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Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
08:56

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Published on: November 7, 2014

Depressive symptoms and gait dysfunction in the elderly.

Tamar C Brandler1, Cuiling Wang, Mooyeon Oh-Park

  • 1Department of Neurology, Albert Einstein College of Medicine, New York, USA.

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
|March 23, 2011
PubMed
Summary

Mild depressive symptoms in older adults are linked to poorer gait, specifically slower velocity and increased stride and swing time variability. This highlights a connection between mood and mobility in the elderly.

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Area of Science:

  • Gerontology
  • Neurology
  • Psychiatry

Background:

  • Depressive symptoms are common in older adults and can impact physical function.
  • Gait dysfunction is a significant concern for mobility and fall risk in the elderly population.

Purpose of the Study:

  • To investigate the association between subclinical depressive symptoms and quantitative gait parameters in older adults.
  • To determine if mild depressive symptoms, not meeting criteria for major depression, correlate with specific gait abnormalities.

Main Methods:

  • A cross-sectional study involving 610 community-residing adults aged 70 and older from the Einstein Aging Study.
  • Depressive symptoms were assessed using the 15-item Geriatric Depression Scale.
  • Eight quantitative gait parameters were measured, including velocity, stride length, cadence, and variability measures, analyzed using multiple linear regression.

Main Results:

  • Higher levels of depressive symptoms were significantly associated with reduced gait velocity.
  • Increased depressive symptoms correlated with greater stride length variability and swing time variability.
  • No significant associations were found for other gait parameters like cadence or stance/swing phase duration in fully adjusted models.

Conclusions:

  • Subclinical depressive symptoms are associated with specific gait impairments in older adults.
  • These findings suggest a link between mood disturbances and motor control, even in the absence of diagnosed depression.
  • Further research could explore interventions targeting depressive symptoms to improve gait and reduce fall risk in the elderly.