Association of impaired cognitive function with balance confidence, static balance, dynamic balance, functional mobility, and risk of falls in older adults with depression

Abstract Objectives Increased depression severity has been linked to cognitive impairment (CI). Importantly, CI is a known risk factor for impaired balance and falls. Therefore, this study aims to explore the relationship between CI and neuromuscular functions and secondarily it aims to find out if...

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Main Authors: Zainab Khan, Ashi Saif, Neera Chaudhry, Adila Parveen
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Aging Medicine
Subjects:
Online Access:https://doi.org/10.1002/agm2.12276
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author Zainab Khan
Ashi Saif
Neera Chaudhry
Adila Parveen
author_facet Zainab Khan
Ashi Saif
Neera Chaudhry
Adila Parveen
author_sort Zainab Khan
collection DOAJ
description Abstract Objectives Increased depression severity has been linked to cognitive impairment (CI). Importantly, CI is a known risk factor for impaired balance and falls. Therefore, this study aims to explore the relationship between CI and neuromuscular functions and secondarily it aims to find out if CI is a potential predictor for neuromuscular functions deficits in depressed elderly. Methods Eighty‐four depressed elderly participated in the study. Assessment for CI symptoms were done using Mini Mental Status Examination (MMSE) in subjects having confirmed depression. Neuromuscular functions such as balance confidence, static and dynamic balance, functional mobility, and fall risk were subjectively assessed using Activities‐specific Balance Confidence (ABC) Scale, Berg Balance Scale (BBS), Timed Up and Go (TUG) Test, and Performance Oriented Mobility Assessment (POMA), respectively. Results Pearson's analysis revealed that there was moderate positive linear‐correlation between MMSE and BBS (R = 0.382, p = <0.001) and between MMSE and ABC (R = 0.229, p = 0.036*). Further, regression analysis (R2) revealed that MMSE significantly predicted the neuromuscular functions using BBS [F(1, 82) = 14.013, p < 0.001, with an R2 of 0.146] and ABC [F(1, 82) = 4.545, p= 0.036*, with an R2 of 0.053]. Conclusion Results of this study points to an impaired CI as a possible factor in development of neuromuscular function impairment in depressed elderly.
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spelling doaj.art-9cf07002f75f4d5db2a4556deafcbe192024-01-17T07:41:07ZengWileyAging Medicine2475-03602023-12-016437037810.1002/agm2.12276Association of impaired cognitive function with balance confidence, static balance, dynamic balance, functional mobility, and risk of falls in older adults with depressionZainab Khan0Ashi Saif1Neera Chaudhry2Adila Parveen3Centre for Physiotherapy and Rehabilitation Sciences Jamia Millia Islamia (Central University) New Delhi IndiaCentre for Physiotherapy and Rehabilitation Sciences Jamia Millia Islamia (Central University) New Delhi IndiaDepartment of Neurology Vardhman Mahavir College and Safdarjung Hospital (VMMC) New Delhi IndiaCentre for Physiotherapy and Rehabilitation Sciences Jamia Millia Islamia (Central University) New Delhi IndiaAbstract Objectives Increased depression severity has been linked to cognitive impairment (CI). Importantly, CI is a known risk factor for impaired balance and falls. Therefore, this study aims to explore the relationship between CI and neuromuscular functions and secondarily it aims to find out if CI is a potential predictor for neuromuscular functions deficits in depressed elderly. Methods Eighty‐four depressed elderly participated in the study. Assessment for CI symptoms were done using Mini Mental Status Examination (MMSE) in subjects having confirmed depression. Neuromuscular functions such as balance confidence, static and dynamic balance, functional mobility, and fall risk were subjectively assessed using Activities‐specific Balance Confidence (ABC) Scale, Berg Balance Scale (BBS), Timed Up and Go (TUG) Test, and Performance Oriented Mobility Assessment (POMA), respectively. Results Pearson's analysis revealed that there was moderate positive linear‐correlation between MMSE and BBS (R = 0.382, p = <0.001) and between MMSE and ABC (R = 0.229, p = 0.036*). Further, regression analysis (R2) revealed that MMSE significantly predicted the neuromuscular functions using BBS [F(1, 82) = 14.013, p < 0.001, with an R2 of 0.146] and ABC [F(1, 82) = 4.545, p= 0.036*, with an R2 of 0.053]. Conclusion Results of this study points to an impaired CI as a possible factor in development of neuromuscular function impairment in depressed elderly.https://doi.org/10.1002/agm2.12276balancecognitive impairmentdepressionfallfunctional mobilityolder adults
spellingShingle Zainab Khan
Ashi Saif
Neera Chaudhry
Adila Parveen
Association of impaired cognitive function with balance confidence, static balance, dynamic balance, functional mobility, and risk of falls in older adults with depression
Aging Medicine
balance
cognitive impairment
depression
fall
functional mobility
older adults
title Association of impaired cognitive function with balance confidence, static balance, dynamic balance, functional mobility, and risk of falls in older adults with depression
title_full Association of impaired cognitive function with balance confidence, static balance, dynamic balance, functional mobility, and risk of falls in older adults with depression
title_fullStr Association of impaired cognitive function with balance confidence, static balance, dynamic balance, functional mobility, and risk of falls in older adults with depression
title_full_unstemmed Association of impaired cognitive function with balance confidence, static balance, dynamic balance, functional mobility, and risk of falls in older adults with depression
title_short Association of impaired cognitive function with balance confidence, static balance, dynamic balance, functional mobility, and risk of falls in older adults with depression
title_sort association of impaired cognitive function with balance confidence static balance dynamic balance functional mobility and risk of falls in older adults with depression
topic balance
cognitive impairment
depression
fall
functional mobility
older adults
url https://doi.org/10.1002/agm2.12276
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