Dual task walking costs in older adults with mild cognitive impairment: a systematic review and meta-analysis.

The objective of this systematic review and meta-analysis (PROSPERO registration No CRD42020192121) is to review existing literature focusing on effects of different dual task paradigms on walking speed in older adults with and without Mild Cognitive Impairment. (1) Data Sources: PubMEd, Cumulative...

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Publicado en:Aging & Mental Health Vol. 25; no. 9; pp. 1618 - 1630
Autores principales: Bishnoi, Alka, Hernandez, Manuel E.
Formato: Artículo
Publicado: Taylor & Francis Ltd 2021
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
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      pub: Taylor & Francis Ltd
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        152079292
        10.1080/13607863.2020.1802576
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        atl: Dual task walking costs in older adults with mild cognitive impairment: a systematic review and meta-analysis.
      aug:
        au:
          Bishnoi, Alka
          Hernandez, Manuel E.
        affil: Mobility and Fall Prevention Research Laboratory, Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL, USA
      su:
        Task performance
        Old age
        Walking speed
        Cognition disorders
        Online information services
        CINAHL database
        Meta-analysis
        Information storage & retrieval systems
        Medical databases
        Systematic reviews
        Walking
        MEDLINE
      sug:
        subj:
          Task performance
          Old age
          Walking speed
          Cognition disorders
          Online information services
          CINAHL database
          Meta-analysis
          Information storage & retrieval systems
          Medical databases
          Systematic reviews
          Walking
          MEDLINE
      keyword:
        aging
        meta-analysis
        Mild cognitive impairment
        task performance
        walking speed
        aging
        meta-analysis
        Mild cognitive impairment
        task performance
        walking speed
      ab: The objective of this systematic review and meta-analysis (PROSPERO registration No CRD42020192121) is to review existing literature focusing on effects of different dual task paradigms on walking speed in older adults with and without Mild Cognitive Impairment. (1) Data Sources: PubMEd, Cumulative Index of Nursing and Allied Health, Cochrane library, and Web of Science. (2) Study Selection: The key terms searched included those associated with dual task, walking speed, executive function, older adults, and MCI. (3) Data Extraction: The search yielded 140 results with 20 studies meeting the inclusion criteria, which were rated by two independent reviewers using the Quality Assessment Tool. Descriptions of each study including the single and dual task protocol, outcome measure, and final outcomes were extracted. Meta-analysis was performed to evaluate the dual task effects on walking costs in older adults with and without MCI. Meta-analysis revealed that there were significant differences in the dual task walking costs among older adults with or without MCI (p <.05). Pooled effect sizes of the serial subtraction (9.54; 95%CI, 3.93–15.15) and verbal fluency tasks (10.06; 95%CI, 6.26–15.65) showed that there are higher motor dual-task costs in older adults with MCI than age-matched controls. For quality assessment, all studies ranged from 12 to 16 in score, out of 18 (high quality). In the studies included in this review, mental tracking tasks, consisting of serial subtraction and verbal fluency, were found to be the most sensitive in detecting MCI-related changes in older adults, and could serve an important role as a target measure for evaluating the efficacy of interventions aimed at improving cognitive and motor function in older adults.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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