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- W2959452768 abstract "Gait speed is an important indicator for assessing overall health status. Previous studies have reported the important role of sensory function in gait speed; however, the underlying mechanism is still unclear. This study aimed to examine whether cognition mediates the association of sensory function with gait speed among English older adults.Gait speed was assessed by timed walking test. Hearing was measured by using a hearing screening device. Vision was self-reported. Cognition was assessed by questionnaire. Baron and Kenny's causal steps method and Sobel test were used to examine the mediating effect.Among 4,197 participants aged 60 years and older, 13.5% had poor hearing and 12.6% had poor vision, 2.6% had both poor hearing and poor vision. Multiple linear regression models suggested that poor hearing (β= - 1.905, p < 0.001), poor vision (β= - 1.309, p = 0.004), and poor dual sensory function (β= - 2.442, p = 0.013) was associated with worse cognition. Cognition was correlated with gait speed (β= 0.004, p < 0.001). Poor hearing (β= - 0.072, p < 0.001), poor vision (β= - 0.031, p = 0.029), and poor dual sensory function (β= - 0.081, p = 0.011) was associated with slower gait speed. After introducing cognition into the models, regression coefficients between sensory function and gait speed decreased (β= - 0.066, p < 0.001 for hearing; β= - 0.027, p = 0.054 for vision; β= - 0.073, p = 0.020 for combined hearing and vision). Sobel test identified the significant mediating effect of cognition on the association between sensory function and gait speed.Cognition partially mediates the association between sensory function and gait speed. Efforts to maintain mobility performance in older adults should consider protecting both sensory function and cognition." @default.
- W2959452768 created "2019-07-23" @default.
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- W2959452768 date "2019-08-20" @default.
- W2959452768 modified "2023-09-26" @default.
- W2959452768 title "Cognition Mediates the Relationship Between Sensory Function and Gait Speed in Older Adults: Evidence from the English Longitudinal Study of Ageing" @default.
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- W2959452768 doi "https://doi.org/10.3233/jad-190364" @default.
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