Functional fitness predicts global cognition scores. (20th December 2022) - Gray, Michelle
Abstract: Background: Alzheimer's disease (AD) is the 5 th leading cause of death and the 6 th most burdensome disease among US older adults. Given the concern with public health, understanding modifiable risk factors contributing to cognitive decline is imperative. With preliminary symptoms of cognitive decline occurring long before diagnosis, the ability to identify modifiable risk factors is key to primary prevention and maintenance of cognition. Often among individuals with AD, physical function is concurrently impaired. Thus, the primary aim of the present investigation is to determine the ability to predict global cognition scores from commonly used physical function assessments. Method: Community‐dwelling adults 60 years and older completed all assessments. Global cognition (percentile score) was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). All participants were free from mild cognitive impairment, dementia, and probable dementia. Physical function variables included maximal hand grip strength (average of right and left hands), lower‐body peak force development during a sit‐to‐stand task, and 10‐mfast walking time. Linear regression analysis was performed to determine the proportion of variance accounted for by the independent variables (sex, hand grip strength, peak force, 10‐meter walk time). Semi‐partial correlations were performed to determine the unique contribution from each independent variable. Result: 27% of the variance in global cognition was accounted for when including all independent variables. Semi‐partial correlations revealed the largest unique contribution was from the 10‐meter fast walking time, accounting for 19% of the variance (p < .001). Lower‐body peak force production accounted for 9% (p < .001). Sex accounted for 2.6% (p =.04) and hand grip strength accounted for 2% (p = .055). Conclusion: The current investigation provides support for the predictive capabilities of physical function assessments on cognitive ability—in particular, the time to complete a 10‐meter walk. This is paramount to future efficacious treatments with the inconsistent nature of current cognitive testing and implementation, primarily because of difficulties accessing qualified neuropsychological professionals. The physical function assessments presented here are cost effective and may serve as an early warning sign to cognitive decline.