Dual-Task Performance: Influence of Frailty, Level of Physical Activity, and Cognition

Rossi, Paulo Giusti; Andrade, Larissa Pires de; Ansai, Juliana Hotta; Farche, Ana Cláudia Silva; Carnaz, Letícia; Dalpubel, Daniela; Ferriolli, Eduardo; Vale, Francisco Assis Carvalho; Takahashi, Anielle Cristhine de Medeiros

doi:10.1519/jpt.0000000000000182

Cited by 13 publications

(10 citation statements)

References 35 publications

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“…Other terms in the literature to denote gait speed at usual pace included comfortable, habitual, normal, or preferred. Six studies recorded gait speed also during dual task 36,51,59,110,112 . Overall, the 4 m walk is the most used version for studies in older people.…”

Section: Discussionmentioning

confidence: 99%

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How gait influences frailty models and health‐related outcomes in clinical‐based and population‐based studies: a systematic review

Bortone

Sardone

Lampignano

et al. 2021

J cachexia sarcopenia muscle

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Aging is often associated with a decline in physical function that eventually leads to loss of autonomy in activities of daily living (ADL). Walking is a very common ADL, important for main determinants of quality of life in older age, and it requires the integration of many physiological systems. Gait speed has been described as the 'sixth vital sign' because it is a core indicator of health and function in aging and disease. We reviewed original studies up to June 2020 that assessed frailty in both longitudinal and cross-sectional observational studies, paying particular attention to how gait is measured in older population and how the gait parameter adopted may influence the estimated frailty models and the health-related outcomes of the various studies (i.e. clinical, cognitive, physical, and nutritional outcomes). Eighty-five studies met the search strategy and were included in the present systematic review. According to the frailty tools, more than 60% of the studies used the physical phenotype model proposed by Fried and colleagues, while one-third referred to multi-domain indexes or models and only 5% referred to other single-domain frailty models (social or cognitive). The great heterogeneity observed in gait measurements and protocols limited the possibility to directly compare the results of the studies and it could represent an important issue causing variability in the different outcome measures in both clinical-and population-based settings. Gait appeared to be an indicator of health and function also in frail older adults, and different gait parameters appeared to predict adverse health-related outcomes in clinical, cognitive, and physical domains and, to a lesser extent, in nutritional domain. Gait has the potential to elucidate the common basic mechanisms of cognitive and motor decline. Advances in technology may extend the validity of gait in different clinical settings also in frail older adults, and technology-based assessment should be encouraged. Combining various gait parameters may enhance frailty prediction and classification of different frailty phenotypes.

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Section: Discussionmentioning

confidence: 99%

“…Six studies recorded gait speed also during dual task. 36,51,59,110,112 Overall, the 4 m walk is the most used version for studies in older people.…”

Section: Heterogeneitymentioning

confidence: 99%

How gait influences frailty models and health‐related outcomes in clinical‐based and population‐based studies: a systematic review

Bortone

Sardone

Lampignano

et al. 2021

J cachexia sarcopenia muscle

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show abstract

“…TPA, activity counts, postural transitions, and EE were studied too infrequently (<5 times) to synthesise individual albatross plots and standardised regression coefficients. TPA was studied in one population [48], activity counts were studied in three populations [40,48,62], postural transitions were studied in one population [63], and EE was studied in three populations [62,39,56], with higher measures corresponding with lower frailty in all analyses.…”

Section: Associations Between Physical Activity Sedentary Behaviour and Frailtymentioning

confidence: 99%

“…outlines the measurement and characteristics of PA/SB and frailty. PA/SB measures included light physical activity (LPA)[44,42,49,45,37,62,46,50,52], moderate-to-vigorous physical activity (MVPA)[36,44,53,50,52,49,45,37,56,62,46], step count[49,45,47,48,62,46,50,54,51,55,56], accelerometer activity counts[40,48,62], total physical activity (TPA)[48], postural transitions (TRS)[63], energy expenditure (EE)[39,62,56], sedentary behaviour (SB)[36,44,43,38,45,37,62,46,52,…”

mentioning

confidence: 99%

Objectively measured physical activity is associated with frailty in community-dwelling older adults: A systematic review

Tolley

Ramsey

Rojer

et al. 2021

Journal of Clinical Epidemiology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…This test has been used not only to assess the risk of falls in the elderly due to sarcopenia, but also to evaluate physical function in previous studies with participants who had cerebral palsy, stroke, and Parkinson's disease [11][12][13]. In addition, some studies were conducted with a focus on children and adolescents [13,14], and another study has shown that TUG performance is associated with the level of physical activity [15]. Therefore, we believe that TUG is useful for evaluating the physical function of healthy adults.…”

Section: Introductionmentioning

confidence: 99%

A Cross-Sectional Study of the Relationship of Timed Up & Go Test with Physical Characteristics and Physical Activity in Healthy Japanese: The Toon Health Study

et al. 2021

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This study evaluated the Timed Up & Go test (TUG) among healthy Japanese individuals without walking problems to clarify the relationship of TUG performance with physical characteristics and physical activity according to sex and age groups. In total, 797 men and women (30–84 years old) in Toon City, Ehime Prefecture, were assessed from 2016 to 2017. The survey data for physical characteristics, TUG performance, and physical activity measures were used. After adjusting for age according to TUG time and categorization into sex and age groups (30–64 and 65–84 years), the relationship of TUG performance with physical characteristics and physical activities was confirmed using multiple regression analysis. In men, TUG performance was associated with work and household chores in the 30–64-year age group, whereas it was only associated with skeletal muscle mass among those older than 65 years. In women, TUG performance was associated with height and amount of exercise, regardless of age. In conclusion, TUG performance may be maintained by increasing the amount of physical activity for men through work and housework, and increasing the amount of exercise for women, which may prevent the need for long-term care in the future.

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Dual-Task Performance: Influence of Frailty, Level of Physical Activity, and Cognition

Abstract: Frail older adults presented worse performance in the TUG when compared with nonfrail older adults. The dual-task test does not differentiate older adults with frailty syndrome, regardless of cognitive performance.

Cited by 13 publications

References 35 publications

How gait influences frailty models and health‐related outcomes in clinical‐based and population‐based studies: a systematic review

How gait influences frailty models and health‐related outcomes in clinical‐based and population‐based studies: a systematic review

Objectively measured physical activity is associated with frailty in community-dwelling older adults: A systematic review

A Cross-Sectional Study of the Relationship of Timed Up & Go Test with Physical Characteristics and Physical Activity in Healthy Japanese: The Toon Health Study

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