Evidence map›Paper›PMID 39256704›Full record

ArticleBMC neurology2024

Association of oral frailty and gait characteristics in patients with cerebral small vessel disease.

Hong-Yang Xie, Jun-Li Chen, Cui-Qiao Xia, Nan Zhang, Zhen-Xi Xia, Hong-Yi Zhao, Yong-Hua Huang

Abstract read
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hong-Yang Xie *Department of Neurology, The Seven Medical Center of PLA General Hospital, Dongsi Shitiao, Dongcheng District, Nanmencang, Beijing, 100007, China.
Jun-Li Chen *Department of Hematology, The Fifth Medical Center of PLA General Hospital, Fengtai District, Beijing, 100039, China.
Cui-Qiao XiaDepartment of Neurology, The Seven Medical Center of PLA General Hospital, Dongsi Shitiao, Dongcheng District, Nanmencang, Beijing, 100007, China.
Nan ZhangDepartment of Neurology, The Seven Medical Center of PLA General Hospital, Dongsi Shitiao, Dongcheng District, Nanmencang, Beijing, 100007, China.
Zhen-Xi XiaDepartment of Neurology, The Seven Medical Center of PLA General Hospital, Dongsi Shitiao, Dongcheng District, Nanmencang, Beijing, 100007, China.
Hong-Yi ZhaoDepartment of Neurology, The Seven Medical Center of PLA General Hospital, Dongsi Shitiao, Dongcheng District, Nanmencang, Beijing, 100007, China.
Yong-Hua HuangDepartment of Neurology, The Seven Medical Center of PLA General Hospital, Dongsi Shitiao, Dongcheng District, Nanmencang, Beijing, 100007, China. huangyh@163.com.

Funding

Wu Jieping Medical Foundation (Grant No. 320.6750.18456)
6 · The paper itself

Abstract

backgroundThe objectives of this study were twofold: (1) to compare gait characteristics between cerebral small vessel disease (CSVD) patients with low-risk oral frailty (OF) and high-risk OF, particularly during dual-task walking (DTW); (2) to investigate the association of OF, the gait characteristics of DTW, and falls among older adults patients with CSVD.

methodsA total of 126 hospitalized patients diagnosed with CSVD were recruited and classified into a low-risk group (n = 90) and a high-risk group (n = 36) based on OF status in our study. Comprehensive data pertaining to basic parameters (cadence, as well as stride time, velocity and length), variability, asymmetry, and coordination were gathered during both single-task walking (STW) and DTW. Additionally, the number of falls was calculated. Subsequently, t-test or chi-squared test was used for comparison between the two groups. Furthermore, linear regression analysis was employed to elucidate the association of the OF index-8 score and gait parameters during cognitive DTW. Also, logistic regression models were utilized to assess the independent association of OF risk and falls.

resultsDuring cognitive DTW, the high-risk group demonstrated inferior performance in terms of basic parameters (p < 0.01), coefficient of variation (CV) of velocity and stride length (p < 0.05), as well as phase coordination index (PCI) when compared with the low-risk group (p < 0.05). Notably, differences in basic gait parameters were observed in cognitive DTW and STW conditions between the two groups (p < 0.01). However, only the high-risk group evinced significant variations in CV and PCI during cognitive DTW, as opposed to those during STW (p < 0.05). Furthermore, our findings also revealed the association of OF, the gait characteristics of cognitive DTW, (p < 0.01) and falls (p < 0.05).

conclusionCSVD patients with a high risk of OF need to pay more attention to their gait variability or coordination. Also, they are recommended to undergo training involving dual-task activities while walking in daily life, thereby reducing the deterioration and mitigating the risk of falls. Besides, this study has confirmed an association of OF and DTW gait as well as falls in patients with CSVD.

Indexed as

Cerebral Small Vessel DiseasesFrailtyGaitAccidental FallsAgedAged, 80 and overFemaleGait Disorders, NeurologicHumansMaleMiddle AgedWalkingCerebral small vessel diseaseDual-task walkingGaitOral frailty

Identifiers

PMID39256704
PMCPMC11386381

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.