A Comparison of Functional Fitness and Walking Speed with Cognitive Function of Facility-Dwelling Elderly Women: a Cross- Sectional Study

Park, Yongnam; Bae, Youngsook

doi:10.1589/jpts.24.73

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…Even though the residents had moderate to severe physical limitations and low levels of mobility at admission, they formed a heterogeneous group regarding overall mobility and life space, expressed by the large interquartile ranges. This result is in line with previous studies of residents with various duration of NH stay [ 10 , 15 , 21 , 22 , 31 ]. The heterogeneity indicates the importance of registering level of mobility already at admission to a NH to be able to provide individually tailored services and care.…”

Section: Discussionsupporting

confidence: 93%

“…In bivariate analyses, we found that residents with severe dementia had significantly poorer performances on mobility and more limited life space than residents with moderate dementia. In the adjusted models, degree of cognitive impairment was significantly associated with mobility, which is consistent with previous studies [ 10 , 21 , 22 ]. However, it is important to acknowledge that cognition only contributed with 1% of the explained variance of the mobility outcomes.…”

Section: Discussionsupporting

confidence: 91%

“…To date, there are few reports on the relationship between mobility and degree of dementia in NH residents. However, there are studies reporting that the level of mobility in NH residents decreases in line with deterioration in cognition [ 10 , 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Mobility and cognition at admission to the nursing home – a cross-sectional study

et al. 2018

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BackgroundEarlier studies show that the main reasons for admission to long-term nursing home care are cognitive impairment and functional impairments of activities of daily life. However, descriptive evidence of mobility is scant. The aims of this study were to describe mobility at admission to nursing homes and to assess the association between mobility and degree of dementia.MethodsWe included 696 residents at admission to 47 nursing homes in Norway. Inclusion criteria were expected stay for more than 4 weeks and 65 years or older. In addition, younger residents with dementia were included. Residents with life expectancy shorter than six weeks were excluded. Mobility was assessed using the Short Physical Performance Battery (SPPB) and the Nursing Home Life Space Diameter (NHLSD). The Clinical Dementia Rating Scale (CDR) was used to describe the degree of dementia. The associations between mobility and degree of dementia was analysed using the Chi-square and the Kruskal-Wallis test (KW-test). When the KW-test indicated a statistical significant difference, we proceeded with planned group comparisons with the Mann-Whitney U-test. In addition, we performed multiple linear regression analyses to control for potential confounders.ResultsForty-three percent of the residents were not able to perform the balance test in SPPB. Twenty-four percent of the residents were not able to walk four meters, while only 17.6% had a walking speed of 0.83 m/s or higher. Sixty-two percent of the residents were not able to rise from a chair or spent more than 60 s doing it. The median score on NHLSD area was 22 (IQR 17) and the median score on NHLSD dependency was 36 (IQR 26). Residents with severe dementia had significantly lower levels of mobility than residents with moderate dementia. Cognitive function was associated with SPPB and NHLSD dependency in the adjusted models.ConclusionNursing home residents form a frail, but heterogeneous group both in terms of cognition and mobility at admission. Mobility was negatively associated with cognitive function, and residents with severe dementia had significantly lower levels of mobility than residents with moderate dementia.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

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Mobility and cognition at admission to the nursing home – a cross-sectional study

et al. 2018

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“…The main findings showed that older people with cognitive impairment performed significantly worse on the physical fitness tests CSR, Up&go test and 6-min walk test compared to older people recently discharged from hospital, even when controlling for demographic factors and comorbidity. These results show that being diagnosed with MCI or dementia is associated with lower physical fitness, and support previous studies reporting a strong negative association between cognitive impairment and different aspects of physical fitness [ 22 , 25 , 29 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 ].…”

Section: Discussionsupporting

confidence: 90%

Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

Hesseberg

Bergland

Rydwik

et al. 2016

Dement Geriatr Cogn Disord Extra

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Background/Aims: There is evidence of an association between cognitive function and physical fitness. The aim of this study was to compare physical fitness in patients with cognitive impairment with a group of older people recently discharged from hospital. Methods: A cross-sectional study with 98 patients recently diagnosed with cognitive impairment and 115 patients recently discharged from hospital. Associations between the study group variable and different components in the Senior fitness test were examined, controlling for demographic factors and comorbidity. Results: The group recently diagnosed with cognitive impairment indicated poorer results on three of six physical fitness components (p < 0.05). Conclusion: Older adults with cognitive impairment are in need of individually tailored physical activity programs to increase the level of physical fitness.

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Associations between functional fitness and walking speed in older adults

Zhao

2021

Geriatric Nursing

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A Comparison of Functional Fitness and Walking Speed with Cognitive Function of Facility-Dwelling Elderly Women: a Cross- Sectional Study

Cited by 7 publications

References 16 publications

Mobility and cognition at admission to the nursing home – a cross-sectional study

Mobility and cognition at admission to the nursing home – a cross-sectional study

Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

Associations between functional fitness and walking speed in older adults

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