Motor Phenotype of Decline in Cognitive Performance among Community-Dwellers without Dementia: Population-Based Study and Meta-Analysis
Identifieur interne : 000237 ( France/Analysis ); précédent : 000236; suivant : 000238Motor Phenotype of Decline in Cognitive Performance among Community-Dwellers without Dementia: Population-Based Study and Meta-Analysis
Auteurs : Olivier Beauchet [France] ; Gilles Allali [Suisse] ; Manuel Montero-Odasso [Canada] ; Ervin Sejdi [États-Unis] ; Bruno Fantino [France] ; Cédric Annweiler [France, Canada]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Descripteurs français
- KwdFr :
- Dysfonctionnement cognitif (épidémiologie), Démarche, Démence, Facteurs de risque, Femelle, Fonction exécutive, France (épidémiologie), Humains, Locomotion, Mâle, Mémoire épisodique, Performance psychomotrice, Phénotype, Recherche qualitative, Sujet âgé, Sujet âgé de 80 ans ou plus, Surveillance de la population, Troubles de la cognition, Études transversales, Évaluation gériatrique.
- MESH :
- épidémiologie : Dysfonctionnement cognitif, France.
- Démarche, Démence, Facteurs de risque, Femelle, Fonction exécutive, Humains, Locomotion, Mâle, Mémoire épisodique, Performance psychomotrice, Phénotype, Recherche qualitative, Sujet âgé, Sujet âgé de 80 ans ou plus, Surveillance de la population, Troubles de la cognition, Études transversales, Évaluation gériatrique.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cognition Disorders, Cognitive Dysfunction (epidemiology), Cross-Sectional Studies, Dementia, Executive Function, Female, France (epidemiology), Gait, Geriatric Assessment, Humans, Locomotion, Male, Memory, Episodic, Phenotype, Population Surveillance, Psychomotor Performance, Qualitative Research, Risk Factors.
- MESH :
- epidemiology : Cognitive Dysfunction, France.
- Aged, Aged, 80 and over, Cognition Disorders, Cross-Sectional Studies, Dementia, Executive Function, Female, Gait, Geriatric Assessment, Humans, Locomotion, Male, Memory, Episodic, Phenotype, Population Surveillance, Psychomotor Performance, Qualitative Research, Risk Factors.
Abstract
Decline in cognitive performance is associated with gait deterioration. Our objectives were: 1) to determine, from an original study in older community-dwellers without diagnosis of dementia, which gait parameters, among slower gait speed, higher stride time variability (STV) and Timed Up & Go test (TUG) delta time, were most strongly associated with lower performance in two cognitive domains (i.e., episodic memory and executive function); and 2) to quantitatively synthesize, with a systematic review and meta-analysis, the association between gait performance and cognitive decline (i.e., mild cognitive impairment (MCI) and dementia).
Based on a cross-sectional design, 934 older community-dwellers without dementia (mean±standard deviation, 70.3±4.9years; 52.1% female) were recruited. A score at 5 on the Short Mini-Mental State Examination defined low episodic memory performance. Low executive performance was defined by clock-drawing test errors. STV and gait speed were measured using GAITRite system. TUG delta time was calculated as the difference between the times needed to perform and to imagine the TUG. Then, a systematic Medline search was conducted in November 2013 using the Medical Subject Heading terms “Delirium,” “Dementia,” “Amnestic,” “Cognitive disorders” combined with “Gait” OR “Gait disorders, Neurologic” and “Variability.”
A total of 294 (31.5%) participants presented decline in cognitive performance. Higher STV, higher TUG delta time, and slower gait speed were associated with decline in episodic memory and executive performances (all P-values <0.001). The highest magnitude of association was found for higher STV (effect size = −0.74 [95% Confidence Interval (CI): −1.05;−0.43], among participants combining of decline in episodic memory and in executive performances). Meta-analysis underscored that higher STV represented a gait biomarker in patients with MCI (effect size = 0.48 [95% CI: 0.30;0.65]) and dementia (effect size = 1.06 [95% CI: 0.40;1.72]).
Higher STV appears to be a motor phenotype of cognitive decline.
