The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study

The study aims to assess the performance of dual-task tests in the geriatric population and their association with the cognitive status of the patients. Methods: Patients admitted to the Department of Geriatrics, Hospital of the Ministry of Interior and Administration on Bialystok, Poland, in 2019 a...

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Autores principales:	Agnieszka Kasiukiewicz, Lukasz Magnuszewski, Marta Swietek, Zyta Beata Wojszel
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	dementia cognitive decline biomarkers dual-task gait geriatric patients Medicine R
Acceso en línea:	https://doaj.org/article/90b1d3cf0013443fa89b3aec907ffb3a
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spelling	oai:doaj.org-article:90b1d3cf0013443fa89b3aec907ffb3a2021-11-25T18:02:04ZThe Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study10.3390/jcm102253582077-0383https://doaj.org/article/90b1d3cf0013443fa89b3aec907ffb3a2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5358https://doaj.org/toc/2077-0383The study aims to assess the performance of dual-task tests in the geriatric population and their association with the cognitive status of the patients. Methods: Patients admitted to the Department of Geriatrics, Hospital of the Ministry of Interior and Administration on Bialystok, Poland, in 2019 and 2020 were enrolled in the study. Data on the patients’ clinical, functional, and cognitive status were collected based on the comprehensive geriatric assessment. Dual-task tests included Timed Up and Go (TUG) test while counting backward (CB7), enumerating animals (EA), and holding a cup (TUG M). Results: 250 patients were included in the study, with a median age of 81.5 years (IQR 76–86) and most above 75 years of age (80.8%). Only 29 (11.6%) of study participants had no cognitive or mood disorders. Depression was diagnosed in 30.4%, MCI in 12%, and dementia in 38.4% of cases with median Mini-Mental Score Evaluation (MMSE) 17 (12–20) points. Dual-task TUG CB7 results did not differ between cognitive conditions of patients. TUG EA differed between healthy controls and other cognitive groups and TUG between healthy controls and depression and dementia, but not mild cognitive impairment (MCI). The performance of all dual-task tests differed in patients with and without dementia. Ability to finish TUG CB7 was low even in the group without dementia. There were statistically significant differences in median scores of MMSE and Clock Drawing Test (CDT) between patients who were able or not to finish single and dual-task gait tests. Conclusion: Dual-task test results and the performance of these tasks can differentiate patients with depression, MCI and dementia compared to healthy controls in the geriatric population.Agnieszka KasiukiewiczLukasz MagnuszewskiMarta SwietekZyta Beata WojszelMDPI AGarticledementiacognitive declinebiomarkersdual-taskgaitgeriatric patientsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5358, p 5358 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	dementia cognitive decline biomarkers dual-task gait geriatric patients Medicine R
spellingShingle	dementia cognitive decline biomarkers dual-task gait geriatric patients Medicine R Agnieszka Kasiukiewicz Lukasz Magnuszewski Marta Swietek Zyta Beata Wojszel The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study
description	The study aims to assess the performance of dual-task tests in the geriatric population and their association with the cognitive status of the patients. Methods: Patients admitted to the Department of Geriatrics, Hospital of the Ministry of Interior and Administration on Bialystok, Poland, in 2019 and 2020 were enrolled in the study. Data on the patients’ clinical, functional, and cognitive status were collected based on the comprehensive geriatric assessment. Dual-task tests included Timed Up and Go (TUG) test while counting backward (CB7), enumerating animals (EA), and holding a cup (TUG M). Results: 250 patients were included in the study, with a median age of 81.5 years (IQR 76–86) and most above 75 years of age (80.8%). Only 29 (11.6%) of study participants had no cognitive or mood disorders. Depression was diagnosed in 30.4%, MCI in 12%, and dementia in 38.4% of cases with median Mini-Mental Score Evaluation (MMSE) 17 (12–20) points. Dual-task TUG CB7 results did not differ between cognitive conditions of patients. TUG EA differed between healthy controls and other cognitive groups and TUG between healthy controls and depression and dementia, but not mild cognitive impairment (MCI). The performance of all dual-task tests differed in patients with and without dementia. Ability to finish TUG CB7 was low even in the group without dementia. There were statistically significant differences in median scores of MMSE and Clock Drawing Test (CDT) between patients who were able or not to finish single and dual-task gait tests. Conclusion: Dual-task test results and the performance of these tasks can differentiate patients with depression, MCI and dementia compared to healthy controls in the geriatric population.
format	article
author	Agnieszka Kasiukiewicz Lukasz Magnuszewski Marta Swietek Zyta Beata Wojszel
author_facet	Agnieszka Kasiukiewicz Lukasz Magnuszewski Marta Swietek Zyta Beata Wojszel
author_sort	Agnieszka Kasiukiewicz
title	The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study
title_short	The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study
title_full	The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study
title_fullStr	The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study
title_full_unstemmed	The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study
title_sort	performance of dual-task tests can be a combined neuro-psychological and motor marker of mild cognitive impairment, depression and dementia in geriatric patients—a cross-sectional study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/90b1d3cf0013443fa89b3aec907ffb3a
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The Performance of Dual-Task Tests Can Be a Combined Neuro-Psychological and Motor Marker of Mild Cognitive Impairment, Depression and Dementia in Geriatric Patients—A Cross-Sectional Study

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