Association of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults

Postural stability, hearing, and gait function deterioration are the risk factors associated with cognitive impairment. Although no method has been reported for treating severe cognitive impairment to date, developing an early detection model based on these risk factors could aid in slowing down or...

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Autores principales:	Emilija Kostic, Kiyoung Kwak, Dongwook Kim
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	mild cognitive impairment (MCI) gait sensory impairment elderly logistic regression dementia Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
Acceso en línea:	https://doaj.org/article/3f9f67362c78473990c76bcf31091590
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spelling	oai:doaj.org-article:3f9f67362c78473990c76bcf310915902021-11-11T15:03:15ZAssociation of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults10.3390/app112199702076-3417https://doaj.org/article/3f9f67362c78473990c76bcf310915902021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/21/9970https://doaj.org/toc/2076-3417Postural stability, hearing, and gait function deterioration are the risk factors associated with cognitive impairment. Although no method has been reported for treating severe cognitive impairment to date, developing an early detection model based on these risk factors could aid in slowing down or even reversing the deterioration process. In this study, the association between cognitive impairment and the combined predictive ability of sensory and gait features was assessed. Fifty-seven healthy community-dwelling men over the age of sixty-five participated in cognitive, postural stability, auditory, and level walking evaluations. They were divided into two groups: healthy control group (<i>n</i> = 39) and lower cognition group (<i>n</i> = 18), based on their Montreal cognitive assessment score. During gait, the center of mass of the cognitively impaired participants was confined to a smaller volume. Furthermore, the cognitively healthy participants were found to have better postural stability. Both groups possessed similar hearing ability; however, the cognitively impaired group made a significantly higher number of errors when repeating words or sentences. A logistic regression model utilizing each of these function quantifiers exhibited a high area under the receiver operating characteristic curve, suggesting excellent predictive ability. These models can be applied to smartphone or smart home healthcare technologies to detect the possibility of cognitive impairment, thus facilitating early detection.Emilija KosticKiyoung KwakDongwook KimMDPI AGarticlemild cognitive impairment (MCI)gaitsensory impairmentelderlylogistic regressiondementiaTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 9970, p 9970 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mild cognitive impairment (MCI) gait sensory impairment elderly logistic regression dementia Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
spellingShingle	mild cognitive impairment (MCI) gait sensory impairment elderly logistic regression dementia Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999 Emilija Kostic Kiyoung Kwak Dongwook Kim Association of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults
description	Postural stability, hearing, and gait function deterioration are the risk factors associated with cognitive impairment. Although no method has been reported for treating severe cognitive impairment to date, developing an early detection model based on these risk factors could aid in slowing down or even reversing the deterioration process. In this study, the association between cognitive impairment and the combined predictive ability of sensory and gait features was assessed. Fifty-seven healthy community-dwelling men over the age of sixty-five participated in cognitive, postural stability, auditory, and level walking evaluations. They were divided into two groups: healthy control group (<i>n</i> = 39) and lower cognition group (<i>n</i> = 18), based on their Montreal cognitive assessment score. During gait, the center of mass of the cognitively impaired participants was confined to a smaller volume. Furthermore, the cognitively healthy participants were found to have better postural stability. Both groups possessed similar hearing ability; however, the cognitively impaired group made a significantly higher number of errors when repeating words or sentences. A logistic regression model utilizing each of these function quantifiers exhibited a high area under the receiver operating characteristic curve, suggesting excellent predictive ability. These models can be applied to smartphone or smart home healthcare technologies to detect the possibility of cognitive impairment, thus facilitating early detection.
format	article
author	Emilija Kostic Kiyoung Kwak Dongwook Kim
author_facet	Emilija Kostic Kiyoung Kwak Dongwook Kim
author_sort	Emilija Kostic
title	Association of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults
title_short	Association of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults
title_full	Association of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults
title_fullStr	Association of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults
title_full_unstemmed	Association of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults
title_sort	association of posture, gait, and auditory functioning with cognitive status in a cohort of community-dwelling older adults
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3f9f67362c78473990c76bcf31091590
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Association of Posture, Gait, and Auditory Functioning with Cognitive Status in a Cohort of Community-Dwelling Older Adults

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