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Slowing gait speed precedes cognitive decline by several years

Skillback, Tobias; Blennow, Kaj; Zetterberg, Henrik; Skoog, Johan; Ryden, Lina; Wetterberg, Hanna; Guo, Xinxin; ... Kern, Silke; + view all (2022) Slowing gait speed precedes cognitive decline by several years. Alzheimer's & Dementia 10.1002/alz.12537. Green open access

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Abstract

INTRODUCTION: In this longitudinal study, we aimed to examine if slowing gait speed preceded cognitive decline and correlated with brain amyloidosis. METHODS: The sample (n = 287) was derived from the Gothenburg H70 Birth Cohort Studies, with follow-ups between 2000 and 2015. Gait speed was measured by indoor walk, and cognition using the Clinical Dementia Rating (CDR) score. All participants had CDR = 0 at baseline. Some participants had data on cerebrospinal fluid (CSF) amyloid beta (Aβ)1-42 concentrations at the 2009 examination. RESULTS: Gait speed for participants who worsened in CDR score during follow-up was slower at most examinations. Baseline gait speed could significantly predict CDR change from baseline to follow-up. Subjects with pathological CSF Aβ1- 42 concentrations at the 2009 visit had lost more gait speed compared to previous examinations. DISCUSSION: Our results indicate that gait speed decline precedes cognitive decline, is linked to Alzheimer's pathology, and might be used for early detection of increased risk for dementia development.

Type: Article
Title: Slowing gait speed precedes cognitive decline by several years
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/alz.12537
Publisher version: https://doi.org/10.1002/alz.12537
Language: English
Additional information: ThisisanopenaccessarticleunderthetermsoftheCreativeCommonsAttribution-NonCommercialLicense,whichpermitsuse,distributionandreproductioninanymedium,providedtheoriginalworkisproperlycitedandisnotusedforcommercialpurposes. See: https://creativecommons.org/licenses/by-nc/4.0/
Keywords: Science & Technology, Life Sciences & Biomedicine, Clinical Neurology, Neurosciences & Neurology, gait, cognitive decline, Alzheimer's disease, CSF, A beta 42, motor function, ALZHEIMER-DISEASE, WALKING SPEED, DEMENTIA, VALIDATION, RISK
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
URI: https://discovery.ucl.ac.uk/id/eprint/10144037
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