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Cognitive Impairment and Gait Disorders in Older Adults

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Aging".

Deadline for manuscript submissions: closed (9 June 2023) | Viewed by 6285

Special Issue Editors


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Guest Editor
1. Department of Geriatrics and Internal Medicine, Hospital of Champmaillot, University Hospital, 21000 Dijon, France
2. UMR Inserm/U1093 Cognition, Action, Sensorimotor Plasticity, University of Burgundy and Franche Comté, 21000 Dijon, France
3. INSERM U-1093, Cognition, Action and Sensorimotor Plasticity, University of Burgundy Franche-Comté, 21000 Dijon, France
Interests: older adults; falls; gait; balance; drugs in older adults; post-fall syndrome; acute care in older adults; anticoagulant drugs; cognitive disorders
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Guest Editor
INSERM U-1093, Cognition, Action and Sensorimotor Plasticity, University of Burgundy Franche-Comté, 21000 Dijon, France
Interests: older adults; falls; gait; balance; post-fall syndrome; rehabilitation; cognitive disorders

Special Issue Information

Dear Colleagues,

With the increase in life expectancy linked to scientific and medical progress and improvements in hygiene conditions, the world population aged ≥ 75 years continues to grow, particularly in industrialized countries. These older individuals can age either normally or pathologically. Individuals with pathological ageing have numerous comorbidities, leading to polypharmacy and contributing to frailty. Among these comorbidities, major neurocognitive disorders (MNCDs) and balance and gait disorders (BGDs), which lead to falls, are two real public health problems. MNCDs are the primary cause of loss of autonomy (ability to govern oneself) in older adults, while BGDs are a major factor in the loss of independence, and falls are the most common cause of accidental death in this population. Moreover, MNCDs and BGDs are often associated. This is explained by the impaired judgment; attention, memory and/or praxis disorders; and damage to the nerve centers governing balance and gait that occur in individuals with MNCDs. The motoric cognitive risk syndrome, associated with slow gait and subjective memory complaints without objective cognitive and functional disorders, illustrates this association.

We therefore propose this Special Issue in an effort to better understand the relationship between MNCDs and BGDs in the elderly, with the ultimate goal of improving care and quality of life.

Prof. Dr. Patrick Manckoundia
Prof. Dr. France Mourey
Guest Editors

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Keywords

  • Alzheimer’s disease
  • balance
  • falls
  • gait
  • major neurocognitive disorders
  • older adults

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Published Papers (3 papers)

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Editorial

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2 pages, 257 KiB  
Editorial
Cognition Impairment and Gait Disorders in Older Adults
by Patrick Manckoundia and France Mourey
Int. J. Environ. Res. Public Health 2022, 19(12), 7347; https://doi.org/10.3390/ijerph19127347 - 15 Jun 2022
Viewed by 1704
Abstract
Thanks to the increase in life expectancy linked to scientific and medical progress and improvements in hygiene conditions, the population of people aged 75 years and over continues to grow worldwide, particularly in industrialized countries [...] Full article
(This article belongs to the Special Issue Cognitive Impairment and Gait Disorders in Older Adults)

