Association between the cost of dual-task and cognitive function in older people with Motoric Cognitive Risk Syndrome: a cross-sectional study.

BACKGROUND: Dual-task mobility tests are considered more sensitive than single-task assessments for detecting early cognitive impairment in older adults. However, their association with cognitive performance in individuals with Motoric Cognitive Risk Syndrome (MCR) has not been well established. OBJ...

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Publicado en:Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia Vol. 15; pp. 1 - 12
Autores principales: de Amorim Batista, Gabriel, Calixtre, Letícia Bojikian, Cavalcante, Bruno Remígio, de Araújo Silva, Juliana Daniele, Sampaio Amaral, Késia Moreira, Gonçalves, Ruth Lahis da Silva, Callisaya, Michele, Rodarti Pitangui, Ana Carolina, de Araújo, Rodrigo Cappato
Formato: research tables/charts Journal Article
Publicado: Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia 2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2025
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        10.17267/2238-2704rpf.2025.6367
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        atl: Association between the cost of dual-task and cognitive function in older people with Motoric Cognitive Risk Syndrome: a cross-sectional study.
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          de Amorim Batista, Gabriel
          Calixtre, Letícia Bojikian
          Cavalcante, Bruno Remígio
          de Araújo Silva, Juliana Daniele
          Sampaio Amaral, Késia Moreira
          Gonçalves, Ruth Lahis da Silva
          Callisaya, Michele
          Rodarti Pitangui, Ana Carolina
          de Araújo, Rodrigo Cappato
        affil: Universidade de Pernambuco (Petrolina). Pernambuco, Brazil
      sug:
        subj:
          Dementia Risk Factors
          Cognition Disorders Risk Factors
          Cognition Evaluation
          Task Performance and Analysis In Old Age
          Geriatric Functional Assessment
          Risk Assessment
          Motor Skills Disorders Risk Factors
          Motor Skills Evaluation
          Neuropsychological Tests In Old Age
          Human
          Correlational Studies
          Male
          Female
          Middle Age
          Aged
          Physical Mobility
          Functional Status
          Multiple Linear Regression
          Attention
          Processing Speed
          Funding Source
          Hospitals
          Brazil
          Cross Sectional Studies
          Geriatric Depression Scale
          Descriptive Statistics
          Scales
          Data Analysis Software
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab:
        BACKGROUND: Dual-task mobility tests are considered more sensitive than single-task assessments for detecting early cognitive impairment in older adults. However, their association with cognitive performance in individuals with Motoric Cognitive Risk Syndrome (MCR) has not been well established. OBJECTIVE: To investigate the relationship between the cost of dual-task testing in the Timed Up and Go (TUG) test with different cognitive demands and cognitive function in older individuals with MCR. METHODOLOGY: Fifty-nine older individuals with MCR were included (89.8% women; mean age: 70 years). The cost of dual-task testing was assessed in two conditions: TUG with counting backwards and TUG with animal naming. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA), Trail Making Test Part A (TMT-A), Digit Span, and Verbal Fluency tests. Multiple linear regressions, adjusted for age, sex, and education, were conducted. RESULTS: The dual-task cost of the TUG with counting backwards correlated positively with performance in attention and processing speed (TMT-A; r = 0.52; β = 0.17 [0.05 to 0.29]) and negatively with global cognitive performance (MoCA; r = -0.48; β = -1.18 [-2.22 to -0.11]). The TUG with animal naming showed no significant associations with cognitive tests. CONCLUSION: The dual-task cost during the TUG with counting backwards was moderately associated with attention, processing speed, and global cognition in older adults with MCR. No significant associations were observed for the TUG with animal naming. These findings highlight that the type of cognitive demand used in dual-task testing may influence the degree of motor-cognitive interference.
        INTRODUÇÃO: Testes de mobilidade com dupla tarefa são considerados mais sensíveis do que avaliações com tarefa única para a detecção precoce de comprometimento cognitivo em idosos. No entanto, sua associação com o desempenho cognitivo em pessoas com Síndrome do Risco Cognitivo Motor (SRCM) ainda não está bem estabelecida. OBJETIVO: Investigar a relação entre o custo da tarefa dupla no teste Timed Up and Go (TUG), com diferentes demandas cognitivas, e a função cognitiva em idosos com SRCM. METODOLOGIA: Cinquenta e nove idosos com SRCM foram incluídos (89,8% mulheres; idade média: 70 anos). O custo da tarefa dupla foi avaliado em duas condições: TUG com contagem regressiva e TUG com nomeação de animais. A função cognitiva foi avaliada por meio do Montreal Cognitive Assessment (MoCA), Teste de Trilhas Parte A (TMT-A), Dígitos Diretos e Inversos e Fluência Verbal. Regressões lineares múltiplas, ajustadas por idade, sexo e escolaridade, foram realizadas. RESULTADOS: O custo da tarefa dupla no TUG com contagem regressiva correlacionou-se positivamente com atenção e velocidade de processamento (TMT-A; r = 0,52; β = 0,17 [0,05 a 0,29]) e negativamente com o desempenho cognitivo global (MoCA; r = -0,48; β = -1,18 [-2,22 a -0,11]). O TUG com nomeação de animais não apresentou associações significativas com os testes cognitivos. CONCLUSÃO: O custo da tarefa dupla no TUG com contagem regressiva associou-se moderadamente com atenção, velocidade de processamento e cognição global em idosos com SRCM. Esses achados destacam que o tipo de demanda cognitiva utilizada durante testes de dupla tarefa pode influenciar o grau de interferência entre desempenho motor e cognitivo.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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