6. Lower limb strength and associated factors among older patients with dementia

Tran Viet Luc, Nguyen Trung Anh, Nguyen Thi Thu Huong

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Tóm tắt

This cross-sectional study was conducted to assess lower limb strength and related factors among older people with dementia examined and treated at the National Geriatric Hospital. Lower limb strength was assessed using the 30-Second Chair Stand Test. The proportion of participants with impaired lower limb strength was 78.2%. There were significant associations between impaired lower limb strength and diabetic patients. There were significant associations between impaired lower limb strength and geriatric syndromes: malnutrition, high risk of falls, and dependence or partial dependence according to the Barthel Index. There was no significant difference between the type of dementia and the level of dementia with impaired lower limb strength. In conclusion: Three-quarters of older dementia patients have impaired lower limb strength. Our results highlighted that diabetes, and geriatric syndromes such as malnutrition, high fall risk, dependence, and partial dependence were significantly associated with lower limb strength in older patients with dementia.

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Tài liệu tham khảo

1. Emmady PD, Tadi P. Dementia. In: StatPearls. StatPearls Publishing; 2021. Accessed November 27, 2021. http://www.ncbi.nlm.nih.gov/books/NBK557444/.
2. Jutkowitz E, Kane RL, Gaugler JE, MacLehose RF, Dowd B, Kuntz KM. Societal and Family Lifetime Cost of Dementia: Implications for Policy. J Am Geriatr Soc. 2017; 65(10): 2169-2175. doi:10.1111/jgs.15043.
3. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep Wash DC 1974. 1985; 100(2): 126-131.
4. Hesseberg K, Bentzen H, Ranhoff AH, Engedal K, Bergland A. Physical Fitness in Older People with Mild Cognitive Impairment and Dementia. J Aging Phys Act. 2016; 24(1): 92-100. doi:10.1123/japa.2014-0202.
5. Davis DHJ, Rockwood MRH, Mitnitski AB, Rockwood K. Impairments in mobility and balance in relation to frailty. Arch Gerontol Geriatr. 2011; 53(1): 79-83. doi:10.1016/j.archger.2010.06.013.
6. Malak R, Kostiukow A, Krawczyk-Wasielewska A, Keczmer P, Mojs E, Glodowska K, et al. Dysfunctions associated with dementia and their treatment. Ann Agric Environ Med. 2014; 21(4). https://doi. org/10.5604/12321966.1129934.
7. Livingston G, Huntley J, Sommerlad A, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet Lond Engl. 2020; 396(10248): 413-446. doi:10.1016/S0140-6736(20)30367-6.
8. Anstey KJ, Lord SR, Williams P. Strength in the lower limbs, visual contrast sensitivity, and simple reaction time predict cognition in older women. Psychol Aging. 1997; 12: 137–44. doi: 10.1037/0882-7974.12.1.137. 
9. Quan M, Xun P, Chen C, Wen J, Wang Y, Wang R, Chen P, He K. Walking pace and the risk of cognitive decline and dementia in elderly populations: A metaanalysis of prospective cohort studies. J Gerontol A Biol Sci Med Sci. 2017; 72:266-70. doi: 10.1093/gerona/glw121.
10. Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999; 70(2): 113-119. doi:10.1080/02701367.1999.10608028.
11. Janssen WG, Bussmann HB, Stam HJ. Determinants of the sit-to-stand movement: a review. Phys Ther. 2002; 82(9): 866-879.
12. Trautwein, S., Barisch-Fritz, B., Scharpf, A. et al. Recommendations for assessing motor performance in individuals with dementia: suggestions of an expert panel – a qualitative approach. Eur Rev Aging Phys Act 16, 5 (2019). https://doi.org/10.1186/s11556-019-0212-7.
13. Slaughter SE, Ickert C, Jones CA, Bakal JA. Effect of a sit-to-stand activity on mobility outcomes among Canadian continuing care residents with and without dementia. J Aging Long-Term Care. 2018; 1(2): 65-72. doi:10.5505/jaltc.2018.52724.
14. Frith E, Loprinzi PD. The Association between Lower Extremity Muscular Strength and Cognitive Function in a National Sample of Older Adults. J Lifestyle Med. 2018; 8(2): 99-104. doi:10.15280/jlm.2018.8.2.99.
15. Filardi M, Barone R, Bramato G, Nigro S, Tafuri B, Frisullo ME, et al. The relationship between muscle strength and cognitive performance across Alzheimer’s disease clinical continuum. Front Neurol. 2022; 13: 833087. https://doi.org/10.3389/fneur.2022.833087.
16. Unver B, Kalkan S, Yuksel E, Kahraman T, Karatosun V. Reliability of the 50-foot walk test and 30-sec chair stand test in total knee arthroplasty. Acta Ortop Bras. 2015; 23(4): 184-187. doi:10.1590/1413-78522015230401018.