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Mild cognitive impairment is associated with poor physical function but not bone structure or density in late
A Patel1,2, K A Jameson2, M H Edwards2
1University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Abstract:
This study investigated the association between mild cognitive impairment (MCI) and physical function and bone health in older adults. MCI was associated with poor physical performance but not bone mineral density or bone microarchitecture.
Purpose:
Cross-sectional study to investigate the association between mild cognitive impairment (MCI) and physical performance, and bone health, in a community-dwelling cohort of older adults.
Methods:
Cognitive function of 222 men and 221 women (mean age 75.5 and 75.8 years in men and women, respectively) was assessed by the Strawbridge questionnaire and Mini Mental State Exam (MMSE). Participants underwent dual-energy X-ray absorptiometry (DXA), peripheral-quantitative computed tomography (pQCT) and high-resolution peripheral-quantitative computed tomography (HR-pQCT) scans to assess their bone density, strength and microarchitecture. Their physical function was assessed and a physical performance (PP) score was recorded.
Results:
In the study, 11.8% of women and 8.1% of men were cognitively impaired on the MMSE (score < 24). On the Strawbridge questionnaire, 24% of women were deemed cognitively impaired compared to 22.3% of men. Cognitive impairment on the Strawbridge questionnaire was associated with poorer physical performance score in men but not in women in the unadjusted analysis. MMSE < 24 was strongly associated with the risk of low physical performance in men (OR 12.9, 95% CI 1.67, 99.8, p = 0.01). Higher MMSE score was associated with better physical performance in both sexes. Poorer cognitive function, whether assessed by the Strawbridge questionnaire, or by MMSE score, was not associated with bone density, shape or microarchitecture, in either sex.
Conclusion:
MCI in older adults was associated with poor physical performance, but not bone density, shape or microarchitecture.
Insights
Mild cognitive impairment (MCI) in older adults is linked to reduced physical performance. However, this cognitive decline does not appear to affect bone density or structure.
Area of Science:
- Gerontology
- Neuroscience
- Orthopedics
Background:
- Mild cognitive impairment (MCI) is a growing concern in aging populations.
- Understanding the relationship between cognitive health and physical well-being is crucial for maintaining quality of life in older adults.
- Previous research has explored links between cognitive function and various health outcomes, but the specific associations with physical function and bone health require further elucidation.
Purpose of the Study:
- To investigate the association between mild cognitive impairment (MCI) and physical performance in community-dwelling older adults.
- To examine the relationship between MCI and bone health, including bone mineral density, strength, and microarchitecture.
- To differentiate the impact of cognitive status on physical function versus skeletal health in an aging cohort.
Main Methods:
- A cross-sectional study involving 443 community-dwelling older adults (mean age ~75.6 years).
- Cognitive function was assessed using the Strawbridge questionnaire and the Mini Mental State Exam (MMSE).
- Physical function was evaluated through a physical performance score, while bone health was assessed using DXA, pQCT, and HR-pQCT.
Main Results:
- Mild cognitive impairment (MCI), particularly when defined by MMSE score < 24, was significantly associated with poorer physical performance in men.
- Higher MMSE scores correlated with better physical performance in both sexes.
- No significant association was found between cognitive impairment (by either measure) and bone density, shape, or microarchitecture in either men or women.
Conclusions:
- Mild cognitive impairment (MCI) in older adults is associated with diminished physical performance.
- Cognitive status does not appear to influence bone mineral density, shape, or microarchitecture in this cohort.
- These findings highlight the impact of cognitive decline on physical function, suggesting potential targets for intervention in geriatric care.
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