Single and Dual Task Gait Speed in Frailty Screening of Community-Dwelling Older Adults.

Objective: This study compares dual task (DT) gait speed between robust and frail older adults in the setting of a community-based frailty screening program. Methods: A cross-sectional study was conducted involving older adults aged 50 years or older. Participants were categorized as robust, pre-fra...

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Published in:Journal of Primary Care & Community Health pp. 1 - 11
Main Authors: Yeo, Joey, Tay, Laura, Pua, Yong Hao, Mah, Shi Min, Tay, Ee Ling, Wang, Min Xian, Ng, Yee Sien
Format: research tables/charts Journal Article
Published: Sage Publications Inc. 12/11/2024
Online Access:View this record in EBSCOhost
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      issn: 21501319
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      dt: 12/11/2024
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        181566042
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        10.1177/21501319241306700
        181566042
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        atl: Single and Dual Task Gait Speed in Frailty Screening of Community-Dwelling Older Adults.
      aug:
        au:
          Yeo, Joey
          Tay, Laura
          Pua, Yong Hao
          Mah, Shi Min
          Tay, Ee Ling
          Wang, Min Xian
          Ng, Yee Sien
        affil: Duke-NUS Medical School, Singapore, Singapore
      sug:
        subj:
          Community Living In Old Age
          Frail Elderly
          Frailty Syndrome Diagnosis
          Geriatric Assessment
          Walking Speed
          Task Performance and Analysis
          Health Screening Methods
          Human
          Funding Source
          Male
          Female
          Middle Age
          Aged
          Cross Sectional Studies
          Gait
          Phenotype
          Cognition
          Outcomes (Health Care)
          Community Health Services
          Activities of Daily Living
          Descriptive Statistics
          Comparative Studies
          Data Analysis Software
          ROC Curve
          Pearson's Correlation Coefficient
          Neuropsychological Tests
          Geriatric Depression Scale
          Psychological Tests
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objective: This study compares dual task (DT) gait speed between robust and frail older adults in the setting of a community-based frailty screening program. Methods: A cross-sectional study was conducted involving older adults aged 50 years or older. Participants were categorized as robust, pre-frail or frail using the FRAIL phenotype. Gait speed was measured under single task (ST) and 2 DT conditions: arithmetic (DT1) and verbal fluency (DT2) tasks. For the arithmetic task, participants counted upwards in multiples of 2, starting from 16. For the verbal fluency task, they named different animals as they walked. Results: A total of 976 participants were recruited, of which 779 were robust, 181 were pre-frail and 16 were frail. Robust participants exhibited significantly faster DT gait speeds (DT1: 1.12 (0.25)m/s; DT2: 0.97 (0.27)m/s than pre-frail/frail (PFF) participants (DT1: 0.88 (0.30)m/s); DT2: 0.78 (0.30)m/s). Robust participants also demonstrated a significantly faster ST gait speed (1.31 (0.22)m/s) vs 1.05 (0.31)m/s). Conclusion: DT gait assessment combines both physical and cognitive domains and may serve as a more holistic tool for early frailty detection in the community. The significant differences observed in DT gait speeds highlight the need for integrating cognitive assessments into frailty screening protocols, supporting timely interventions to improve health outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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