Evidence map›Paper›PMID 27621086›Full record

SynthesisGait & posture2016

A systematic review and meta-analysis of cross-sectional studies examining the relationship between mobility and cognition in healthy older adults.

Naiara Demnitz, Patrick Esser, Helen Dawes, Vyara Valkanova, Heidi Johansen-Berg, Klaus P Ebmeier, Claire Sexton

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Gait & posture, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Naiara DemnitzFMRIB Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, OX3 9DU, UK; Department of Psychiatry, Warneford Hospital, University of Oxford, OX3 7JX, UK.
Patrick EsserMovement Science Group, Oxford Brookes University, OX3 0BP, UK.
Helen DawesMovement Science Group, Oxford Brookes University, OX3 0BP, UK.
Vyara ValkanovaDepartment of Psychiatry, Warneford Hospital, University of Oxford, OX3 7JX, UK.
Heidi Johansen-BergFMRIB Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, OX3 9DU, UK.
Klaus P EbmeierDepartment of Psychiatry, Warneford Hospital, University of Oxford, OX3 7JX, UK.
Claire SextonFMRIB Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, OX3 9DU, UK. Electronic address: claire.sexton@ndcn.ox.ac.uk.

Funding

Medical Research Council G1001354Wellcome Trust
6 · The paper itself

Abstract

Ageing is associated with declines in cognitive function and mobility. The extent to which this relationship encompasses the subdomains of cognition and mobility remains unclear, however. We searched MEDLINE and EMBASE databases for cross-sectional studies examining the association between objective mobility measures (gait, lower-extremity function, balance) and cognitive function (global, executive function, memory, processing speed) in healthy older adults. Of the 642 studies identified, 26 studies met the inclusion criteria, with a total of 26,355 participants. For each feature of physical mobility, the relation to each aspect of cognition was reviewed. In the context of each association, we summarised the results to date and performed random-effects meta-analyses of published data. Reviewed findings suggest that individuals with better mobility perform better on assessments of global cognition, executive function, memory and processing speed. Not all measures of mobility were equally associated with cognitive function, however. Although there was a larger number of gait and lower-extremity function studies, and this may have driven findings, most studies examining balance and cognition measures reported no significant results. Meta-analyses on reported associations supported results by revealing significant, albeit small, effect sizes in favour of a positive association between performance on mobility measures and cognitive assessments. Future research should aim to establish the mechanisms driving this relationship, as this may identify predictors of age-related impairments.

Indexed as

Mobility LimitationAgedCognitionCognitive AgingCross-Sectional StudiesExecutive FunctionGaitHumansLower ExtremityMemoryPostural BalanceBalanceExecutive functionGaitHealthy ageingMemoryProcessing speed

Identifiers

PMID27621086
PMCPMC5081060

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.