Association of the cognition with grip strength and functional clinical tests in community-dwelling older adults

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.32002

Keywords:

Grip strength; Gait speed; Timed up and go; Older adults; Cognitive function; Dual-task.

Abstract

Objective: Explore the association of cognitive decline with handgrip strength and performance in clinical functional tests of Brazilian older adults living in the community. Methodology: Cross-sectional study community-dwelling, 101 community-dwelling older adults (45 men and 56 woman) aged 60 years or older with no mobility limitation. Cross-sectional study involving 101 individuals (45 men and 56 woman) aged 60 years or older with no mobility limitation. Cognition was assessed by the 10-point Cognitive Screener (10-CS). Grip strength was assessed using a manual dynamometer. Functional performance was assessed using gait speed (single and double task) and the Timed Up and Go (TUG) test (single and double task). Results: A significant positive association was found between cognition and handgrip strength, gait speed (single and double task), TUG (single and double task), maintaining the association even after adjustments for confounding variables. Conclusion: Decline in cognitive function is associated with low handgrip strength and worse performance in clinical tests of gait speed and TUG with a single and dual task. Prevention of cognitive decline is an important modifiable condition that must be addressed in clinical practice through cognitive-motor training to prevent functional loss and promote healthy aging.

References

ACSMs Guidelines for Exercise Testing and Prescription. (n.d.). ACSM_CMS.

Almajid, R., Tucker, C., Wright, W. G., Vasudevan, E., & Keshner, E. (2020). Visual dependence affects the motor behavior of older adults during the Timed Up and Go (TUG) test. Archives of Gerontology and Geriatrics, 87, 104004.

Ansai, J. H., Andrade, L. P. de, Masse, F. A. A., Gonçalves, J., Takahashi, A. C. de M., Vale, F. A. C., & Rebelatto, J. R. (2019). Risk Factors for Falls in Older Adults With Mild Cognitive Impairment and Mild Alzheimer Disease. Journal of Geriatric Physical Therapy, 42(3), E116–E121.

Apolinario, D., Lichtenthaler, D. G., Magaldi, R. M., Soares, A. T., Busse, A. L., das Gracas Amaral, J. R., Jacob-Filho, W., & Brucki, S. M. D. (2015). Using temporal orientation, category fluency, and word recall for detecting cognitive impairment: the 10-point cognitive screener (10-CS). International Journal of Geriatric Psychiatry, 31(1), 4–12.

Aprahamian, I., Suemoto, C. K., Aliberti, M. J. R., de Queiroz Fortes Filho, S., de Araújo Melo, J., Lin, S. M., & Filho, W. J. (2018). Frailty and cognitive status evaluation can better predict mortality in older adults? Archives of Gerontology and Geriatrics, 77, 51–56.

Bergquist, R., Nerz, C., Taraldsen, K., Mellone, S., Ihlen, E. A. F., Vereijken, B., Helbostad, J. L., Becker, C., & Mikolaizak, A. S. (2020). Predicting Advanced Balance Ability and Mobility with an Instrumented Timed Up and Go Test. Sensors, 20(17), 4987.

Bertolucci, P. H. F., Brucki, S. M. D., Campacci, S. R., & Juliano, Y. (1994). O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arquivos de Neuro-Psiquiatria, 52(1), 01–07.

Bohannon, R. W., & Magasi, S. (2014). Identification of dynapenia in older adults through the use of grip strengtht-scores. Muscle & Nerve, 51(1), 102–105.

Cabett Cipolli, G., Sanches Yassuda, M., & Aprahamian, I. (2019). Sarcopenia Is Associated with Cognitive Impairment in Older Adults: A Systematic Review and Meta-Analysis. The Journal of Nutrition, Health & Aging, 23(6), 525–531.

Carvalho de Abreu, D. C., Freire Junior, R. C., Mello Porto, J., Errera Magnani, P., Silva Tofani, P., & Rodrigues Iosimuta, N. C. (2021). Functional performance of older adults: A comparison between men and women. Women & Health, 61(4), 372–380.

