Gait dysfunction in Motoric cognitive risk syndrome
Open accessAbstract
BACKGROUND: Motoric cognitive risk (MCR) syndrome is a cognitive-motor syndrome associated with increased risk of transition to dementia. The clinical phenotype of MCR is not yet established. OBJECTIVE: To systematically assess clinical gait abnormalities in older adults with MCR. METHODS: Of the 522 community-dwelling non-demented adults aged 65 and older enrolled in the Central Control of Mobility in Aging study, 43 were diagnosed with MCR (47% women) based on presence of cognitive complaints and slow gait velocity (MCRv). Four additional subtypes of MCR were defined by substituting slow gait with short stride length (MCRsl, n = 41), slow swing time (MCRsw, n = 21), high stride length variability (MCRslv, n = 24), and high swing time variability (MCRswv, n = 25). The prevalence of clinical gait abnormalities (neurological or non-neurological) in MCR overall (n = 81) and subtypes was studied. We also examined if gait abnormalities predicted further cognitive and functional decline in MCR cases. RESULTS: Most clinical gait abnormalities were mild (walked without assistance) in the five MCR subtypes (44 to 61%). Neurological (range 24 to 46%) and non-neurological gait abnormalities (33 to 61%) were common in all MCR subtypes. Neurological gaits were most frequent in MCRsl (46%) and non-neurological gaits in MCRv (61%). Over a median 3.02 years of follow-up, presence of gait abnormality in MCR cases at baseline predicted worsening disability scores (estimate 0.17, p-value = 0.033) but not decline on cognitive scores (p-value = 0.056). CONCLUSION: Clinical gait abnormalities are common in MCR syndrome and its subtypes, and are associated with accelerated functional decline.
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The STAMINA study was a 12-week, single-arm, open-label, pre-post pilot study in 12 older adults with slow gait speed and MCI.
“The STAMINA (Senolytics To Alleviate Mobility Issues and Neurological Impairments in Ageing) study is a 12-week, single-arm, open-label, pre-post pilot study implementing intermittent doses of DQ in 12 older adults aged ≥65 years with slow gait speed and MCI, which are both precursors to the development of Alzheimer’s disease.”
From A pilot study of senolytics to improve cognition and mobility in older adults at risk for Alzheimer's disease (2025) · cites this paper as [10]
The Methods (Study population; page unavailable) describe the Central Control of Mobility in Aging study, and the Abstract (Methods; page unavailable) reports 522 participants. Our copy does not address the STAMINA study or its 12-week design, 12-person enrollment, or intermittent DQ dosing (searched: STAMINA, senolytics, dasatinib, quercetin, pilot study). (LLM, conf=0.76)
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References 40 · Cited by 34
Research works printed but not linked: 2
- [27]Galvin JE, Roe CM, Powlishta KK, Coats MA, Muich SJ, Grant E, Miller JP, Storandt M, Morris JC (2005) The AD8: A brief informant interview to detect dementia. Neurology 65, 559– 564. 16116116
- [32]Fleiss JL (2011) Design and analysis of clinical experi- ments, John Wiley & Sons.
- Authors
- Ayers, E., & Verghese, J.
- Affiliations
- Albert Einstein College of Medicine (US)
- Corresponding author
- Verghese, Joe
- Venue
- Journal of Alzheimer's Disease
- Publisher
- SAGE Publications
- Published
- 2019-09-19
- Volume
- 71
- Issue
- s1
- Pages
- S95-S103
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- PMC
- PMC7764990
- OpenAlex
- W2924101724
- Cited by
- 34
- References
- 40
- Citations by year
- 2025: 5 · 2024: 6 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 1
- FWCI
- 10.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG044007, R56AG057548, R01AG036921)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- motoric cognitive risk syndrome, gait disturbance
- MeSH terms
- Aged, Cognition, Cognition Disorders, Dementia, Disability Evaluation, Female, Gait, Humans, Male, Neuropsychological Tests, Prognosis, Risk, Syndrome, Cohort Studies, Disease Progression
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