OSO and QoL. Results: From the 50 participants, 40%(n=19) were classified as people with OSO and 60%(n=31) without OSO. From n=19 people that experienced OSO women represent 20% (n=9) and men 18% (n=9); with the latter had a greater decline in muscle mass than women, while women had lower BMD than men according to the z score. OSO is not related with sex (p>.05) and there is no significant association between OSO and QoL (p> .05 for all the domains of QoL questionnaire). Conclusion: Osteoporosis in the elderly often coexists with reduced muscle mass and muscle strength as well as an increase in adiposity and was independently associated with QoL. People that experience OSO presenting lower functionality that increases the risk for falls and bone fractures originated from the decline in bone and muscle mass, and increased adiposity. Increased awareness of OSO may help develop efficient interventions and public health policies for healthier and more active elderly people.

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“…It was advanced that in older adults undernutrition could affect lateral trunk control during walking. 14 A low GS has also been proposed both as a marker of undernutrition, identified using MNA-SF, 15,16 and overweight and obesity, which were assessed through BMI. 16,17 Nutrition status assessments are not always carried out considering both objective nutrition and functional indicators.…”

Section: Introductionmentioning

confidence: 99%

“…It was advanced that in older adults undernutrition could affect lateral trunk control during walking . A low GS has also been proposed both as a marker of undernutrition, identified using MNA‐SF, and overweight and obesity, which were assessed through BMI …”

Section: Introductionmentioning

confidence: 99%

Association of Anthropometric and Nutrition Status Indicators with Hand Grip Strength and Gait Speed in Older Adults

Mendes

Afonso

Moreira

et al. 2018

J Parenter Enteral Nutr

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Does Gait Speed Replace Comprehensive Geriatric Assessment in the Elderly?

Cited by 12 publications

References 34 publications

Muscular Function as an Alternative to Identify Cognitive Impairment: A Secondary Analysis From SABE Colombia

Muscular Function as an Alternative to Identify Cognitive Impairment: A Secondary Analysis From SABE Colombia

Osteosarcopenic obesity, the coexistence of osteoporosis, sarcopenia and obesity and consequences in the quality of life in older adults ≥365 years-old in Greece

Association of Anthropometric and Nutrition Status Indicators with Hand Grip Strength and Gait Speed in Older Adults

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