Cited by 34Balance, Gait, and Falls PreventionDementia and Cognitive Impairment ResearchFrailty in Older Adults

Gait dysfunction in Motoric cognitive risk syndrome

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Ayers, Emmeline, Verghese, Joe·2019·Journal of Alzheimer's Disease

Abstract

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

  1. [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
  2. [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
Published
2019-09-19
Volume
71
Issue
s1
Pages
S95-S103
ISSN
  • 1387-2877 (ISSN-L)
  • 1875-8908
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
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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