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Motor Phenotype of Decline in Cognitive Performance among Community-Dwellers without Dementia: Population-Based Study and Meta-Analysis

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  • Olivier Beauchet
  • Gilles Allali
  • Manuel Montero-Odasso
  • Ervin Sejdić
  • Bruno Fantino
  • Cédric Annweiler

Abstract

Background: Decline in cognitive performance is associated with gait deterioration. Our objectives were: 1) to determine, from an original study in older community-dwellers without diagnosis of dementia, which gait parameters, among slower gait speed, higher stride time variability (STV) and Timed Up & Go test (TUG) delta time, were most strongly associated with lower performance in two cognitive domains (i.e., episodic memory and executive function); and 2) to quantitatively synthesize, with a systematic review and meta-analysis, the association between gait performance and cognitive decline (i.e., mild cognitive impairment (MCI) and dementia). Methods: Based on a cross-sectional design, 934 older community-dwellers without dementia (mean±standard deviation, 70.3±4.9years; 52.1% female) were recruited. A score at 5 on the Short Mini-Mental State Examination defined low episodic memory performance. Low executive performance was defined by clock-drawing test errors. STV and gait speed were measured using GAITRite system. TUG delta time was calculated as the difference between the times needed to perform and to imagine the TUG. Then, a systematic Medline search was conducted in November 2013 using the Medical Subject Heading terms “Delirium,” “Dementia,” “Amnestic,” “Cognitive disorders” combined with “Gait” OR “Gait disorders, Neurologic” and “Variability.” Findings: A total of 294 (31.5%) participants presented decline in cognitive performance. Higher STV, higher TUG delta time, and slower gait speed were associated with decline in episodic memory and executive performances (all P-values

Suggested Citation

  • Olivier Beauchet & Gilles Allali & Manuel Montero-Odasso & Ervin Sejdić & Bruno Fantino & Cédric Annweiler, 2014. "Motor Phenotype of Decline in Cognitive Performance among Community-Dwellers without Dementia: Population-Based Study and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-10, June.
    • Handle: RePEc:plo:pone00:0099318
    DOI: 10.1371/journal.pone.0099318
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    References listed on IDEAS

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    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
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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.
    2. Olivier Beauchet & Cyrille P Launay & Harmehr Sekhon & Jennifer Gautier & Julia Chabot & Elise J Levinoff & Gilles Allali, 2018. "Body position and motor imagery strategy effects on imagining gait in healthy adults: Results from a cross-sectional study," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-11, March.

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