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- Taylor, Morag E.Neuroscience Research Australia, Unsw Sydney, NSW, Randwick, Australia; Prince of Wales Clinical School, Faculty of Medicine, Unsw Sydney, Randwick, Australia (author)
Cognitive Domain Associations with Balance Performance in Community-Dwelling Older People with Cognitive Impairment
- Article/chapterEnglish2021
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- IOS Press,2021
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- LIBRIS-ID:oai:DiVA.org:umu-184209
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-184209URI
- https://doi.org/10.3233/jad-201325DOI
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- Language:English
- Summary in:English
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- Background: In older people with cognitive impairment (CI), executive function (EF) has been associated with motor performance including balance and gait. The literature examining and supporting a relationship between balance performance and other cognitive domains is limited.Objective: To investigate the relationship between global cognition and cognitive domain function and balance performance in older people with CI.Methods: The iFOCIS randomized controlled trial recruited 309 community-dwelling older people with CI. Baseline assessments completed before randomization were used for analyses including the Addenbrooke's Cognitive Examination-III (ACE-III; global cognition) and its individual cognitive domains (attention; memory; verbal fluency; language; visuospatial ability) and the Frontal Assessment Battery (FAB), a measure of EF. A composite balance score was derived from postural sway and leaning balance tests.Results: In linear regression analyses adjusted for covariates, global cognition and each cognitive domain were significantly associated with balance performance. EF (verbal fluency; β=-0.254, p<0.001, adjusted R2=0.387) and visuospatial ability (β=-0.258, p<0.001, adjusted R2=0.391) had the strongest associations with balance performance. In a comprehensively adjusted multivariable model including all of the ACE-III cognitive domains, visuospatial ability and EF (verbal fluency) were independently and significantly associated with balance performance.Conclusion: Poorer global cognition and cognitive domain function were associated with poorer balance performance in this sample of people with CI. Visuospatial ability and EF were independently associated with balance, highlighting potential shared neural networks and the role higher-level cognitive processes and spatial perception/processing play in postural control.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Medicinska och farmaceutiska grundvetenskaper Neurovetenskaper hsv//swe
- MEDICAL AND HEALTH SCIENCES Basic Medicine Neurosciences hsv//eng
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
- Aged
- cognition
- dementia
- executive function
- postural control
- visuospatial
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- Toots, AnnikaUmeå universitet,Avdelningen för fysioterapi(Swepub:umu)anto0011 (author)
- Lord, Stephen R.Neuroscience Research Australia, Unsw Sydney, NSW, Randwick, Australia (author)
- Payne, NarelleNeuroscience Research Australia, Unsw Sydney, NSW, Randwick, Australia (author)
- Close, Jacqueline C.T.Neuroscience Research Australia, Unsw Sydney, NSW, Randwick, Australia; Prince of Wales Clinical School, Faculty of Medicine, Unsw Sydney, Randwick, Australia (author)
- Neuroscience Research Australia, Unsw Sydney, NSW, Randwick, Australia; Prince of Wales Clinical School, Faculty of Medicine, Unsw Sydney, Randwick, AustraliaAvdelningen för fysioterapi (creator_code:org_t)
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