Cognitive functioning is more closely related to real-life mobility than to laboratory-based mobility parametersGiannouli, E., Bock, O. & Zijlstra, W., Mar-2018, In : European Journal of Ageing. 15, 1, p. 57-65 9 p.
Research output: Contribution to journal › Article › Academic › peer-review
Increasing evidence indicates that mobility depends on cognitive resources, but the exact relationships between various cognitive functions and different mobility parameters still need to be investigated. This study examines the hypothesis that cognitive functioning is more closely related to real-life mobility performance than to mobility capacity as measured with standardized laboratory tests. The final sample used for analysis consisted of 66 older adults (72.3 ± 5.6 years). Cognition was assessed by measures of planning (HOTAP test), spatial working memory (Grid-Span test) and visuospatial attention (Attention Window test). Mobility capacity was assessed by an instrumented version of the Timed Up-and-Go test (iTUG). Mobility performance was assessed with smartphones which collected accelerometer and GPS data over one week to determine the spatial extent and temporal duration of real-life activities. Data analyses involved an exploratory factor analysis and correlation analyses. Mobility measures were reduced to four orthogonal factors: the factor 'real-life mobility' correlated significantly with most cognitive measures (betweenr = .229 andr = .396); factors representing 'sit-to-stand transition' and 'turn' correlated with fewer cognitive measures (betweenr = .271 andr = .315 and betweenr = .210 andr = .316, respectively), and the factor representing straight gait correlated with only one cognitive measure (r = .237). Among the cognitive functions tested, visuospatial attention was associated with most mobility measures, executive functions with fewer and spatial working memory with only one mobility measure. Capacity and real-life performance represent different aspects of mobility. Real-life mobility is more closely associated with cognition than mobility capacity, and in our data this association is most pronounced for visuospatial attention. The close link between real-life mobility and visuospatial attention should be considered by interventions targeting mobility in old age.
|Number of pages||9|
|Journal||European Journal of Ageing|
|Publication status||Published - Mar-2018|
- Journal Article, GO, PERFORMANCE, OF-HOME BEHAVIOR, OLDER-ADULTS, EXECUTIVE FUNCTION, PARKINSONS-DISEASE, VISUAL-ATTENTION, WALKING SPEED, GAIT SPEED, ASSOCIATION