Sensory and motor deficits as contributors to early cognitive impairment

Author:

Sayyid Zahra N.1ORCID,Wang Hang23,Cai Yurun4,Gross Alden L.23,Swenor Bonnielin K.56ORCID,Deal Jennifer A.27,Lin Frank R.17,Wanigatunga Amal A.23,Dougherty Ryan J.8,Tian Qu9,Simonsick Eleanor M.9,Ferrucci Luigi9,Schrack Jennifer A.23,Resnick Susan M.9,Agrawal Yuri1

Affiliation:

1. Department of Otolaryngology‐Head and Neck Surgery Johns Hopkins School of Medicine Baltimore Maryland USA

2. Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA

3. Center on Aging and Health Johns Hopkins School of Medicine Baltimore Maryland USA

4. Department of Health and Community Systems University of Pittsburgh School of Nursing Pittsburgh Pennsylvania USA

5. The Johns Hopkins School of Nursing Baltimore Maryland USA

6. The Johns Hopkins Disability Health Research Center, Johns Hopkins University Baltimore Maryland USA

7. Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA

8. Department of Neurology Johns Hopkins School of Medicine Baltimore Maryland USA

9. Intramural Research Program, National Institute on Aging, Baltimore Baltimore Maryland USA

Abstract

AbstractINTRODUCTIONAge‐related sensory and motor impairment are associated with risk of dementia. No study has examined the joint associations of multiple sensory and motor measures on prevalence of early cognitive impairment (ECI).METHODSSix hundred fifty participants in the Baltimore Longitudinal Study of Aging completed sensory and motor function tests. The association between sensory and motor function and ECI was examined using structural equation modeling with three latent factors corresponding to multisensory, fine motor, and gross motor function.RESULTSThe multisensory, fine, and gross motor factors were all correlated (r = 0.74 to 0.81). The odds of ECI were lower for each additional unit improvement in the multisensory (32%), fine motor (30%), and gross motor factors (12%).DISCUSSIONThe relationship between sensory and motor impairment and emerging cognitive impairment may guide future intervention studies aimed at preventing and/or treating ECI.Highlights Sensorimotor function and early cognitive impairment (ECI) prevalence were assessed via structural equation modeling. The degree of fine and gross motor function is associated with indicators of ECI. The degree of multisensory impairment is also associated with indicators of ECI.

Funder

National Institute on Aging

Publisher

Wiley

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