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Baseline characteristics of a two-year prospective study aiming to link clinical components, cognitive and gait performances in healthy old people : the GABY Study

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Academic year: 2021

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Aim of the study

To show if gait performances and structural brain changes are

associated with future cognitive decline and falls in healthy older.

S. Gillain 1, V. Wojtasik 1, F. Depierreux 2, C. Schwartz 3, M. Boutaayamou 4, M. Demonceau 5, X. Schmitz 1, N. Dardenne 6, O. Bruyère 6, G. Garraux 2, J. Petermans 1

Objectives: Introduce The GABI

Study developed to highlight, the links between gait performances and brain changes in healthy old people and cognitive decline and falls occurring two years later. Method: 131 community-dwelling older without cognitive disorders were recruited. All volunteers were assessed for neuropsychological performances, body compositions and muscle strength and for gait performances at usual (simple and dual task) and fast walking speeds. Brain MRIs were realized including T1-weighted and T2-weighted data using respectively

multi-parametric, FLAIR and diffusion sequences. After a two-years follow up, a similar assessment will be plan to detect cognitive or falls. Comparison and correlations analysis will help the clinician to better discern components linked to cognitive decline and falls in healthy old people.

In fact: 131 healthy old people were assessed at baseline. Main

characteristics of the population are presented enclosed.

To summarize: Authors introduce the original protocol of this first two-year prospective study including robust old people with a comprehensive assessment including gait tests and brain MRI to promote successful aging. Study granted by the Belgian fund for scientific research (FNRS). Contact : sgillain@chu.ulg.ac.be

Strengths of the study

Prospective study including 131 healthy old people during 2 years

Including Gait Analysis and Brain MRI

Negative Outcomes followed: Cognitive decline and Falls

Method

Gait tests using dual task

Structural Brain MRI Comprehensive

Geriatric Assessment

1. Geriatric Department, 2. Neurologic Department, University Hospital of Liège, 3. Laboratory of Human Motion Analysis (LAMH), 4. INTELSIG Laboratory, Department of electrical engineering and computer science, 5. Science of motility Department,

6. Department of Public Health, Epidemiology and Health Economics University of Liège, Belgium

Caracteristics of the population (n= 131)

Mean age 71,3 years old

Sex 56 % of women

Independence 1,5 % helped for IADL, higher score ADL 7/24

Cognitive performances Mean MOCA > 26 (/30)

Nutritional status (mean) BMI (25,86), MNA-4 (12,8/14)

Frail Status (Edmonton) 112 robusts / 19 mild frails

Functional status Mean walking speed 1,25 m/sec

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