Evidence map›Paper›PMID 36187193›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2022

Combination of gait speed and grip strength to predict cognitive decline and dementia.

Suzanne G Orchard, Galina Polekhina, Joanne Ryan, Raj C Shah, Elsdon Storey, Trevor T-J Chong, Jessica E Lockery, Stephanie A Ward, Rory Wolfe, Mark R Nelson and 9 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
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

28 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Serum Transaminases and Older Adults: Distribution and Associations With All-Cause Mortality.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Trial
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  13. Long-Term Blood Pressure Variability and Physical Performance in Older Adults.Journal of clinical hypertension (Greenwich, Conn.) · 2025
    Observational
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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

19 authors at 8 institutions in 2 countries.

Suzanne G OrchardSchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Galina PolekhinaSchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Joanne RyanSchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Raj C ShahDepartment of Family Medicine and Rush Alzheimer's Disease Center Rush University Medical Center Chicago Illinois USA.
Elsdon StoreySchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Trevor T-J ChongSchool of Psychological Sciences Monash University Clayton Victoria Australia.
Jessica E LockerySchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Stephanie A WardSchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Rory WolfeSchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Mark R NelsonMenzies Institute for Medical Research University of Tasmania Hobart Tasmania Australia.
Christopher M ReidSchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Anne M MurrayBerman Center for Outcomes and Clinical Research Hennepin Health Research Institute and Hennepin Healthcare, and University of Minnesota Minneapolis Minnesota USA.
Sara E EspinozaDivision of Geriatrics Gerontology and Palliative Medicine Sam and Ann Barshop Institute for Longevity and Aging Studies UT Health San Antonio San Antonio Texas USA.
Anne B NewmanDepartment of Epidemiology Graduate School of Public Health University of Pittsburgh Pittsburgh Pennsylvania USA.
John J McNeilSchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
Taya A CollyerPeninsula Clinical School Central Clinical School Monash University Frankston Victoria Australia.
Michele L CallisayaPeninsula Clinical School Central Clinical School Monash University Frankston Victoria Australia.
Robyn L WoodsSchool of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia.
ASPREE Investigator group
Monash University · AURMIT University · AURush University Medical Center · USSouth Texas Veterans Health Care System · USUniversity of Minnesota · USUniversity of Pittsburgh · USUniversity of Tasmania · AUUNSW Sydney · AU

Funding

ASPirin in Reducing Events in the ElderlyU01AG029824 · NIA · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI MCNEIL, JOHN JAMES, MURRAY, ANNE M · 2009 to 2018
$64.6M
Main Administrative CoreU19AG062682 · NIA · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI CHAN, ANDREW T, MCNEIL, JOHN JAMES · 2019 to 2023
$42.9M
NIA NIH HHS U01 AG029824NIA NIH HHS U19 AG062682
6 · The paper itself

Abstract

Introduction: To determine whether slowed gait and weakened grip strength independently, or together, better identify risk of cognitive decline or dementia. Methods: Time to walk 3 meters and grip strength were measured in a randomized placebo-controlled clinical trial involving community-dwelling, initially cognitively healthy older adults (N = 19,114). Results: Over a median 4.7 years follow-up, slow gait and weak grip strength at baseline were independently associated with risk of incident dementia (hazard ratio [HR] = 1.44, 95% confidence interval [CI]: 1.19-1.73; and 1.24, 95% CI: 1.04-1.50, respectively) and cognitive decline (HR = 1.38, 95% CI: 1.26-1.51; and 1.04, 95% CI: 0.95-1.14, respectively) and when combined, were associated with 79% and 43% increase in risk of dementia and cognitive decline, respectively. Annual declines in gait and in grip over time showed similar results. Discussion: Gait speed and grip strength are low-cost markers that may be useful in the clinical setting to help identify and manage individuals at greater risk, or with early signs, of dementia, particularly when measured together. Highlights: Grip strength and gait speed are effective predictors and markers of dementia.Dementia risk is greater than cognitive decline risk with declines in gait or grip.Decline in gait speed, more so than in grip strength, predicts greater dementia risk.Greater risk prediction results from combining grip strength and gait speed.

Indexed as

cognitive declinedementiagait speedgrip strengthmotor performancephysical performance

Identifiers

PMID36187193
PMCPMC9494608
OpenAlexW4297897089

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.