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Gait Speed as a Biomarker of Cognitive Vulnerability: A Population-Based Study with Cognitively Normal Older Adults

Author

Listed:
  • Marcelo de Maio Nascimento

    (Department of Physical Education, Federal University of Vale do São Francisco, Petrolina 56304-917, Brazil)

  • Élvio Rúbio Gouveia

    (Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
    LARSyS—Laboratory for Robotics and Engineering Systems, Interactive Technologies Institute, 9020-105 Funchal, Portugal
    Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland)

  • Adilson Marques

    (CIPER—Interdisciplinary Centre for the Study of Human Performance, Faculty of Human Kinetics, University of Lisbon, 1495-751 Lisbon, Portugal
    ISAMB—Environmental Health Institute, Faculty of Medicine, University of Lisbon, 1649-020 Lisbon, Portugal)

  • Bruna R. Gouveia

    (LARSyS—Laboratory for Robotics and Engineering Systems, Interactive Technologies Institute, 9020-105 Funchal, Portugal
    Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
    Regional Directorate of Health, Government of the Autonomous Region of Madeira, 9004-515 Funchal, Portugal
    Saint Joseph of Cluny Higher School of Nursing, 9050-535 Funchal, Portugal)

  • Priscila Marconcin

    (Faculty of Human Kinetics, University of Lisbon, 1495-751 Lisbon, Portugal
    KinesioLab, Research Unit in Human Movement Analysis, Piaget Institute, 2805-059 Almada, Portugal)

  • Andreas Ihle

    (Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
    Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
    Swiss National Centre of Competence in Research LIVES-Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland)

Abstract

We aimed to examine associations between cognitive vulnerability and gait speed (GS) in a large older sample. A cross-sectional study analyzed data from the “Health, Lifestyle and Fitness in Adults and Seniors in Amazonas” (SEVAAI) project. In total, 697 participants were included (mean age 70.35 ± 6.86 years). Usual and fast GS were evaluated, and cognitive performance was examined by the COGTEL test battery. There was a positive and large correlation between cognition (COGTEL score) and usual GS ( r = 0.510; p < 0.001) and fast GS ( r = 0.503; p < 0.001). The usual GS, as a continuous variable, indicated a chance of improved cognitive performance by up to 55%, and fast GS by up to 82%. After controlling for potential confounders (i.e., sex, age, MMSE and years of education), usual and fast GS indicated a chance of improving cognition, respectively, in 57% and 85%. Analysis of GS in quartiles (Q) showed high and significant associations between usual and fast GS and cognitive vulnerability. GS classified as Q1 (slower), Q2 and Q3 represented a greater chance of presenting cognitive deficits, respectively, than in participants with both GS classified as Q4 (highest). Cognitive vulnerability was associated with low GS. Usual and fast GS can be used as complementary measures for the evaluation of cognitively normal Brazilian older adults.

Suggested Citation

  • Marcelo de Maio Nascimento & Élvio Rúbio Gouveia & Adilson Marques & Bruna R. Gouveia & Priscila Marconcin & Andreas Ihle, 2022. "Gait Speed as a Biomarker of Cognitive Vulnerability: A Population-Based Study with Cognitively Normal Older Adults," Sustainability, MDPI, vol. 14(12), pages 1-12, June.
    • Handle: RePEc:gam:jsusta:v:14:y:2022:i:12:p:7348-:d:839782
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    References listed on IDEAS

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    1. Jacqueline K Kueper & Daniel J Lizotte & Manuel Montero-Odasso & Mark Speechley & for the Alzheimer’s Disease Neuroimaging Initiative, 2020. "Cognition and motor function: The gait and cognition pooled index," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-16, September.
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    Cited by:

    1. Marcelo de Maio Nascimento & Élvio Rúbio Gouveia & Bruna R. Gouveia & Adilson Marques & Francisco Martins & Krzysztof Przednowek & Cíntia França & Miguel Peralta & Andreas Ihle, 2022. "Associations of Gait Speed, Cadence, Gait Stability Ratio, and Body Balance with Falls in Older Adults," IJERPH, MDPI, vol. 19(21), pages 1-13, October.
    2. Ning Lu & Yefei Li & Bochu Xu, 2022. "Evaluation of the Suitability of Smart Health Products for Aging Based on the IIVAHP-CRITIC Model: A Case Study of Smart Health Kiosk," Sustainability, MDPI, vol. 14(15), pages 1-16, July.

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