Mobility and Cognition in Seniors. Report from the 2008 Institute of Aging (CIHR) Mobility and Cognition Workshop

Background The annual Scientific Meeting of the Canadian Association on Gerontology was held on October 24 and 25, 2008 in London, Ontario. Prior to the annual meeting, mobility and cognition experts met on October 23, 2008 to engage in a pre-conference workshop. Methods Discussions during the workshop addressed novel areas of research and knowledge and research gaps pertaining to the interaction between mobility and cognition in seniors. Results Workshop presenters moved from the neuromuscular, biomechanics, and neurology of gait impairments, and falls through the role of cognition and mood on mobility regulation to the whole person in the environment. Research gaps were identified. Conclusions Despite a consensus that mobility and cognition are increasingly correlated as people age, several gaps in our understanding of mechanisms and how to assess the interaction were recognized. The gaps originally identified in 2008 are still pertinent today. Common and standardized assessments for “mobility and cognition” are still not in place in current practice. Interventions that target mobility and cognitive decline as a single entity are still lacking.

[1]  Robert A. Foley,et al.  Principles of Human Evolution , 1997 .

[2]  D. Bennett,et al.  Mild cognitive impairment , 2006, Neurology.

[3]  S. Muir,et al.  The role of cognitive impairment in fall risk among older adults: a systematic review and meta-analysis. , 2012, Age and ageing.

[4]  Rose Anne Kenny,et al.  Prevalence and Severity of Gait Disorders in Alzheimer's and Non‐Alzheimer's Dementias , 2005, Journal of the American Geriatrics Society.

[5]  S. Studenski,et al.  Special article: gait measures indicate underlying focal gray matter atrophy in the brain of older adults. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[6]  M. Visser,et al.  Consequences of sarcopenia. , 2011, Clinics in geriatric medicine.

[7]  M. Montero‐Odasso,et al.  Gait assessment in mild cognitive impairment and Alzheimer's disease: the effect of dual-task challenges across the cognitive spectrum. , 2012, Gait & posture.

[8]  Mark Speechley,et al.  Defining a fall and reasons for falling: comparisons among the views of seniors, health care providers, and the research literature. , 2006, The Gerontologist.

[9]  Anne B. Newman,et al.  Quantitative Measures of Gait Characteristics Indicate Prevalence of Underlying Subclinical Structural Brain Abnormalities in High-Functioning Older Adults , 2005, Neuroepidemiology.

[10]  M. Montero‐Odasso,et al.  Effect of Vitamin D Supplementation on Muscle Strength, Gait and Balance in Older Adults: A Systematic Review and Meta‐Analysis , 2011, Journal of the American Geriatrics Society.

[11]  Timothy J Doherty,et al.  Sarcopenia: prevalence, mechanisms, and functional consequences. , 2010, Interdisciplinary topics in gerontology.

[12]  Vladimir Hachinski,et al.  Preludes to brain failure: executive dysfunction and gait disturbances , 2014, Neurological Sciences.

[13]  Canadian study of health and aging: study methods and prevalence of dementia. , 1994, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[14]  M. Montero‐Odasso THE VALUE OF GAIT VELOCITY TEST FOR HIGH‐FUNCTION POPULATIONS , 2006, Journal of the American Geriatrics Society.

[15]  M. Woodward Principles of geriatric medicine and gerontology (5th edition) , 2006 .

[16]  A. Biderman,et al.  Validation of a fall-risk screening test, the Elderly Fall Screening Test (EFST), for community-dwelling elderly. , 1998, Disability and rehabilitation.

[17]  Begonya Garcia-Zapirain,et al.  Gait Analysis Methods: An Overview of Wearable and Non-Wearable Systems, Highlighting Clinical Applications , 2014, Sensors.

[18]  A. Dunn Giants of geriatrics. , 1976, Nursing times.

[19]  L. Nyberg,et al.  “Stops walking when talking” as a predictor of falls in elderly people , 1997, The Lancet.

[20]  M. Montero‐Odasso,et al.  Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[21]  C MacKnight,et al.  Estimating the Prevalence of Dementia in Elderly People: A Comparison of the Canadian Study of Health and Aging and National Population Health Survey Approaches , 2001, International Psychogeriatrics.

[22]  H Ring,et al.  ELGAM--extra-laboratory gait assessment method: identification of risk factors for falls among the elderly at home. , 1990, International disability studies.

[23]  J. Gussekloo,et al.  Idiopathic Senile Gait Disorders Are Signs of Subclinical Disease , 2000, Journal of the American Geriatrics Society.

[24]  Howard Chertkow,et al.  Dual-tasking and gait in people with Mild Cognitive Impairment. The effect of working memory , 2009, BMC geriatrics.

[25]  J. Kaye,et al.  Motor slowing precedes cognitive impairment in the oldest old , 1998, Neurology.

[26]  M. Montero‐Odasso,et al.  Dual-task complexity affects gait in people with mild cognitive impairment: the interplay between gait variability, dual tasking, and risk of falls. , 2012, Archives of physical medicine and rehabilitation.

[27]  Anthony A Vandervoort,et al.  Seniors Falls Investigative Methodology (SFIM): A Systems Approach to the Study of Falls in Seniors* , 2008, Canadian Journal on Aging / La Revue canadienne du vieillissement.

[28]  J. Kaye,et al.  Talking while walking , 1997, Neurology.

[29]  L. Bherer,et al.  Physical Exercise and Brain Functions in Older Adults , 2013, Journal of aging research.

[30]  R. Camicioli,et al.  Relationship between mild cognitive impairment and falls in older people with and without Parkinson's disease: 1-Year Prospective Cohort Study. , 2010, Gait & posture.

[31]  M. Woollacott,et al.  Attention and the control of posture and gait: a review of an emerging area of research. , 2002, Gait & posture.

[32]  A Profile of Disability in Canada , 2001 , 2022 .

[33]  M. Montero‐Odasso,et al.  Gait velocity in senior people. An easy test for detecting mobility impairment in community elderly. , 2004, The journal of nutrition, health & aging.

[34]  B. E. Maki,et al.  Assistive devices for balance and mobility: benefits, demands, and adverse consequences. , 2005, Archives of physical medicine and rehabilitation.

[35]  Arthur F Kramer,et al.  Training effects on dual-task performance: are there age-related differences in plasticity of attentional control? , 2005, Psychology and aging.

[36]  A. Campbell,et al.  Risk factors for falls in a community-based prospective study of people 70 years and older. , 1989, Journal of gerontology.

[37]  Kevin T. Hansen,et al.  Journal of Neuroengineering and Rehabilitation Open Access Quantitative Gait Analysis under Dual-task in Older People with Mild Cognitive Impairment: a Reliability Study , 2022 .

[38]  Jeffrey M. Hausdorff,et al.  Gait and Cognition: A Complementary Approach to Understanding Brain Function and the Risk of Falling , 2012, Journal of the American Geriatrics Society.

[39]  Catherine R. Harrison,et al.  Ageing, fitness and neurocognitive function , 1999, Nature.

[40]  T. Doherty Invited review: Aging and sarcopenia. , 2003, Journal of applied physiology.

[41]  S. Studenski,et al.  Physical Performance Measures in the Clinical Setting , 2003, Journal of the American Geriatrics Society.

[42]  M. Tinetti,et al.  Risk factors for falls among elderly persons living in the community. , 1988, The New England journal of medicine.