Url:
DOI: 10.1371/journal.pone.0099318
PubMed: 24911155
PubMed Central: 4049832
Affiliations:
- Canada, France, Suisse, États-Unis
- Pays de la Loire, Pennsylvanie
- Angers, Pittsburgh
- Université de Pittsburgh
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PMC:4049832Le document en format XML
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type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Fantino, Bruno" sort="Fantino, Bruno" uniqKey="Fantino B" first="Bruno" last="Fantino">Bruno Fantino</name><affiliation wicri:level="3"><nlm:aff id="aff1"><addr-line>Division of Geriatric Medicine, Department of Neuroscience, Angers University Hospital, Angers, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Division of Geriatric Medicine, Department of Neuroscience, Angers University Hospital, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author><author><name sortKey="Annweiler, Cedric" sort="Annweiler, Cedric" uniqKey="Annweiler C" first="Cédric" last="Annweiler">Cédric Annweiler</name><affiliation wicri:level="3"><nlm:aff id="aff1"><addr-line>Division of Geriatric Medicine, Department of Neuroscience, Angers University Hospital, Angers, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Division of Geriatric Medicine, Department of Neuroscience, Angers University Hospital, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Robarts Research Institute, Department of Medical Biophysics, Schulich School of Medicine and Dentistry, the University of Western Ontario, London, Ontario, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Robarts Research Institute, Department of Medical Biophysics, Schulich School of Medicine and Dentistry, the University of Western Ontario, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cognition Disorders</term><term>Cognitive Dysfunction (epidemiology)</term><term>Cross-Sectional Studies</term><term>Dementia</term><term>Executive Function</term><term>Female</term><term>France (epidemiology)</term><term>Gait</term><term>Geriatric Assessment</term><term>Humans</term><term>Locomotion</term><term>Male</term><term>Memory, Episodic</term><term>Phenotype</term><term>Population Surveillance</term><term>Psychomotor Performance</term><term>Qualitative Research</term><term>Risk Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Dysfonctionnement cognitif (épidémiologie)</term><term>Démarche</term><term>Démence</term><term>Facteurs de risque</term><term>Femelle</term><term>Fonction exécutive</term><term>France (épidémiologie)</term><term>Humains</term><term>Locomotion</term><term>Mâle</term><term>Mémoire épisodique</term><term>Performance psychomotrice</term><term>Phénotype</term><term>Recherche qualitative</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Surveillance de la population</term><term>Troubles de la cognition</term><term>Études transversales</term><term>Évaluation gériatrique</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cognitive Dysfunction</term><term>France</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Dysfonctionnement cognitif</term><term>France</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cognition Disorders</term><term>Cross-Sectional Studies</term><term>Dementia</term><term>Executive Function</term><term>Female</term><term>Gait</term><term>Geriatric Assessment</term><term>Humans</term><term>Locomotion</term><term>Male</term><term>Memory, Episodic</term><term>Phenotype</term><term>Population Surveillance</term><term>Psychomotor Performance</term><term>Qualitative Research</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Démarche</term><term>Démence</term><term>Facteurs de risque</term><term>Femelle</term><term>Fonction exécutive</term><term>Humains</term><term>Locomotion</term><term>Mâle</term><term>Mémoire épisodique</term><term>Performance psychomotrice</term><term>Phénotype</term><term>Recherche qualitative</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Surveillance de la population</term><term>Troubles de la cognition</term><term>Études transversales</term><term>Évaluation gériatrique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Decline in cognitive performance is associated with gait deterioration. Our objectives were: 1) to determine, from an original study in older community-dwellers without diagnosis of dementia, which gait parameters, among slower gait speed, higher stride time variability (STV) and Timed Up & Go test (TUG) delta time, were most strongly associated with lower performance in two cognitive domains (i.e., episodic memory and executive function); and 2) to quantitatively synthesize, with a systematic review and meta-analysis, the association between gait performance and cognitive decline (i.e., mild cognitive impairment (MCI) and dementia).</p></sec><sec><title>Methods</title><p>Based on a cross-sectional design, 934 older community-dwellers without dementia (mean±standard deviation, 70.3±4.9years; 52.1% female) were recruited. A score at 5 on the Short Mini-Mental State Examination defined low episodic memory performance. Low executive performance was defined by clock-drawing test errors. STV and gait speed were measured using GAITRite system. TUG delta time was calculated as the difference between the times needed to perform and to imagine the TUG. Then, a systematic Medline search was conducted in November 2013 using the Medical Subject Heading terms “Delirium,” “Dementia,” “Amnestic,” “Cognitive disorders” combined with “Gait” OR “Gait disorders, Neurologic” and “Variability.”