Poor Gait Performance and Prediction of Dementia: Results From a Meta-Analysis.
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Auteurs : Olivier Beauchet [Canada] ; Cédric Annweiler [France] ; Michele L. Callisaya [Australie] ; Anne-Marie De Cock [Belgique] ; Jorunn L. Helbostad [Norvège] ; Reto W. Kressig [Suisse] ; Velandai Srikanth [Australie] ; Jean-Paul Steinmetz [Luxembourg (pays)] ; Helena M. Blumen [États-Unis] ; Joe Verghese [États-Unis] ; Gilles Allali [Suisse]Source :
- Journal of the American Medical Directors Association [ 1538-9375 ] ; 2016.
Abstract
Poor gait performance predicts risk of developing dementia. No structured critical evaluation has been conducted to study this association yet. The aim of this meta-analysis was to systematically examine the association of poor gait performance with incidence of dementia.
DOI: 10.1016/j.jamda.2015.12.092
PubMed: 26852960
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Davis, Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, Quebec, Canada; Dr. Joseph Kaufmann Chair in Geriatric Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Center of Excellence on Aging and Chronic Diseases of McGill Integrated University Health Network, Quebec</wicri:regionArea></affiliation></author><author><name sortKey="Annweiler, Cedric" sort="Annweiler, Cedric" uniqKey="Annweiler C" first="Cédric" last="Annweiler">Cédric Annweiler</name><affiliation wicri:level="1"><nlm:affiliation>Division of Geriatrics, Department of Neuroscience, Angers University Hospital, Angers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Division of Geriatrics, Department of Neuroscience, Angers University Hospital, Angers</wicri:regionArea></affiliation></author><author><name sortKey="Callisaya, Michele L" sort="Callisaya, Michele L" uniqKey="Callisaya M" first="Michele L" last="Callisaya">Michele L. 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Blumen</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Verghese, Joe" sort="Verghese, Joe" uniqKey="Verghese J" first="Joe" last="Verghese">Joe Verghese</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Allali, Gilles" sort="Allali, Gilles" uniqKey="Allali G" first="Gilles" last="Allali">Gilles Allali</name><affiliation wicri:level="1"><nlm:affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY; Department of Neurology, Geneva University Hospital and University of Geneva, Geneva, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY; Department of Neurology, Geneva University Hospital and University of Geneva, Geneva</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:26852960</idno><idno type="pmid">26852960</idno><idno type="doi">10.1016/j.jamda.2015.12.092</idno><idno type="wicri:Area/PubMed/Corpus">001D53</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001D53</idno><idno type="wicri:Area/PubMed/Curation">001D29</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001D29</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Poor Gait Performance and Prediction of Dementia: Results From a Meta-Analysis.</title><author><name sortKey="Beauchet, Olivier" sort="Beauchet, Olivier" uniqKey="Beauchet O" first="Olivier" last="Beauchet">Olivier Beauchet</name><affiliation wicri:level="1"><nlm:affiliation>Division of Geriatric Medicine, Department of Medicine, Sir Mortimer B. Davis, Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, Quebec, Canada; Dr. Joseph Kaufmann Chair in Geriatric Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Center of Excellence on Aging and Chronic Diseases of McGill Integrated University Health Network, Quebec, Canada. Electronic address: olivier.beauchet@mcgill.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Geriatric Medicine, Department of Medicine, Sir Mortimer B. Davis, Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, Quebec, Canada; Dr. Joseph Kaufmann Chair in Geriatric Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Center of Excellence on Aging and Chronic Diseases of McGill Integrated University Health Network, Quebec</wicri:regionArea></affiliation></author><author><name sortKey="Annweiler, Cedric" sort="Annweiler, Cedric" uniqKey="Annweiler C" first="Cédric" last="Annweiler">Cédric Annweiler</name><affiliation wicri:level="1"><nlm:affiliation>Division of Geriatrics, Department of Neuroscience, Angers University Hospital, Angers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Division of Geriatrics, Department of Neuroscience, Angers University Hospital, Angers</wicri:regionArea></affiliation></author><author><name sortKey="Callisaya, Michele L" sort="Callisaya, Michele L" uniqKey="Callisaya M" first="Michele L" last="Callisaya">Michele L. Callisaya</name><affiliation wicri:level="1"><nlm:affiliation>Menzies Institute of Medical Research, University of Tasmania, Hobart, Australia; Stroke and Ageing Research Group, Department of Medicine, Southern Clinical School, Monash University, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Menzies Institute of Medical Research, University of Tasmania, Hobart, Australia; Stroke and Ageing Research Group, Department of Medicine, Southern Clinical School, Monash University, Victoria</wicri:regionArea></affiliation></author><author><name sortKey="De Cock, Anne Marie" sort="De Cock, Anne Marie" uniqKey="De Cock A" first="Anne-Marie" last="De Cock">Anne-Marie De Cock</name><affiliation wicri:level="1"><nlm:affiliation>Department of Geriatrics and Department of Primary and Interdisciplinary Care (ELIZA), University of Antwerp and AZ St Maarten Mechelen, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Geriatrics and Department of Primary and Interdisciplinary Care (ELIZA), University of Antwerp and AZ St Maarten Mechelen, Antwerp</wicri:regionArea></affiliation></author><author><name sortKey="Helbostad, Jorunn L" sort="Helbostad, Jorunn L" uniqKey="Helbostad J" first="Jorunn L" last="Helbostad">Jorunn L. Helbostad</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim</wicri:regionArea></affiliation></author><author><name sortKey="Kressig, Reto W" sort="Kressig, Reto W" uniqKey="Kressig R" first="Reto W" last="Kressig">Reto W. Kressig</name><affiliation wicri:level="1"><nlm:affiliation>Department University Center for Medicine of Aging, Felix Platter Hospital and University of Basel, Basel, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department University Center for Medicine of Aging, Felix Platter Hospital and University of Basel, Basel</wicri:regionArea></affiliation></author><author><name sortKey="Srikanth, Velandai" sort="Srikanth, Velandai" uniqKey="Srikanth V" first="Velandai" last="Srikanth">Velandai Srikanth</name><affiliation wicri:level="1"><nlm:affiliation>Stroke and Ageing Research Group, Department of Medicine, Southern Clinical School, Monash University, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Stroke and Ageing Research Group, Department of Medicine, Southern Clinical School, Monash University, Victoria</wicri:regionArea></affiliation></author><author><name sortKey="Steinmetz, Jean Paul" sort="Steinmetz, Jean Paul" uniqKey="Steinmetz J" first="Jean-Paul" last="Steinmetz">Jean-Paul Steinmetz</name><affiliation wicri:level="1"><nlm:affiliation>Center for Memory and Mobility (CeM(2)), Luxembourg City, Luxembourg.</nlm:affiliation><country xml:lang="fr">Luxembourg (pays)</country><wicri:regionArea>Center for Memory and Mobility (CeM(2)), Luxembourg City</wicri:regionArea></affiliation></author><author><name sortKey="Blumen, Helena M" sort="Blumen, Helena M" uniqKey="Blumen H" first="Helena M" last="Blumen">Helena M. Blumen</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Verghese, Joe" sort="Verghese, Joe" uniqKey="Verghese J" first="Joe" last="Verghese">Joe Verghese</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Allali, Gilles" sort="Allali, Gilles" uniqKey="Allali G" first="Gilles" last="Allali">Gilles Allali</name><affiliation wicri:level="1"><nlm:affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY; Department of Neurology, Geneva University Hospital and University of Geneva, Geneva, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY; Department of Neurology, Geneva University Hospital and University of Geneva, Geneva</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of the American Medical Directors Association</title><idno type="eISSN">1538-9375</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Poor gait performance predicts risk of developing dementia. No structured critical evaluation has been conducted to study this association yet. The aim of this meta-analysis was to systematically examine the association of poor gait performance with incidence of dementia.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">26852960</PMID><DateCreated><Year>2016</Year><Month>05</Month><Day>29</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1538-9375</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>6</Issue><PubDate><Year>2016</Year><Month>Jun</Month><Day>01</Day></PubDate></JournalIssue><Title>Journal of the American Medical Directors Association</Title><ISOAbbreviation>J Am Med Dir Assoc</ISOAbbreviation></Journal><ArticleTitle>Poor Gait Performance and Prediction of Dementia: Results From a Meta-Analysis.</ArticleTitle><Pagination><MedlinePgn>482-90</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jamda.2015.12.092</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1525-8610(15)00851-8</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Poor gait performance predicts risk of developing dementia. No structured critical evaluation has been conducted to study this association yet. The aim of this meta-analysis was to systematically examine the association of poor gait performance with incidence of dementia.