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Evaluating the Function of the Foot Core System in the Elderly
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Lower Limb Function in Elderly Korean Adults Is Related to Cognitive Function.

A-Sol Kim1, Hae-Jin Ko2

  • 1Department of Family Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu 41404, Korea. deepai@knu.ac.kr.

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|May 5, 2018
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Summary

Lower limb function tests, like the Timed Up-and-Go (TUG) and one-leg-standing (OLS) tests, can effectively screen for cognitive decline in older adults. These simple tests reveal significant correlations with cognitive impairment.

Keywords:
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Area of Science:

  • Gerontology
  • Neurology
  • Public Health

Background:

  • Cognitive impairment is often associated with reduced lower limb function in elderly individuals.
  • Early identification of cognitive decline is crucial for timely intervention and management.
  • The potential for using physical function tests as a screening tool for cognitive disorders requires investigation.

Purpose of the Study:

  • To examine the relationship between lower limb function and cognitive disorders in 66-year-olds.
  • To determine if lower limb function tests can serve as a screening method for cognitive decline.
  • To establish optimal cut-off points for these tests in identifying cognitive impairment.

Main Methods:

  • Utilized data from the Korean National Health Insurance Service-National Sample Cohort for individuals aged 66 undergoing health screening (2010-2014).
  • Assessed cognitive function using a questionnaire.
  • Evaluated lower limb function through the Timed Up-and-Go (TUG) test and the one-leg-standing (OLS) test.

Main Results:

  • A significant correlation was found between cognitive function and TUG interval (r = 0.414, p < 0.001).
  • Cognitive function also showed a significant correlation with OLS duration (r = -0.237, p < 0.001).
  • Optimal cut-off points for screening cognitive disorders were identified as TUG >11 seconds and OLS ≤12 seconds.

Conclusions:

  • Lower limb function is significantly correlated with cognitive function in 66-year-old adults.
  • The TUG and OLS tests are valuable and practical screening tools for detecting cognitive disorders in the elderly population.
  • Further large-scale prospective studies are recommended to explore the causal relationship between cognitive and lower limb function.