Chou, M.-Y., Nishita, Y., Nakagawa, T., Tange, C., Tomida, M., Shimokata, H., Otsuka, R., Chen, L.-K., & Arai, H. (2019). Role of gait speed and grip strength in predicting 10-year cognitive decline among community-dwelling older people. BMC Geriatrics, 19(1).

Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., Cooper, C., Landi, F., Rolland, Y., Sayer, A. A., Schneider, S. M., Sieber, C. C., Topinkova, E., Vandewoude, M., Visser, M., & Zamboni, M. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, 48(4), 601–601.

Cui, M., Zhang, S., Liu, Y., Gang, X., & Wang, G. (2021). Grip Strength and the Risk of Cognitive Decline and Dementia: A Systematic Review and Meta-Analysis of Longitudinal Cohort Studies. Frontiers in Aging Neuroscience, 13.

de Oliveira Silva, F., Ferreira, J. V., Plácido, J., Chagas, D., Praxedes, J., Guimarães, C., Batista, L. A., Marinho, V., Laks, J., & Deslandes, A. C. (2019). Stages of mild cognitive impairment and Alzheimer’s disease can be differentiated by declines in timed up and go test: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 85, 103941.

Delinocente, M. L. B., de Carvalho, D. H. T., Máximo, R. de O., Chagas, M. H. N., Santos, J. L. F., Duarte, Y. A. de O., Steptoe, A., de Oliveira, C., & Alexandre, T. da S. (2021). Accuracy of different handgrip values to identify mobility limitation in older adults. Archives of Gerontology and Geriatrics, 94, 104347.

Duran-Badillo, T., Salazar-González, B. C., Cruz-Quevedo, J. E., Sánchez-Alejo, E. J., Gutierrez-Sanchez, G., & Hernández-Cortés, P. L. (2020). Sensory and cognitive functions, gait ability and functionality of older adults. Revista Latino-Americana de Enfermagem, 28.

Fortes-Filho, S. de Q., Aliberti, M. J. R., Melo, J. de A., Apolinario, D., Sitta, M. do C., Suzuki, I., & Garcez-Leme, L. E. (2021). A 2-Minute Cognitive Screener for Predicting 1-Year Functional Recovery and Survival in Older Adults After Hip Fracture Repair. The Journals of Gerontology: Series A, 77(1), 172–179.

Hsu, Y.-H., Liang, C.-K., Chou, M.-Y., Liao, M.-C., Lin, Y.-T., Chen, L.-K., & Lo, Y.-K. (2014). Association of cognitive impairment, depressive symptoms and sarcopenia among healthy older men in the veterans retirement community in southern Taiwan: A cross-sectional study. Geriatrics & Gerontology International, 14, 102–108.

Kueper, J. K., Lizotte, D. J., Montero-Odasso, M., & Speechley, M. (2020). Cognition and motor function: The gait and cognition pooled index. PLOS ONE, 15(9), e0238690.

Kyrdalen, I. L., Thingstad, P., Sandvik, L., & Ormstad, H. (2018). Associations between gait speed and well-known fall risk factors among community-dwelling older adults. Physiotherapy Research International, 24(1), e1743.

Liu, X., Chen, J., Geng, R., Wei, R., Xu, P., Chen, B., Liu, K., & Yang, L. (2020). Sex- and age-specific mild cognitive impairment is associated with low hand grip strength in an older Chinese cohort. Journal of International Medical Research, 48(6), 030006052093305.

Lusardi, M. M. (2012). Using Walking Speed in Clinical Practice. Topics in Geriatric Rehabilitation, 28(2), 77–90.

Matsudo, S., Araújo, T., Marsudo, V., Andrade, D., Andrade, E., & Braggion, G. (2001). Questinário internacional de atividade f1sica (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev. bras. ativ. fís. saúde, 05-18.

