Exploring bi-directional temporal associations between timed-up-and-go and cognitive domains in the Irish longitudinal study on ageing (TILDA). (March 2022)

• Record Type: Journal Article
• Authors: Hartley, Peter; Monaghan, Ann; Donoghue, Orna A.; Kenny, Rose Anne; Romero-Ortuno, Roman
• Is Part Of: Archives of gerontology and geriatrics. Volume 99(2022)
• Publication Date: 2022-03
• Subjects: Mobility -- Cognition -- Ageing -- Longitudinal; BMI Body mass index -- CRT Choice Reaction Time -- CTT Colour Trails Test -- IADL Instrumental activities of daily living -- IQR Interquartile range -- MOCA Montreal Cognitive Assessment -- TUG Timed-up-and-go -- TILDA The Irish Longitudinal Study on Ageing -- SD Standard deviation -- SART Sustained Attention to Response Task; Aging -- Periodicals; Geriatrics -- Periodicals; Gerontology -- Periodicals; Electronic journals; 305.26
• DOI: 10.1016/j.archger.2021.104611
• Languages: English
• ISSNs: 0167-4943

Abstract

Highlights: We explored bidirectional temporal relationships between timed-up-and-go (TUG) and five cognitive function domains: global cognition, processing speed, verbal fluency, executive function, and sustained attention. The effect sizes in both directions (i.e., cognitive function predicting future changes in TUG, and TUG predicting future changes in cognitive function) were found to be small. The ability for TUG to predict future cognitive function may have less clinical value than vice-versa . Global cognition, processing speed and sustained attention had the greatest clinical significance as predictors of future mobility. Abstract: Introduction: The bi-directional longitudinal associations between mobility and cognition in older adults are poorly understood. Our objective was to study the temporal associations between timed-up-and-go (TUG) and five cognitive function domains: global cognition, processing speed, verbal fluency, executive function, and sustained attention. Methods: We designed two longitudinal samples: A (for cognition as predictor of mobility), and B (for mobility as predictor of cognition). To examine the associations between the five cognitive domains at wave 1 and change in TUG times up to wave 5 (eight years), five linear mixed-effect models were fitted. To examine the associations between TUG times at wave 1 and change in the five cognitive domains between waves 1 and 3 (four years), five linear-regression models were fitted. Results: After removing participants with missing data, sample A numbered 4913 participants (mean age 62), and sample B 3675 (mean age 61). Baseline cognitive domains were all significant predictors of future change in TUG times. Baseline TUG time was also a significant predictor of future change in all five cognitive domains. In both cases, poorer performance at baseline predicted greater future loss of function. Conclusion: There was evidence of bi-directional temporal relationships between cognition and mobility. In both directions, the effect of the explanatory variable was small, though cognition as predictor of future mobility may have greater clinical relevance than vice versa . Our findings underscore the importance for clinicians of considering the bi-directional associations between cognition and mobility when observing subtle changes in either, especially as impairments emerge.