Effects of curved path walking compared to straight path walking in older adults with cognitive deficits: A systematic review and network meta-analysis.
Effects of curved path walking compared to straight path walking in older adults with cognitive deficits: A systematic review and network meta-analysis.
复制标题
与认知缺陷老年人中的直线行走相比，弯曲路径行走的影响：系统评价和网络荟萃分析。
DOI：
--
复制
发表时间：
2022
影响因子：
1.7
通讯作者：
Mansoo Ko
中科院分区：
文献类型：
--
作者：
H. Lee;S. Shim;Jun Ho Kim;Mansoo Ko
目的
使用网络荟萃分析（NMA）确定现有文献是否提供证据证明曲线路径步行时间可以作为老年人认知障碍的可靠标志。
数据源
2019年12月检索了PubMed、Web of Science、ScienceDirect、Scopus和韩国研究信息服务系统（KSISS）电子数据库。
资料选择
选择包括以下变量的研究：（P）：认知障碍患者，（I）：直线路径与曲线路径行走，（C）：无认知障碍的对照组，（O）：行走时间，（S）：横断面或纵向研究设计。总共选择了21项研究进行NMA，进行NMA是为了比较弯曲路径和直线路径上步行时间的标准化平均差（SMD）。
结果
老年痴呆症患者的步行时间明显长于轻度认知障碍（MCI）的老年人，无论是直线路径步行还是曲线路径步行。MCI老年人的直线路径步行时间SMD为0.59（95%可信区间[CrI]：0.39，0.81），痴呆老年人为0.90（95%CrI：0.65，1.16）。MCI老年人曲线行走时间的SMD为0.52（95%CrI：-0.22，1.26），痴呆老年人曲线行走时间的SMD为1.98（95%CrI：1.20，2.92）。在老年痴呆症患者中，弯曲路径行走的Fisher z值的相关系数高于直线路径行走。
结论
痴呆症患者走路的方式表现出认知障碍的迹象。NMA证实，患有痴呆症的老年人需要比健康对照组或患有MCI的老年人更长的时间来步行相同的距离，无论是弯曲还是直线路径行走。
OBJECTIVE
To determine whether the existing literature provides evidence that curved path walking time can be a reliable marker of cognitive impairment among older adults using a network meta-analysis (NMA).
DATA SOURCES
PubMed, Web of Science, ScienceDirect, Scopus, and Korean Studies Information Service System (KSISS) electronic databases were searched in December 2019.
STUDY SELECTION
Studies that included the following variables were selected: (P): patients with cognitive impairment, (I): straight path versus curved path walking, (C): control group without cognitive impairment, (O): walking time, and (S): cross-sectional or longitudinal study design. In total, 21 studies were selected for the NMA, which was performed to compare the standardized mean difference (SMD) of walking time on curved and straight paths.
RESULTS
Older adults with dementia had significantly longer walking times than older adults with mild cognitive impairment (MCI) for both straight path walking and curved path walking. The SMD of straight path walking time was 0.59 (95% credible interval [CrI]: 0.39, 0.81) for older adults with MCI and 0.90 (95% CrI: 0.65, 1.16) for older adults with dementia. The SMD of walking time on a curved path was 0.52 (95% CrI: -0.22, 1.26) for older adults with MCI and 1.98 (95% CrI: 1.20, 2.92) for those with dementia. In older adults with dementia, the correlation coefficient of the Fisher's z value was higher for curved path walking than for straight path walking.
CONCLUSION
The way people with dementia walk exhibits signs of cognitive impairments. NMA confirmed that older adults with dementia requires significantly longer time to walk the same distance than healthy controls or older adults with MCI for both curved and straight path walking.