Poor Trail Making Test Performance Is Directly Associated with Altered Dual Task Prioritization in the Elderly – Baseline Results from the TREND Study 英文参考文献.docVIP

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Poor Trail Making Test Performance Is Directly Associated with Altered Dual Task Prioritization in the Elderly – Baseline Results from the TREND Study 英文参考文献.doc

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Poor Trail Making Test Performance Is Directly Associated with Altered Dual Task Prioritization in the Elderly – Baseline Results from the TREND Study 英文参考文献

PoorTrailMakingTestPerformanceIsDirectly AssociatedwithAlteredDualTaskPrioritizationinthe Elderly–BaselineResultsfromtheTRENDStudy MarkusA.Hobert1,2,RaphaelNiebler3,SinjaI.Meyer1,2,KathrinBrockmann1,2,ClemensBecker4 ,Heiko Huber1,2,AlexandraGaenslen1,2,JanaGodau1,2,GerhardW.Eschweiler3,5,DanielaBerg1,2 ,Walter Maetzler1,2,4,5 * 1HertieInstitute forClinicalBrainResearch,Department ofNeurodegeneration, CenterofNeurology,UniversityofTuebingen,Tuebingen,Germany,2DZNE,German CenterforNeurodegenerativeDiseases,UniversityofTuebingen,Tuebingen,Germany,3DepartmentofPsychiatryandPsychotherapy,UniversityHospitalTuebingen, Tuebingen, Germany, 4Robert-Bosch-Hospital, Department of Clinical Gerontology, Stuttgart, Germany, 5Geriatric Center at the University Hospital Tuebingen, Tuebingen,Germany Abstract Background: Deterioration of executive functions in the elderly has been associated with impairments in walking performance.Thismaybecausedbylimitedcognitiveflexibilityandworkingmemory,butcouldalsobecausedbyaltered prioritization ofsimultaneouslyperformedtasks.Todisentangletheseoptions weinvestigatedtheassociationsbetween TrailMakingTestperformance—whichspecificallymeasurescognitiveflexibilityandworkingmemory—anddualtaskcosts, ameasureofprioritization. MethodologyandPrincipalFindings:OutoftheTRENDstudy(TuebingerevaluationofRiskfactorsforEarlydetectionof NeurodegenerativeDisorders),686neurodegenerativelyhealthy,non-dementedelderlyaged50to80yearswereclassified accordingtotheirTrailMakingTestperformance(deltaTMT;TMT-BminusTMT-A).Thesubjectsperformed20mwalkswith habitualandmaximumspeed.Dualtaskingperformancewastestedwithwalkingatmaximumspeed,incombinationwith checkingboxesonaclipboard,andsubtractingserial7satmaximumspeeds.Asexpected,thepoorTMTgroupperformed worsewhensubtractingserial7sundersingleanddualtaskconditions,andtheywalkedmoreslowlywhensimultaneously subtractingserial7s,comparedtothegoodTMTperformers.Inthewalkingwhensubtractingserial7sconditionbutnot in the other 3 con