McGrath, R., Vincent, B. M., Hackney, K. J., Robinson-Lane, S. G., Downer, B., & Clark, B. C. (2020). The Longitudinal Associations of Handgrip Strength and Cognitive Function in Aging Americans. Journal of the American Medical Directors Association, 21(5), 634-639.e1.

Middleton, A., Fritz, S. L., & Lusardi, M. (2015). Walking Speed: The Functional Vital Sign. Journal of Aging and Physical Activity, 23(2), 314–322.

Montero-Odasso, M. M., Sarquis-Adamson, Y., Speechley, M., Borrie, M. J., Hachinski, V. C., Wells, J., Riccio, P. M., Schapira, M., Sejdic, E., Camicioli, R. M., Bartha, R., McIlroy, W. E., & Muir-Hunter, S. (2017). Association of Dual-Task Gait With Incident Dementia in Mild Cognitive Impairment. JAMA Neurology, 74(7), 857–865.

Orgeta, V., Mukadam, N., Sommerlad, A., & Livingston, G. (2018). The Lancet Commission on Dementia Prevention, Intervention, and Care: a call for action. Irish Journal of Psychological Medicine, 1–4.

Ortiz, P. J., Tello, T., Aliaga, E. G., Casas, P. M., Peinado, J. E., Miranda, J. J., & Varela, L. F. (2017). Effect of multimorbidity on gait speed in well-functioning older people: A population-based study in Peru. Geriatrics & Gerontology International, 18(2), 293–300.

Pedersen, B. K., & Febbraio, M. A. (2012). Muscles, exercise and obesity: skeletal muscle as a secretory organ. Nature Reviews. Endocrinology, 8(8), 457–465.

Peng, T.-C., Chen, W.-L., Wu, L.-W., Chang, Y.-W., & Kao, T.-W. (2019). Sarcopenia and cognitive impairment: A systematic review and meta-analysis. Clinical Nutrition.

Pereira, A., Shitsuka, D., Parreira, F., & Shitsuka, R. (2018). Metodologia da pesquisa científica. In Metodologia da Pesquisa Científica. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Porto, J. M., Iosimuta, N. C. R., Freire Júnior, R. C., Braghin, R. de M. B., Leitner, É., Freitas, L. G., & de Abreu, D. C. C. (2020). Risk factors for future falls among community-dwelling older adults without a fall in the previous year: A prospective one-year longitudinal study. Archives of Gerontology and Geriatrics, 91, 104161.

Ramírez‐Vélez, R., Correa‐Bautista, J. E., García‐Hermoso, A., Cano, C. A., & Izquierdo, M. (2019). Reference values for handgrip strength and their association with intrinsic capacity domains among older adults. Journal of Cachexia, Sarcopenia and Muscle, 10(2), 278–286.

Sheridan, P. L., & Hausdorff, J. M. (2007). The Role of Higher-Level Cognitive Function in Gait: Executive Dysfunction Contributes to Fall Risk in Alzheimer’s Disease. Dementia and Geriatric Cognitive Disorders, 24(2), 125–137.

Snih, S. A., Markides, K. S., Ottenbacher, K. J., & Raji, M. A. (2004). Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period. Aging Clinical and Experimental Research, 16(6), 481–486.

Srikanth, V., Sanders, L., Callisaya, M., Martin, K., & Phan, T. (2010). Brain aging and gait. Aging Health, 6(1), 123–131.

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Published

14/07/2022

How to Cite

SANTANA, R. S. .; ABREU, D. C. C. de .; PORTO, J. M. .; BATISTA, T. S. C. .; CERQUEIRA, T. C. F. .; COSTA NETO, M. de S. .; TOFANI, P. S. Association of the cognition with grip strength and functional clinical tests in community-dwelling older adults. Research, Society and Development, [S. l.], v. 11, n. 9, p. e41411932002, 2022. DOI: 10.33448/rsd-v11i9.32002. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32002. Acesso em: 22 nov. 2024.

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Health Sciences