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Asociación entre velocidad de marcha y deterioro cognitivo en personas mayores: resultados de la Encuesta Nacional de Salud 2016-2017.

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Title: Asociación entre velocidad de marcha y deterioro cognitivo en personas mayores: resultados de la Encuesta Nacional de Salud 2016-2017.
Alternate Title: Walking pace and cognitive impairment in elderly: finding from the Chilean National Health Survey 2016-2017.
Authors: CONCHA-CISTERNAS, YENY1,2, CASTRO-PIÑERO, JOSÉ3,4, VÁSQUEZ, JAIME5, MARTORELL, MIQUEL6, CIGARROA, IGOR7, PETERMANN-ROCHA, FANNY8, PARRA-SOTO, SOLANGE9,10, POBLETE, FELIPE10, MATUS-CASTILLO, CARLOS10, GARRRIDO-MÉNDEZ, ÁLEX11, MARTÍNEZ-SANGUINETTI, MARÍA ADELA12, NAZAR, GABRIELA13, MARÍA LEIVA-ORDOÑEZ, ANA14, TRONCOSO-PANTOJA, CLAUDIA15, DIAZ-MARTÍNEZ, XIMENA15, CELIS-MORALES, CARLOS16,17
Source: Salud Uninorte. sep-dic2022, Vol. 38 Issue 3, p819-836. 18p.
Subjects: LOGISTIC regression analysis, COGNITION disorders, OLDER people, CHILEANS, HEALTH surveys
Abstract (English): Background: Walking pace could be considered an early risk marker of cognitive impairment in older people. Objective: To determine the association between walking pace and cognitive impairment in older Chilean adults. Methods: 1,788 adults older than 60 years from the 2016-2017 Chilean National Health Survey with data available in the exposure and outcome were included in this cross-sectional study. Walking pace was self-reported and categorised as slow, average and brisk. Cognitive impairment was assessed using the Abbreviated Mini-Mental questionnaire. Logistic regression analyses were performed to investigate the association between walking pace and cognitive impairment, logistic regression analyses - adjusted for sociodemographic, lifestyle and health-related covariates. Results: In the minimally adjusted model and compared to older adults who self-reported a brisk walking pace, those in the slow walking pace category were 2.67 times more likely to have cognitive impairment (OR: 2.67 [95% CI: 1.62, 4.42]). When the analyses were adjusted, the association was attenuated but remained significant (OR: 1.78 [95% CI: 1.15 3.17]). No associations were found between average pace walkers and cognitive impairment. Conclusion: Older adults who self-reported a slow walking pace having a higher likelihood of cognitive impairment than their counterparts who had a brisk walking pace. Considering that cognitive impairment is a geriatric syndrome with a high prevalence in the elderly, there is a need to emphasise strategies for an early diagnosis. Therefore, walking pace may be a useful marker to identify individuals at high risk of cognitive impairment. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes: La velocidad de la marcha podría considerarse un marcador temprano de riesgo de deterioro cognitivo en personas mayores. Objetivo: Determinar la asociación entre velocidad de la marcha y sospecha de deterioro cognitivo en población mayor chilena. Métodos: Se incluyeron 1788 personas mayores de la Encuesta Nacional de Salud (ENS) 2016-2017 que tenían información sobre velocidad de marcha y sospecha de deterioro cognitivo. La velocidad de la marcha fue autorreportada y categorizada como marca lenta, normal y rápida. Sospecha de deterioro cognitivo fue evaluado a través del cuestionario Mini Mental abreviado. La asociación entre marcha y deterioro cognitivo fue investigada mediante análisis de regresión logística. Resultados: En comparación a las personas mayores que reportaron una velocidad de marcha rápida, aquellas que reportaron una marcha lenta presentaron 2,67 veces mayor probabilidad de tener deterioro cognitivo (OR: 2,67 [95% IC:1,62; 4,42], p<0,001). Al ajustar los modelos por variables de confusión sociodemográficas, estilos de vida y salud, la asociación disminuyó, pero, permaneció significativa (OR: 1,78 [95% IC:1,15; 3,17], p=0,047). Mientras que las personas mayores que reportaron tener una velocidad de marcha normal no presentaron asociación con deterioro cognitivo. Conclusión: Personas mayores que reportan una velocidad de marcha lenta presentaron una mayor probabilidad de sospecha de deterioro cognitivo. Considerando que el deterioro cognitivo es un síndrome geriátrico con alta prevalencia en población mayor, existe la necesidad de enfatizar en estrategias para un diagnóstico temprano, por lo cual la velocidad de marcha podría ser un instrumento útil. [ABSTRACT FROM AUTHOR]
Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Walking pace and cognitive impairment in elderly: finding from the Chilean National Health Survey 2016-2017.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Salud+Uninorte%22&quot;&gt;Salud Uninorte&lt;/searchLink&gt;. sep-dic2022, Vol. 38 Issue 3, p819-836. 18p.
