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The association between anticholinergic burden and mobility: a systematic review and meta-analyses
Geofrey O Phutietsile1, Nikoletta Fotaki2,3, Hamish A Jamieson4
1Department of Pharmacy and Pharmacology, University of Bath, Bath, BA2 7AY, UK. okgp20@bath.ac.uk.
Increased anticholinergic burden in older adults is linked to poorer mobility. This systematic review confirms a significant negative association between anticholinergic exposure and physical function, impacting walking speed and daily activities.
Area of Science:
- Gerontology
- Pharmacology
- Public Health
Background:
- Aging populations often experience multiple health conditions, leading to polypharmacy.
- Polypharmacy increases anticholinergic exposure in older adults.
- Growing evidence suggests a link between anticholinergic burden and reduced physical function.
Conclusions:
- Published literature shows a consensus on the association between anticholinergic burden and impaired mobility.
- Cognitive effects of anticholinergic drugs may play a role in their impact on mobility.
- The findings highlight the importance of considering anticholinergic burden in the assessment and management of mobility issues in older adults.
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