</p></sec><sec><title>Findings</title><p>A total of 294 (31.5%) participants presented decline in cognitive performance. Higher STV, higher TUG delta time, and slower gait speed were associated with decline in episodic memory and executive performances (all P-values <0.001). The highest magnitude of association was found for higher STV (effect size = −0.74 [95% Confidence Interval (CI): −1.05;−0.43], among participants combining of decline in episodic memory and in executive performances). Meta-analysis underscored that higher STV represented a gait biomarker in patients with MCI (effect size = 0.48 [95% CI: 0.30;0.65]) and dementia (effect size = 1.06 [95% CI: 0.40;1.72]).</p></sec><sec><title>Conclusion</title><p>Higher STV appears to be a motor phenotype of cognitive decline.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Montero Odasso, M" uniqKey="Montero Odasso M">M Montero-Odasso</name></author><author><name sortKey="Verghese, J" uniqKey="Verghese J">J Verghese</name></author><author><name sortKey="Beauchet, O" uniqKey="Beauchet O">O Beauchet</name></author><author><name sortKey="Hausdorff, Jm" uniqKey="Hausdorff J">JM Hausdorff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beauchet, O" uniqKey="Beauchet O">O Beauchet</name></author><author><name sortKey="Allali, G" uniqKey="Allali G">G Allali</name></author><author><name sortKey="Berrut, G" uniqKey="Berrut G">G Berrut</name></author><author><name sortKey="Hommet, C" uniqKey="Hommet C">C Hommet</name></author><author><name sortKey="Dubost, V" uniqKey="Dubost V">V Dubost</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Allan, Lm" uniqKey="Allan L">LM Allan</name></author><author><name sortKey="Ballard, Cg" uniqKey="Ballard C">CG Ballard</name></author><author><name sortKey="Burn, Dj" uniqKey="Burn D">DJ Burn</name></author><author><name sortKey="Kenny, Ra" uniqKey="Kenny R">RA Kenny</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Verghese, J" uniqKey="Verghese J">J Verghese</name></author><author><name sortKey="Wang, C" uniqKey="Wang C">C Wang</name></author><author><name sortKey="Lipton, Rb" uniqKey="Lipton R">RB Lipton</name></author><author><name sortKey="Holtzer, R" uniqKey="Holtzer R">R Holtzer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beauchet, O" uniqKey="Beauchet O">O Beauchet</name></author><author><name sortKey="Allali, G" uniqKey="Allali G">G Allali</name></author><author><name sortKey="Launay, C" uniqKey="Launay C">C Launay</name></author><author><name sortKey="Herrmann, Fr" uniqKey="Herrmann F">FR Herrmann</name></author><author><name sortKey="Annweiler, C" uniqKey="Annweiler C">C Annweiler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beauchet, O" uniqKey="Beauchet O">O Beauchet</name></author><author><name sortKey="Allali, G" uniqKey="Allali G">G Allali</name></author><author><name sortKey="Thiery, S" uniqKey="Thiery S">S Thiery</name></author><author><name sortKey="Gautier, J" uniqKey="Gautier J">J Gautier</name></author><author><name sortKey="Fantino, B" uniqKey="Fantino B">B Fantino</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beauchet, O" uniqKey="Beauchet O">O Beauchet</name></author><author><name sortKey="Annweiler, C" uniqKey="Annweiler C">C 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Tormo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nunes, B" uniqKey="Nunes B">B Nunes</name></author><author><name sortKey="Silva, R" uniqKey="Silva R">R Silva</name></author><author><name sortKey="Cruz, V" uniqKey="Cruz V">V Cruz</name></author><author><name sortKey="Roriz, J" uniqKey="Roriz J">J Roriz</name></author><author><name sortKey="Pais, J" uniqKey="Pais J">J Pais</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chinn, S" uniqKey="Chinn S">S Chinn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Riley, Rd" uniqKey="Riley R">RD Riley</name></author><author><name sortKey="Higgins, Jp" uniqKey="Higgins J">JP Higgins</name></author><author><name sortKey="Deeks, Jj" uniqKey="Deeks J">JJ Deeks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dubois, B" uniqKey="Dubois B">B Dubois</name></author><author><name sortKey="Feldman, Hh" uniqKey="Feldman H">HH Feldman</name></author><author><name sortKey="Jacova, C" uniqKey="Jacova C">C Jacova</name></author><author><name sortKey="Cummings, Jl" uniqKey="Cummings J">JL Cummings</name></author><author><name sortKey="Dekosky, St" uniqKey="Dekosky S">ST Dekosky</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>France</li><li>Suisse</li><li>États-Unis</li></country><region><li>Pays de la Loire</li><li>Pennsylvanie</li></region><settlement><li>Angers</li><li>Pittsburgh</li></settlement><orgName><li>Université de Pittsburgh</li></orgName></list><tree><country name="France"><region name="Pays de la Loire"><name sortKey="Beauchet, Olivier" sort="Beauchet, Olivier" uniqKey="Beauchet O" first="Olivier" last="Beauchet">Olivier Beauchet</name></region><name sortKey="Annweiler, Cedric" sort="Annweiler, Cedric" uniqKey="Annweiler C" first="Cédric" last="Annweiler">Cédric Annweiler</name><name sortKey="Fantino, Bruno" sort="Fantino, Bruno" uniqKey="Fantino B" first="Bruno" last="Fantino">Bruno Fantino</name></country><country name="Suisse"><noRegion><name sortKey="Allali, Gilles" sort="Allali, Gilles" uniqKey="Allali G" first="Gilles" last="Allali">Gilles Allali</name></noRegion></country><country name="Canada"><noRegion><name sortKey="Montero Odasso, Manuel" sort="Montero Odasso, Manuel" uniqKey="Montero Odasso M" first="Manuel" last="Montero-Odasso">Manuel Montero-Odasso</name></noRegion><name sortKey="Annweiler, Cedric" sort="Annweiler, Cedric" uniqKey="Annweiler C" first="Cédric" last="Annweiler">Cédric Annweiler</name></country><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Sejdi, Ervin" sort="Sejdi, Ervin" uniqKey="Sejdi E" first="Ervin" last="Sejdi">Ervin Sejdi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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