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Development and External Validation of a Gait Test Based Diagnostic Model for Detecting Mild Cognitive Impairment

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单位: [1]School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. [2]School of Integrated Circuits, Huazhong University of Science and Technology, Wuhan, Hubei, 430074, China. [3]Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China. [4]Community Health Service Center, Eight Ji Fu Street, Qing Shan District, Wuhan, Hubei, 430075, China.
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关键词: Gait Mild cognitive impairment Cognitive test Early diagnosis

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To address the lack of large-scale screening tools for mild cognitive impairment (MCI), this study aimed to assess the discriminatory ability of several gait tests for MCI and develop a screening tool based on gait test for MCI.A diagnostic case-control test.The general community.We recruited 134 older adults (≥65 years) for the derivation sample, comprising 62 individuals in the cognitively normal group and 62 in the MCI group. An additional 70 participants were enrolled for the validation sample population.All participants completed gait tests consisting of a single task (ST) and three dual tasks (DTs): counting backwards, serial subtractions 7, and naming animals.Binary logistic regression analyses were used to develop models, and the efficacy of each model was assessed using receiver operating characteristic (ROC) curve and area under the curve (AUC). The best effective model was the final diagnostic model and validated using ROC curve and calibration curve.The DT gait test incorporating serial subtractions 7 as the cognitive task demonstrated the highest efficacy with the AUC of 0.906 and the accuracy of 0.831 in detecting MCI with "years of education" being adjusted. Furthermore, the model exhibited consistent performance across different age and sex groups. In external validation, the model displayed robust discrimination (AUC=0.913) and calibration (calibrated intercept=-0.062, slope=1.039).The DT gait test incorporating serial subtractions 7 as the cognitive task demonstrated robust discriminate ability for MCI. This test holds the potential to serve as a large-scale screening tool for MCI, aids in the early detection and intervention of cognitive impairment in older adults.Copyright © 2023. Published by Elsevier Inc.

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出版当年[2022]版:
大类 | 1 区 医学
小类 | 1 区 康复医学 2 区 运动科学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 康复医学 3 区 运动科学
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第一作者单位: [1]School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China.
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通讯机构: [1]School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. [*1]School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, 13 Hang Kong Road, Wuhan, Hubei, 430030, China
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