Don’t Ignore Your Slowing Mobility: It Could Be a Sign of Something More Sinister

Clock Aging Time Old

New research suggests that decreased muscle strength and slowed movement in older adults may signal a higher risk of late-life dementia. Incorporating simple, inexpensive muscle function tests like grip strength and timed-up-and-go tests in clinical practice could help identify high-risk individuals and potentially prevent dementia through primary prevention programs.

According to widely held belief, aging leads to a decline in muscle strength and a slower pace, but recent studies suggest that it may also be a warning sign of a more sinister age-related health issue.

As we age, it is widely acknowledged that our muscle strength will decrease and our movements will slow, making everyday activities like rising, walking, and sitting more challenging.

However, recent research from Edith Cowan University (ECU) suggests that this decline in muscle strength and mobility could also be an indicator of a more ominous health issue associated with aging: late-life dementia.

To investigate the relationship between muscle function and dementia, the research teams from ECU’s Nutrition & Health Innovation Research Institute and Centre for Precision Health used data from the Perth Longitudinal Study of Ageing in Women to examine more than 1000 women with an average age of 75.

In collaboration with the University of Western Australia, the team measured the women’s grip strength and the time it took for them to rise from a chair, walk three meters, turn around, and sit back down — known as a timed-up-and-go (TUG), test.

These tests were repeated after five years to monitor any loss of performance.

Over the next 15 years, almost 17 percent of women involved in the study were found to have had a dementia event, categorized as a dementia-related hospitalization or death.

The team found lower grip strength and slower TUG were significant risk factors for presenting with dementia, independent of genetic risk and lifestyle factors such as smoking, alcohol intake, and physical activity levels.

Relationship established

The women with the weakest grip strength were found to be more than twice as likely to have a late-life dementia event than the strongest individuals.

A similar relationship emerged between TUG performance and dementia, with the slowest in their TUG test more than twice as likely to experience dementia than the quickest.

When researchers looked at the changes in grip strength and TUG test results after five years, a decrease in performance was also linked with greater dementia risk.

Those who had experienced the biggest decline in grip strength and TUG speed were approximately 2 and 2.5 times more likely, respectively, to have had a dementia event, compared to those in the group who recorded the smallest decline in performance.

Women with the biggest drop in TUG performance were found to be over four times more likely to have a dementia-related death than the fastest.

An early warning

Senior researcher Dr. Marc Sim said grip strength, which can be easily measured using a handheld device known as a dynamometer, may be a measure of brain health due to the overlapping nature of cognitive and motor decline.

“Possibly due to a range of underlying similarities, grip strength may also present as a surrogate measure of cardiovascular disease, inflammation, and frailty, which are known risk factors for dementia,” Dr. Sim said.

Dr. Sim said the findings from the study could help health professionals to identify dementia risk in patients earlier.

“Both grip strength and TUG tests aren’t commonly performed in clinical practice, but both are inexpensive and simple screening tools,” he said.

“Incorporating muscle function tests as part of dementia screening could be useful to identify high-risk individuals, who might then benefit from primary prevention programs aimed at preventing the onset of the condition such as a healthy diet and a physically active lifestyle.

“The exciting findings were that decline in these measures was associated with substantially higher risk, suggesting that if we can halt this decline, we may be able to prevent late-life dementias. However, further research is needed in this area.”

Centre for Precision Health Director Professor Simon Laws said there has been encouraging progress in identifying early warning signs of dementia.

“We are now starting to see a number of simple yet indicative screening assessments that could be combined with other biological and clinical measures to provide a holistic risk profile for individuals presenting to their GP with, for example, memory concerns,” he said.

Reference: “Impaired muscle function, including its decline, is related to greater long-term late-life dementia risk in older women” by Simone Radavelli-Bagatini, Helen Macpherson, David Scott, Robin M. Daly, Jonathan M. Hodgson, Simon M. Laws, Kun Zhu, Richard L. Prince, Joshua R. Lewis and Marc Sim, 19 April 2023, Journal of Cachexia, Sarcopenia and Muscle.
DOI: 10.1002/jcsm.13227

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