Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional Study

Background: The influence of neurological or balance dysfunction on cognitive impairment has not been well studied. We compared the results of the balance test, measured by either head or foot sway to consider whole body sway, with those of the cognitive impairment test. Methods: Individuals of eith...

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Main Authors: Takao Naito, Yume Suzuki, Kotaro Yamasue, Kyoko Saito, Masanari Umemura, Narumi Kojima, Hunkyung Kim, Yosuke Osuka, Yoshihiro Ishikawa, Osamu Tochikubo
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Geriatrics
Subjects:
Online Access:https://www.mdpi.com/2308-3417/8/2/29
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author Takao Naito
Yume Suzuki
Kotaro Yamasue
Kyoko Saito
Masanari Umemura
Narumi Kojima
Hunkyung Kim
Yosuke Osuka
Yoshihiro Ishikawa
Osamu Tochikubo
author_facet Takao Naito
Yume Suzuki
Kotaro Yamasue
Kyoko Saito
Masanari Umemura
Narumi Kojima
Hunkyung Kim
Yosuke Osuka
Yoshihiro Ishikawa
Osamu Tochikubo
author_sort Takao Naito
collection DOAJ
description Background: The influence of neurological or balance dysfunction on cognitive impairment has not been well studied. We compared the results of the balance test, measured by either head or foot sway to consider whole body sway, with those of the cognitive impairment test. Methods: Individuals of either gender, aged over 60 years, underwent a 30 s balance test. We measured sway while standing on one-leg or two-legs. Sway was evaluated by the distance or area of movement of the head or foot pressure. We also evaluated the effect of visual condition: eyes-open (EO) or -closed (EC). The Mini-Mental State Examination (MMSE) was used to evaluate the degree of cognitive impairment. Results: The head sway area standing on one leg was significantly correlated to MMSE score with EO (correlation r = −0.462). In standing on two legs, no sway test results showed a significant correlation to MMSE scores with EO. With EC, the magnitude of sway became greater, and was significantly correlated to MMSE scores in the head distance. Conclusion: Although the correlation between head sway and MMSE was not strong, head sway showed a stronger correlation than did foot pressure sway. Standing on one leg, as measured by head sway area, may thus predict cognitive impairment.
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spelling doaj.art-481ae91a18974b12aa4d8d32af90785d2023-11-17T19:25:30ZengMDPI AGGeriatrics2308-34172023-02-01822910.3390/geriatrics8020029Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional StudyTakao Naito0Yume Suzuki1Kotaro Yamasue2Kyoko Saito3Masanari Umemura4Narumi Kojima5Hunkyung Kim6Yosuke Osuka7Yoshihiro Ishikawa8Osamu Tochikubo9Graduate School of Medicine, Yokohama City University, Yokohama 236-0004, JapanDepartment of General Internal Medicine, Yokohama City University Medical Center, Yokohama 232-0024, JapanGraduate School of Medicine, Yokohama City University, Yokohama 236-0004, JapanGraduate School of Medicine, Yokohama City University, Yokohama 236-0004, JapanGraduate School of Medicine, Yokohama City University, Yokohama 236-0004, JapanResearch Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, JapanResearch Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, JapanResearch Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, JapanGraduate School of Medicine, Yokohama City University, Yokohama 236-0004, JapanGraduate School of Medicine, Yokohama City University, Yokohama 236-0004, JapanBackground: The influence of neurological or balance dysfunction on cognitive impairment has not been well studied. We compared the results of the balance test, measured by either head or foot sway to consider whole body sway, with those of the cognitive impairment test. Methods: Individuals of either gender, aged over 60 years, underwent a 30 s balance test. We measured sway while standing on one-leg or two-legs. Sway was evaluated by the distance or area of movement of the head or foot pressure. We also evaluated the effect of visual condition: eyes-open (EO) or -closed (EC). The Mini-Mental State Examination (MMSE) was used to evaluate the degree of cognitive impairment. Results: The head sway area standing on one leg was significantly correlated to MMSE score with EO (correlation r = −0.462). In standing on two legs, no sway test results showed a significant correlation to MMSE scores with EO. With EC, the magnitude of sway became greater, and was significantly correlated to MMSE scores in the head distance. Conclusion: Although the correlation between head sway and MMSE was not strong, head sway showed a stronger correlation than did foot pressure sway. Standing on one leg, as measured by head sway area, may thus predict cognitive impairment.https://www.mdpi.com/2308-3417/8/2/29cognitive functionMMSEstanding balancesway of headsway of foot pressure
spellingShingle Takao Naito
Yume Suzuki
Kotaro Yamasue
Kyoko Saito
Masanari Umemura
Narumi Kojima
Hunkyung Kim
Yosuke Osuka
Yoshihiro Ishikawa
Osamu Tochikubo
Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional Study
Geriatrics
cognitive function
MMSE
standing balance
sway of head
sway of foot pressure
title Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional Study
title_full Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional Study
title_fullStr Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional Study
title_full_unstemmed Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional Study
title_short Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional Study
title_sort relationship between cognitive function and sway of body in standing posture a cross sectional study
topic cognitive function
MMSE
standing balance
sway of head
sway of foot pressure
url https://www.mdpi.com/2308-3417/8/2/29
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