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Psychomotor Speed and Fall Risk in Older Adults with Sarcopenia and Frailty: A Cross-Sectional Study.
Justina Kilaitė1, Rūta Dadelienė2, Valentina Ginevičienė2
1Clinic of Internal Diseases and Family Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 01513 Vilnius, Lithuania.
Slower psychomotor speed, especially reaction time, increases fall risk in older adults with sarcopenia and frailty. This is particularly evident in women, highlighting the need for targeted interventions to improve mobility and prevent falls.
Area of Science:
- Gerontology
- Neurology
- Public Health
Background:
- Limited research exists on the link between psychomotor speed and fall risk in older adults.
- Sarcopenia and frailty are common conditions in older adults that increase fall risk.
Purpose of the Study:
- To investigate the association between psychomotor speed and falls in older adults diagnosed with sarcopenia and frailty.
- To identify specific psychomotor parameters linked to fall risk in this population.
Main Methods:
- A study involving 204 older adults (mean age 83) diagnosed with sarcopenia and/or frailty.
- Psychomotor speed assessed via reaction time and movement frequency; fall history collected.
- Statistical analyses included partial correlations and binary logistic regression.
Main Results:
- Sarcopenia affected 45.58% and frailty 44.6% of participants; 30.39% had both.
- In the sarcopenia and frailty group, slower reaction time and reduced movement frequency correlated with falls.
- In women with sarcopenia and frailty, significant correlations were found between falls and various reaction time and movement frequency measures.
Conclusions:
- Slower psychomotor speed, particularly prolonged reaction time, is a significant predictor of fall risk in older adults with sarcopenia and frailty.
- Women with sarcopenia and frailty exhibit a pronounced relationship between psychomotor speed deficits and fall incidence.
- Findings suggest that interventions targeting psychomotor function may help reduce fall risk in vulnerable older populations.
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