认知功能与老年癌症幸存者社区行走的移动指标的关联:试点研究
Brendan L McNeish1, Andrea L Rosso2, Grace Campbell3
1Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA.
Journal of geriatric oncology
|October 31, 2024
概括
年龄较大的癌症幸存者具有更好的执行功能和处理速度,他们走得更长,碎片化程度更低. 这突出了认知功能.
科学领域:
- 老年学是一门学科.
- 在瘤学瘤学.
- 康复科学 康复科学 康复科学
背景情况:
- 年长的癌症幸存者面临着增加的运动功能障碍风险.
- 认知功能与社区行走之间的联系在癌症幸存者中还没有得到充分研究.
研究的目的:
- 评估老年癌症幸存者的认知功能和社区行走指标之间的关联.
- 探索基于表现和自我报告的认知措施与Fitbit衍生走路数据相比.
主要方法:
- 在治疗完成5年内招募了年长的癌症幸存者 (平均年龄73岁).
- 通过数字符号替换测试 (DSST) 和PROMIS-Cognitive (PROMIS-Cog) 评估认知功能.
- 使用Fitbit可穿戴设备收集的四周被动行走数据;通过相关性和回归分析.
主要成果:
- 较高的DSST得分与增加的步数,峰值节奏和减少步行碎片化相关.
- 较高的PROMIS-Cog得分与峰值节奏相关,并与步数趋势.
- 多变量分析证实了DSST与高峰节奏和步数的独立关联;PROMIS-Cog显示没有独立关联.
结论:
- 执行功能和处理速度与老年癌症幸存者的社区步行指标有关.
- 研究结果表明,认知功能影响了这一群体的流动性.
- 识别认知移动性的联系可能会为癌症幸存者提供新的康复策略.
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