Title |
Handgrip strength predicts longitudinal changes in clock drawing test performance. An observational study in a sample of older non-demented adults
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Published in |
The journal of nutrition, health & aging, May 2017
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DOI | 10.1007/s12603-016-0816-9 |
Pubmed ID | |
Authors |
Giovanni Viscogliosi, M.G. di Bernardo, E. Ettorre, I.M. Chiriac |
Abstract |
Impairment of physical performance might identify older people at higher risk of dementia over time. The present study evaluated handgrip strength as independent predictor of cognitive decline. Observational, prospective. Follow-up duration: 11.2 ± 0.8 months. Geriatric outpatients center. 104 consecutive stroke- and dementia-free older adults (44% men, ages 80.2 ± 5.4 years). The Clinical Dementia Rating scale and the Clock Drawing Test (CDT) were administered. Handgrip strength was assessed using a Jamar hand dynamometer. Brain magnetic resonance imaging studies at 1.5 T were performed. White matter damage was expressed as severity of white matter hyperintensities (WMHs). Longitudinal changes in cognitive function were expressed as 1-year decline in CDT performance. A robust association was observed between baseline handgrip strength and 1-year cognitive decline after multiple adjustment. Of note, the strength of such association was only minimally attenuated after adjusting for deep WMHs extent (β coefficient for handgrip strength = 0.183, SE= 0.038, p= 0.007, R2= 0.58). Handgrip strength predicted accelerated 1-year decline in cognitive function, assessed by CDT, in a sample of older adults. Future studies are needed to elucidate the causal mechanisms linking limitations in physical function with dementia risk. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 44 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 8 | 18% |
Researcher | 7 | 16% |
Student > Bachelor | 4 | 9% |
Student > Master | 4 | 9% |
Student > Postgraduate | 3 | 7% |
Other | 1 | 2% |
Unknown | 17 | 39% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 4 | 9% |
Medicine and Dentistry | 4 | 9% |
Neuroscience | 4 | 9% |
Psychology | 4 | 9% |
Agricultural and Biological Sciences | 2 | 5% |
Other | 6 | 14% |
Unknown | 20 | 45% |