Research

Jump to: Editorial

12 pages, 718 KiB  
Article
Tango-Therapy Intervention for Older Adults with Cognitive Impairment Living in Nursing Homes: Effects on Quality of Life, Physical Abilities and Gait
by Lucía Bracco, Clara Cornaro, Arrate Pinto-Carral, Sabine C. Koch and France Mourey
Int. J. Environ. Res. Public Health 2023, 20(4), 3521; https://doi.org/10.3390/ijerph20043521 - 16 Feb 2023
Cited by 3 | Viewed by 2343
Abstract
Cognitive impairment in older adults is associated with poor gait performance, physical decline, falls and poor quality of life. This paper analyzes the feasibility and efficacy of tango-based intervention in older people living in nursing homes with and without cognitive impairment. A multicenter [...] Read more.
Cognitive impairment in older adults is associated with poor gait performance, physical decline, falls and poor quality of life. This paper analyzes the feasibility and efficacy of tango-based intervention in older people living in nursing homes with and without cognitive impairment. A multicenter study, with pre- and post-test, was carried out. Intervention attendance, well-being, physical abilities (short physical performance battery), walking performance, functional capacities (Katz Index) and quality of life (quality of life in Alzheimer’s disease) were assessed. Fifty-four participants (84.9 ± 6.7 years, mini mental state examination 14.5 ± 7.4) completed the protocol. Intervention attendance was 92%, and the mean subjective well-being after each session was 4.5 ± 0.5 (on a five-point scale). A statistically significant improvement was found in the quality of life (p = 0.030). Non-statistically significant changes were found in walking performance (p = 0.159), physical abilities (p = 0.876) and in functional capacities (p = 0.253). This study shows feasibility and suggests evidence for the effects of tango therapy on well-being and quality of life. Further studies are necessary to contrast these findings and to support the role of tango interventions as a holistic approach to prevent functional decline in older people with cognitive impairment. Full article
(This article belongs to the Special Issue Cognitive Impairment and Gait Disorders in Older Adults)
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8 pages, 341 KiB  
Article
Vitamin D Concentration and Motoric Cognitive Risk in Older Adults: Results from the Gait and Alzheimer Interactions Tracking (GAIT) Cohort
by Maxime Le Floch, Jennifer Gautier and Cédric Annweiler
Int. J. Environ. Res. Public Health 2022, 19(20), 13086; https://doi.org/10.3390/ijerph192013086 - 12 Oct 2022
Cited by 5 | Viewed by 1463
Abstract
Background. Motoric Cognitive Risk (MCR) syndrome, which combines subjective memory complaint (SMC) and slower gait speed, is a newly-described predementia stage. Based on the involvement of vitamin D in the biology of both gait and cognition, we hypothesized that nondemented individuals with MCR [...] Read more.
Background. Motoric Cognitive Risk (MCR) syndrome, which combines subjective memory complaint (SMC) and slower gait speed, is a newly-described predementia stage. Based on the involvement of vitamin D in the biology of both gait and cognition, we hypothesized that nondemented individuals with MCR would exhibit hypovitaminosis D more often compared to Cognitively Healthy Individuals (CHI). The objective of this cross-sectional analysis was to determine whether hypovitaminosis D was associated with MCR. Methods. Participants without dementia from the GAIT (Gait and Alzheimer Interactions Tracking) cohort study were classified into MCR or Cognitively Healthy Individuals (CHI) groups. Hypovitaminosis D was defined as the lowest quartile of serum 25-hydroxyvitamin D (25OHD) concentration compared to the other three combined. Age, sex, body mass index (BMI), the Frontal Assessment Battery (FAB) score, the Mini-Mental Short Examination (MMSE) score, education level, use of psychoactive drugs, and the number of chronic diseases were used as covariates. Results. Among 244 nondemented and nonMCInonMCR participants from the GAIT cohort (mean age 71.4 ± 3.7 years, 40.6% women), 66 participants were classified as MCR (36.9%) and 178 as CHI (63.1%). The lowest quartile of 25OHD concentration was directly associated with MCR (unadjusted OR = 2.85, p = 0.003) even after adjustment for studied potential confounders (fully adjusted OR = 2.61, p = 0.025). The BMI (adjusted OR = 6.65, p < 0.001), MMSE score (adjusted OR = 0.74, p = 0.009), FAB score (adjusted OR = 0.51, p < 0.001), number of chronic diseases (adjusted OR = 1.29, p = 0.043) and use of psychoactive drugs (adjusted OR = 2.55, p = 0.044) were also associated with MCR. Conclusions. Hypovitaminosis D was associated with MCR in older community-dwellers without dementia. Full article
(This article belongs to the Special Issue Cognitive Impairment and Gait Disorders in Older Adults)
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