Publications by authors named "Lisette Kikkert"

Background: Anticholinergic and sedative medications are associated with poorer physical function in older age. Gait and physical function have traditionally been assessed with the time needed to execute objective function tests. Accelerometer-based gait parameters provide a precise capturing of gait dynamics and patterns and as such have added value.

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Unlabelled: ABSTRACTBackground:Walking ability recently emerged as a sub-clinical marker of cognitive decline. Hence, the relationship between baseline gait and future cognitive decline was examined in geriatric patients. Because a "loss of complexity" (LOC) is a key phenomenon of the aging process that exhibits in multiple systems, we propose the idea that age- and cognition-related LOC may also become manifested in gait function.

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Background: A detailed gait analysis (e.g., measures related to speed, self-affinity, stability, and variability) can help to unravel the underlying causes of gait dysfunction, and identify cognitive impairment.

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Article Synopsis
  • Fall prediction in older patients is complex due to various interconnected factors related to aging and health issues.
  • Researchers developed a multi-factorial statistical model to identify individuals at high risk of falling by focusing on gait performance among 61 geriatric patients.
  • The study found that including cognitive function and gait dynamics in assessing fall risk significantly improved classification accuracy, recommending a comprehensive approach for better fall risk evaluation in older adults.
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Early identification of individuals at risk for cognitive decline may facilitate the selection of those who benefit most from interventions. Current models predicting cognitive decline include neuropsychological and/or biological markers. Additional markers based on walking ability might improve accuracy and specificity of these models because motor and cognitive functions share neuroanatomical structures and psychological processes.

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