Do the Dual-task "8-foot Up and Go" Tests Provide Additional Predictive Value for Early Detection of Cognitive Decline in Community-dwelling Older Women?
Overview
Affiliations
Background: The 8-Foot Up and Go (8UG) test is a widely used mobility assessment. Some dual-task mobility assessments have been developed to help detect cognitive decline.
Aims: This study developed a dual-task version of 8UG test to investigate the dual-task 8UG performance and to evaluate the ability of dual-task 8UG test in detecting cognitive decline.
Methods: A total of 101 eligible community-dwelling women aged 60-74 years were grouped into the mild cognitive impairment group (MCI, n = 49) and the non-cognitive impairment group (NCI, n = 52). The 8UG tests under single-task (ST), manual dual-task (MT), and cognitive dual-task (CT) conditions were performed respectively. The dual-task cost (DTC) and the correct response rate (CRR) were calculated to quantify the dual-task interference.
Results: Participants spent more time in performing the 8UG test under dual-task conditions. No differences were observed between NCI and MCI groups for 8UG parameters under ST and MT conditions (p > 0.05). When executing CT, significant differences were found in the number of correct answers and CRR (p < 0.05). CRR showed the strongest ability to predict MCI with a cut-off point of 0.50 (71.2% sensitivity and 61.2% specificity).
Discussion: Both manual and cognitive dual-task were found to interfere with the 8UG performance. CRR with cutoff point of 0.50 could be a potential predictor of MCI in community-dwelling older women.
Conclusions: The CRR of the cognitive dual-task 8UG test could be recommended as a potential predictor for the early detection of MCI in community-dwelling older women.
Veronese N, Soysal P, Barbagallo M, Shenkin S, Quinn T Aging Clin Exp Res. 2024; 36(1):99.
PMID: 38652380 PMC: 11039492. DOI: 10.1007/s40520-024-02747-1.
Veronese N, Soysal P, Demurtas J, Solmi M, Bruyere O, Christodoulou N Eur Geriatr Med. 2023; 14(5):925-952.
PMID: 37768499 PMC: 10587099. DOI: 10.1007/s41999-023-00858-y.