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  Data: Background: Walking pace could be considered an early risk marker of cognitive impairment in older people. Objective: To determine the association between walking pace and cognitive impairment in older Chilean adults. Methods: 1,788 adults older than 60 years from the 2016-2017 Chilean National Health Survey with data available in the exposure and outcome were included in this cross-sectional study. Walking pace was self-reported and categorised as slow, average and brisk. Cognitive impairment was assessed using the Abbreviated Mini-Mental questionnaire. Logistic regression analyses were performed to investigate the association between walking pace and cognitive impairment, logistic regression analyses - adjusted for sociodemographic, lifestyle and health-related covariates. Results: In the minimally adjusted model and compared to older adults who self-reported a brisk walking pace, those in the slow walking pace category were 2.67 times more likely to have cognitive impairment (OR: 2.67 [95% CI: 1.62, 4.42]). When the analyses were adjusted, the association was attenuated but remained significant (OR: 1.78 [95% CI: 1.15 3.17]). No associations were found between average pace walkers and cognitive impairment. Conclusion: Older adults who self-reported a slow walking pace having a higher likelihood of cognitive impairment than their counterparts who had a brisk walking pace. Considering that cognitive impairment is a geriatric syndrome with a high prevalence in the elderly, there is a need to emphasise strategies for an early diagnosis. Therefore, walking pace may be a useful marker to identify individuals at high risk of cognitive impairment. [ABSTRACT FROM AUTHOR]
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  Data: Antecedentes: La velocidad de la marcha podr&#237;a considerarse un marcador temprano de riesgo de deterioro cognitivo en personas mayores. Objetivo: Determinar la asociaci&#243;n entre velocidad de la marcha y sospecha de deterioro cognitivo en poblaci&#243;n mayor chilena. M&#233;todos: Se incluyeron 1788 personas mayores de la Encuesta Nacional de Salud (ENS) 2016-2017 que ten&#237;an informaci&#243;n sobre velocidad de marcha y sospecha de deterioro cognitivo. La velocidad de la marcha fue autorreportada y categorizada como marca lenta, normal y r&#225;pida. Sospecha de deterioro cognitivo fue evaluado a trav&#233;s del cuestionario Mini Mental abreviado. La asociaci&#243;n entre marcha y deterioro cognitivo fue investigada mediante an&#225;lisis de regresi&#243;n log&#237;stica. Resultados: En comparaci&#243;n a las personas mayores que reportaron una velocidad de marcha r&#225;pida, aquellas que reportaron una marcha lenta presentaron 2,67 veces mayor probabilidad de tener deterioro cognitivo (OR: 2,67 [95% IC:1,62; 4,42], p&lt;0,001). Al ajustar los modelos por variables de confusi&#243;n sociodemogr&#225;ficas, estilos de vida y salud, la asociaci&#243;n disminuy&#243;, pero, permaneci&#243; significativa (OR: 1,78 [95% IC:1,15; 3,17], p=0,047). Mientras que las personas mayores que reportaron tener una velocidad de marcha normal no presentaron asociaci&#243;n con deterioro cognitivo. Conclusi&#243;n: Personas mayores que reportan una velocidad de marcha lenta presentaron una mayor probabilidad de sospecha de deterioro cognitivo. Considerando que el deterioro cognitivo es un s&#237;ndrome geri&#225;trico con alta prevalencia en poblaci&#243;n mayor, existe la necesidad de enfatizar en estrategias para un diagn&#243;stico temprano, por lo cual la velocidad de marcha podr&#237;a ser un instrumento &#250;til. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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