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Published Online: 10 June 2022

Short Physical Performance Battery and Mediation of the Effect of Mild Cognitive Impairment on Falls by Community-Dwelling Older Adults

Reza Amini, Ph.D., M.D. [email protected], Quinn Counseller, M.B.Ac., B.S., Rebekah Taylor, B.S., Deena Fayyad, B.S., and Rachelle Naimi, B.S.Authors Info & Affiliations
Publication: The Journal of Neuropsychiatry and Clinical Neurosciences
Volume 35, Number 1
https://doi.org/10.1176/appi.neuropsych.21050145
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Abstract

Objective:

The authors examined the association among cognitive function, falling, and physical performance among community-dwelling older adults (ages ≥65 years).

Methods:

Eight waves of the National Health and Aging Trends Study (NHATS; 2011–2018) were assessed, with 1,225 respondents who participated in all waves. The outcomes were self-reported number of falls and NHATS Short Physical Performance Battery (SPPB) score. The Clock Drawing Test measured participants’ executive function, and immediate and delayed word recall tests assessed memory.

Results:

The analyses indicated no direct correlation between executive function and fall risk when controlled for contributing factors. However, executive function and memory significantly predicted the risk for poor physical performance, defined by the NHATS SPPB score. The interaction between pain medication and memory worsened poor physical performance among participants with mild and severe memory impairment, as well as among those with mild to moderate impairment in executive function.

Conclusions:

Screening older adults living in the community for executive function, memory impairment, and physical performance can predict the risk for falls and the subsequent consequences of falling.

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Information & Authors

Information

Published In

Go to The Journal of Neuropsychiatry and Clinical Neurosciences
Go to The Journal of Neuropsychiatry and Clinical Neurosciences
The Journal of Neuropsychiatry and Clinical Neurosciences
Volume 35 • Number 1 • Winter 2023
Pages: 59 - 68
PubMed: 35686347

History

Received: 30 May 2021
Revision received: 26 November 2021
Accepted: 20 January 2022
Published online: 10 June 2022
Published in print: Winter 2023

Keywords

  1. Cognitive Impairment
  2. Memory
  3. Fall
  4. Balance

Authors

Affiliations

Reza Amini, Ph.D., M.D. [email protected]
Departments of Public Health and Health Sciences (Amini) and Occupational Therapy (Counseller, Taylor, Naimi), University of Michigan, Flint; Department of Psychology, University of Michigan, Ann Arbor (Fayyad).
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Quinn Counseller, M.B.Ac., B.S.
Departments of Public Health and Health Sciences (Amini) and Occupational Therapy (Counseller, Taylor, Naimi), University of Michigan, Flint; Department of Psychology, University of Michigan, Ann Arbor (Fayyad).
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Rebekah Taylor, B.S.
Departments of Public Health and Health Sciences (Amini) and Occupational Therapy (Counseller, Taylor, Naimi), University of Michigan, Flint; Department of Psychology, University of Michigan, Ann Arbor (Fayyad).
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Deena Fayyad, B.S.
Departments of Public Health and Health Sciences (Amini) and Occupational Therapy (Counseller, Taylor, Naimi), University of Michigan, Flint; Department of Psychology, University of Michigan, Ann Arbor (Fayyad).
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Rachelle Naimi, B.S.
Departments of Public Health and Health Sciences (Amini) and Occupational Therapy (Counseller, Taylor, Naimi), University of Michigan, Flint; Department of Psychology, University of Michigan, Ann Arbor (Fayyad).
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Notes

Send correspondence to Dr. Amini ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

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