Influence of frailty and cognitive decline on dual task performance in older adults: an analytical cross-sectional study.

Objective: to analyze the influence of frailty and cognitive decline on dual-task performance in older adults. Methods: cross-sectional study carried out with older adults at a geriatrics outpatient clinic, in São Paulo. Sociodemographic data, cognitive performance, frailty phenotype, gait speed and...

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Published in:Revista Latino-Americana de Enfermagem (RLAE) Vol. 33; pp. 1 - 14
Main Authors: Casemiro, Francine Golghetto, Nogueira de Carvalho, Lucas Pelegrini, Matiello, Fernanda de Brito, Resende, Marcela Cristina, Partezani Rodrigues, Rosalina Aparecida
Format: research Journal Article
Published: Escola de Enfermagem de Ribeirao Preto, Universidade de Sao Paulo 2025
Online Access:View this record in EBSCOhost
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      dt: 2025
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      pub: Escola de Enfermagem de Ribeirao Preto, Universidade de Sao Paulo
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        atl: Influence of frailty and cognitive decline on dual task performance in older adults: an analytical cross-sectional study.
      aug:
        au:
          Casemiro, Francine Golghetto
          Nogueira de Carvalho, Lucas Pelegrini
          Matiello, Fernanda de Brito
          Resende, Marcela Cristina
          Partezani Rodrigues, Rosalina Aparecida
        affil: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
      sug:
        subj:
          Frailty Syndrome In Old Age
          Cognition Disorders In Old Age
          Multitasking Behavior Evaluation
          Task Performance and Analysis
          Human
          Aged
          Analytic Research
          Cross Sectional Studies
          Outpatients
          Brazil
          Walking Speed
          Descriptive Statistics
          Multiple Linear Regression
          Middle Age
          Male
          Female
          Walking
          Motor Skills
          Sex Factors
          Time
          Educational Status
          Comparative Studies
          Aged: 65+ years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: to analyze the influence of frailty and cognitive decline on dual-task performance in older adults. Methods: cross-sectional study carried out with older adults at a geriatrics outpatient clinic, in São Paulo. Sociodemographic data, cognitive performance, frailty phenotype, gait speed and dual-task assessments were used. The analysis was descriptive, combined with a multiple linear regression model. Results: 219 older adults participated, with a mean age of 72.55 years, aged between 60 and 79 years (82.65%) and predominantly female (70.32%). Among them, 86 (39.27%) were frail and 123 (57.48%) presented cognitive decline. The mean time for simple walking was 15.95 (7.02) seconds; for the motor dual-task, 17.64 (8.44) seconds; and for the cognitive dual-task, 23.88 (11.87) seconds. Women without a partner, living with family, and with low education (0-4 years) required more time to perform both the cognitive and motor dual-tasks compared to the time for simple walking. Frail older adults exhibited impared gait performance, both in simple and dual motor/cognitive tasks. Conclusion: frail older adults experienced a significant decline in performance in simple gait and in dual motor/cognitive tasks, with no difference in performance between those with and without cognitive decline. Multidisciplinary interventions should focus on promoting the health of older adults.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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