'Faster counting while walking' as a predictor of falls in older adults
'Faster counting while walking' as a predictor of falls in older adults
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DOI：
10.1093/ageing/afm011
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发表时间：
2007-07-01
期刊：
影响因子：
6.7
通讯作者：
Kressig, Reto W.
中科院分区：
文献类型：
--
作者：
Beauchet, Olivier;Dubost, Veronique;Kressig, Reto W.
目的：确定步行时与休息时口语任务表现的变化是否可以预测老年人跌倒。设计：为期 12 个月的前瞻性队列研究。地点：27 个老年住房设施。参与者：187 名年龄在 75-100 岁之间的受试者样本（平均年龄 84.8 +/- 5.2）。在登记过程中，参与者被要求在休息和行走时从 50 开始倒数，并根据他们的计数表现分为两组。每月收集后续一年中跌倒事件的信息。测量：坐在椅子上和行走时的计数数字，以及后续一年中发生的第一次跌倒的数字。结果：与单一任务相比，31.5％的测试受试者（n = 59）在双任务下的计数数字有所增加，并且与 MMSE 分数较低（P = 0.034）和老年抑郁量表分数较高相关（P = 0.007) 和定时启动 (P = 0.005)。在 12 个月的随访期间，54 名受试者（28.9%）跌倒。调整这些变量后，计数能力的提高与跌倒显着相关（调整后 OR = 53.3，P
Objective: to establish whether changes in a spoken verbal task performance while walking compared with being at rest could predict falls among older adults.Design: prospective cohort study of 12 months' duration.Setting: twenty-seven senior housing facilities.Participants: sample of 187 subjects aged 75-100 (mean age 84.8 +/- 5.2). During enrollment, participants were asked to count aloud backward from 50, both at rest and while walking and were divided into two groups according to their counting performance. Information on incident falls during the follow-up year was monthly collected.Measurements: the number of enumerated figures while sitting on a chair and while walking, and the first fall that occurred during the follow up year.Results: the number of enumerated figures under dual-task as compared to single task increased among 31.5% of the tested subjects (n = 59) and was associated with lower scores in MMSE (P = 0.034), and higher scores in Geriatric Depression Scale (P = 0.007) and Timed Up & Go (P = 0.005). During the 12 months follow-up, 54 subjects (28.9%) fell. After adjusting for these variables, the increase in counting performance was significantly associated with falls (adjusted OR = 53.3, P