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Gait speed and mood, cognition, and quality of life in older adults with atrial fibrillation

Journal of the American Heart Association Nov 23, 2019

Marino FR, Lessard DM, Saczynski JS, et al. - Among 1,185 older adults (aged ≥ 65 years) with atrial fibrillation (AF), researchers investigated if there could be a link of low gait speed with impaired mood, cognition, and quality of life. The participants had CHA2DS2VASc ≥ 2 and had no contraindications to anticoagulation. They asked participants to finish a 15-foot walk test. They used cutoffs from the Fried Frailty Index to group low gait speed. Measures of depressive symptoms (Patient Health Questionnaire 9 ≥ 10), anxiety symptoms (Generalized Anxiety Disorder 7 ≥ 10), cognitive impairment (Montreal Cognitive Assessment ≤ 23), and potentially impaired Atrial Fibrillation Effect Quality-of-Life Questionnaire < 80 were self-reported by the participants. Findings revealed the presence of low gait speed in 26% of older adults with AF. Impaired mood and cognition were observed in relation to low gait speed.
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