Hand dexterity, not handgrip strength, is associated with executive function in Japanese community-dwelling older adults: a cross-sectional study

BMC Geriatrics

Toru Takebayashi¹  Naoko Sakuma²  Yoshinori Fujiwara²  Masashi Yasunaga²  Hiroyuki Suzuki²  Kimi Estela Kobayashi-Cuya²  Susumu Ogawa²  Ryota Sakurai² 

[1] Department of Preventive Medicine and Public Health, School of Medicine, Keio University;Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology;

关键词: Cognitive function;    Community-dwelling older adults;    Executive function;    Hand dexterity;    Handgrip strength;   

DOI  :  10.1186/s12877-018-0880-6

来源: DOAJ

【 摘 要 】

Abstract Background An association between handgrip strength, hand dexterity and global cognition is suggested; however, it is unclear whether both hand motor functions are associated with executive function, which is important for performing daily activities. Understanding this association will help identify motor risk factors for impairment of executive function in late adulthood. We aim to investigate the relationship of handgrip strength and hand dexterity with executive function in physically and mentally healthy community-dwelling older adults. Methods Three hundred and twenty-six older adults (287 women, mean age ± SD, 70.1 ± 5.6) underwent handgrip strength and hand dexterity tests using a hand dynamometer and the Purdue Pegboard Test (PPT), respectively. Executive function was evaluated with the Trail Making Test (TMT)-A, TMT-B and Digit symbol; global cognition was assessed with the Mini-Mental State Examination (MMSE). Results Age-group differences showed that the younger groups (60–64, 65–69 and 70–74) had a significant better PPT and executive function performance than the oldest group (75 and older), whereas no significant age differences were observed for handgrip strength. Multiple regression analysis adjusted for potential covariates, including MMSE scores, showed that TMT-A, TMT-B, and Digit symbol were significantly associated with PPT scores; however, no significant association was observed between executive function variables and handgrip strength. Conclusions Hand dexterity is vulnerable to the effects of aging and, contrary to handgrip strength, it strongly associates with executive function, independent of global cognition. Our results suggest that assessing hand dexterity may help identify individuals at higher risk of impairment of executive function among high-functioning older adults.

【 授权许可】

Unknown