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Gait and dual-task performance in older adults with suspected cognitive impairment: Effects of an 8-week exercise program

datacite.subject.fosCiências Sociais::Ciências da Educação
dc.contributor.authorGalrinho, João
dc.contributor.authorBatista, Marco
dc.contributor.authorGonçalves-Montera, Marta
dc.contributor.authorFernandes, Orlando
dc.contributor.authorMatias, Ana Rita
dc.date.accessioned2025-12-10T12:13:42Z
dc.date.available2025-12-10T12:13:42Z
dc.date.issued2025
dc.date.updated2025-12-05T14:31:38Z
dc.descriptionThe study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the University of Évora (protocol code GD24725/2023, approval date: 21 September 2023).
dc.description.abstractGait performance in aging relies heavily on cognitive resources, yet the extent to which short-term interventions can mitigate dual-task costs in institutionalized populations remains understudied. This study aimed to compare single and dual-task gait performance between older adults with and without suspected cognitive impairment and to evaluate the effects of an 8-week multicomponent exercise program on functional mobility. Methods: Institutionalized older adults (n = 42) were stratified into two groups: suspected cognitive impairment (n = 26) and no suspected impairment (n = 16), based on MMSE and Clock Drawing Test screening. Participants performed the Timed Up and Go (TUG) and Dual-Task TUG (TUG-DT) at baseline and post-intervention. Results: At baseline, the suspected impairment group exhibited significantly poorer performance on both tests (p < 0.001) compared to the non-impaired group. Following the 8-week intervention, the suspected impairment group demonstrated large, significant improvements in both TUG (r = −0.73) and TUG-DT (r = −0.59), whereas the non-impaired group remained stable. Notably, while the single-task TUG showed the greatest responsiveness to the exercise program, the TUG-DT continued to reveal a significant cognitive-motor load. Conclusions: Multicomponent exercise effectively enhances functional mobility in cognitively vulnerable older adults, reversing declines in both single and dual-task conditions. Significance: These findings support the implementation of dual-task screening to unmask latent functional deficits and validate the use of accessible, short-term multicomponent exercise programs as a vital strategy to preserve autonomy in institutionalized older adults.eng
dc.description.versionN/A
dc.identifier.citationGalrinho, João [et al.] (2025) - Gait and dual-task performance in older adults with suspected cognitive impairment: Effects of an 8-week exercise program. Healthcare. 13:24, p. 3190. DOI: 10.3390/healthcare13243190
dc.identifier.doi10.3390/healthcare13243190en_US
dc.identifier.issn2227-9032en_US
dc.identifier.slugcv-prod-4617599
dc.identifier.urihttp://hdl.handle.net/10400.11/10394
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectTimed Up and Go
dc.subjectDual-task
dc.subjectGait
dc.subjectCognitive impairment
dc.subjectInstitutionalized aging
dc.subjectexercise intervention
dc.titleGait and dual-task performance in older adults with suspected cognitive impairment: Effects of an 8-week exercise programen_US
dc.typeresearch articleen_US
dspace.entity.typePublication
oaire.citation.issue24en_US
oaire.citation.startPage3190
oaire.citation.titleHealthcareen_US
oaire.citation.volume13en_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSilva Batista
person.givenNameMarco Alexandre
person.identifier1319670
person.identifier.ciencia-id191E-AA52-C968
person.identifier.orcid0000-0003-3318-2472
person.identifier.scopus-author-id57190249734
rcaap.cv.cienciaid191E-AA52-C968 | Marco Alexandre Silva Batista
rcaap.rightsopenAccessen_US
relation.isAuthorOfPublication0d3d851b-dad8-4505-bf0d-14ff17962b66
relation.isAuthorOfPublication.latestForDiscovery0d3d851b-dad8-4505-bf0d-14ff17962b66

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