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An English and French Medline search was conducted in June 2015, with no limit of date, using the medical subject headings terms "Gait" OR "Gait Disorders, Neurologic" OR "Gait Apraxia" OR "Gait Ataxia" AND "Dementia" OR "Frontotemporal Dementia" OR "Dementia, Multi-Infarct" OR "Dementia, Vascular" OR "Alzheimer Disease" OR "Lewy Body Disease" OR "Frontotemporal Dementia With Motor Neuron Disease" (Supplementary Concept). Poor gait performance was defined by standardized tests of walking, and dementia was diagnosed according to international consensus criteria. Four etiologies of dementia were identified: any dementia, Alzheimer disease (AD), vascular dementia (VaD), and non-AD (ie, pooling VaD, mixed dementias, and other dementias). Fixed effects meta-analyses were performed on the estimates in order to generate summary values.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 796 identified abstracts, 12 (1.5%) were included in this systematic review and meta-analysis. Poor gait performance predicted dementia [pooled hazard ratio (HR) combined with relative risk and odds ratio = 1.53 with P < .001 for any dementia, pooled HR = 1.79 with P < .001 for VaD, HR = 1.89 with P value < .001 for non-AD]. Findings were weaker for predicting AD (HR = 1.03 with P value = .004).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This meta-analysis provides evidence that poor gait performance predicts dementia. This association depends on the type of dementia; poor gait performance is a stronger predictor of non-AD dementias than AD.</AbstractText><CopyrightInformation>Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Beauchet</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Division of Geriatric Medicine, Department of Medicine, Sir Mortimer B. Davis, Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, Quebec, Canada; Dr. Joseph Kaufmann Chair in Geriatric Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Center of Excellence on Aging and Chronic Diseases of McGill Integrated University Health Network, Quebec, Canada. Electronic address: olivier.beauchet@mcgill.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Annweiler</LastName><ForeName>Cédric</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Geriatrics, Department of Neuroscience, Angers University Hospital, Angers, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Callisaya</LastName><ForeName>Michele L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Menzies Institute of Medical Research, University of Tasmania, Hobart, Australia; Stroke and Ageing Research Group, Department of Medicine, Southern Clinical School, Monash University, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Cock</LastName><ForeName>Anne-Marie</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Department of Geriatrics and Department of Primary and Interdisciplinary Care (ELIZA), University of Antwerp and AZ St Maarten Mechelen, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Helbostad</LastName><ForeName>Jorunn L</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kressig</LastName><ForeName>Reto W</ForeName><Initials>RW</Initials><AffiliationInfo><Affiliation>Department University Center for Medicine of Aging, Felix Platter Hospital and University of Basel, Basel, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Srikanth</LastName><ForeName>Velandai</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Stroke and Ageing Research Group, Department of Medicine, Southern Clinical School, Monash University, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Steinmetz</LastName><ForeName>Jean-Paul</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>Center for Memory and Mobility (CeM(2)), Luxembourg City, Luxembourg.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blumen</LastName><ForeName>Helena M</ForeName><Initials>HM</Initials><AffiliationInfo><Affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Verghese</LastName><ForeName>Joe</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Allali</LastName><ForeName>Gilles</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY; Department of Neurology, Geneva University Hospital and University of Geneva, Geneva, Switzerland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>KL2 TR001071</GrantID><Acronym>TR</Acronym><Agency>NCATS NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>02</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Med Dir Assoc</MedlineTA><NlmUniqueID>100893243</NlmUniqueID><ISSNLinking>1525-8610</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J 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MajorTopicYN="N">dementia</Keyword><Keyword MajorTopicYN="N">gait disorders/ataxia</Keyword><Keyword MajorTopicYN="N">motor control</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>11</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>12</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>12</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId 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