Physical performance and cognitive functions in community-dwelling older people at risk of Musculoskeletal Ambulation Disorder Symptom Complex (MADS) - the Nakagawa study -

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  • Kose Yujiro
    Graduate School of Sports and Health Science, Fukuoka University
  • Ikenaga Masahiro
    Faculty of Sports and Health Science, Fukuoka University
  • Yamada Yosuke
    Department of Nutritional Science, National Institutes of Biomedical Innovation, Health and Nutrition
  • Morimura Kazuhiro
    Faculty of Education, Shujitsu University
  • Takeda Noriko
    Kogakuin University, Division of Liberal Arts
  • Machida Yukiko
    Faculty of commerce, Kyushu Sangyo University
  • Kuriyama Midori
    The Fukuoka University Institute for Physical Activity, Fukuoka University
  • Kimura Misaka
    The Fukuoka University Institute for Physical Activity, Fukuoka University Faculty of Health and Medical Sciences, Kyoto Gakuen University
  • Kiyonaga Akira
    Faculty of Sports and Health Science, Fukuoka University The Fukuoka University Institute for Physical Activity, Fukuoka University
  • Higaki Yasuki
    Faculty of Sports and Health Science, Fukuoka University The Fukuoka University Institute for Physical Activity, Fukuoka University
  • Tanaka Hiroaki
    Faculty of Sports and Health Science, Fukuoka University The Fukuoka University Institute for Physical Activity, Fukuoka University
  • the Nakagawa Study Group

Bibliographic Information

Other Title
  • 運動器不安定症の運動機能評価基準該当者における身体機能及び認知機能特性 −福岡那珂川研究−
  • 運動器不安定症の運動機能評価基準該当者における身体機能及び認知機能特性 : 福岡那珂川研究
  • ウンドウキ フアンテイショウ ノ ウンドウ キノウ ヒョウカ キジュン ガイトウシャ ニ オケル シンタイ キノウ オヨビ ニンチ キノウ トクセイ : フクオカ ナカガワ ケンキュウ

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<p>This study examined whether physical and cognitive function was independently associated with risk of Musculoskeletal Ambulation Disorder Symptom Complex (MADS) in community-dwelling older people. We examined 640 older people (315 men, 325 women; 65–89 years). We assessed physical performance by one-leg standing with eyes open, timed up and go (TUG), muscle strength, muscle power, and gait speed. Cognition was assessed using Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR), and Trail-Making Tests (TMT) A and B. We divided participants by physical function into “MADS” (one-leg standing < 15s or TUG ≥ 11s) and “non-MADS”, and identified cognitive impairment if MMSE was < 27 and CDR ≥ 0.5. We also grouped by sex and age (younger-old: 65–74 years and older-old: 75–89 years), and controlled for age, Body Mass Index, education and steps. Physical and cognitive function was significantly worse in the MADS groups. The younger-old men had poorer muscle strength, muscle power and TMT-A. The younger-old women had poorer muscle power, gait speed, MMSE and TMT-B. Older-old men had poorer muscle strength, and older-old women poorer gait speed (P < 0.05). The MADS groups also had significantly higher adjusted odds ratio (OR) for cognitive impairment (younger-old men: OR: 4.62; 95% confidence interval [CI]: 1.08–19.8; younger-old women: OR: 6.09; 95% CI: 1.03–35.9; P < 0.05). This study suggested that poorer physical and cognitive function was significantly associated with the risk of MADS, and these associations may be differ with sex and age.</p>

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