{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T05:13:31Z","timestamp":1769577211029,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T00:00:00Z","timestamp":1578528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The objective of this study was to estimate the predictive accuracy of simple cognitive and motor performance tests to detect cognitive decline (CD) in community\u2010dwelling older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In total, 102 community\u2010dwelling older adults participated in this study. Cognitive function, gait performance and coordinated finger movements were assessed using the Montreal Cognitive Assessment, the 10\u2010m walking test and the finger\u2010tapping test, respectively. We classified the participants into either a CD (<jats:italic>n<\/jats:italic> = 60) or a healthy control (<jats:italic>n<\/jats:italic> = 42) group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant group differences were found in the visuospatial\/executive function subscale score on the Montreal Cognitive Assessment, stride length and total finger tap count. The results of multivariate logistic regression analysis showed that visuospatial\/executive function subscale score, stride length and total tap count were the significant predictors for the presence of CD (sensitivity 83.3%, specificity 82.9%, predictive accuracy 83.2%). We also constructed a decision tree model with these three variables to increase the usefulness of our model as a screening tool by assigning a cut\u2010off value for each assessment. The sensitivity and specificity of the model were 88.1% and 85.2%, respectively, with an overall predictive accuracy of 86.4%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results of the present study suggest that simple cognitive and motor performance tests have moderate\u2010to\u2010high discriminant validity for the presence of CD in community\u2010dwelling older adults. Addition of such tests might lead to the more accurate detection of early cognitive decline. <jats:bold>Geriatr Gerontol Int 2020; \u2022\u2022: \u2022\u2022\u2013\u2022\u2022<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13863","type":"journal-article","created":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T18:43:40Z","timestamp":1578595420000},"page":"212-217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Detecting cognitive decline in community\u2010dwelling older adults using simple cognitive and motor performance tests"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1205-165X","authenticated-orcid":false,"given":"Yosuke","family":"Tomita","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Care Takasaki University of Health and Welfare  Takasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeya","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Care Takasaki University of Health and Welfare  Takasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shingo","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Healthcare Informatics, Faculty of Health and Welfare Takasaki University of Health and Welfare  Takasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyuki","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Care Takasaki University of Health and Welfare  Takasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2008.01326.x"},{"key":"e_1_2_6_3_1","unstructured":"PrinceM AlbaneseE GuerchetM PrinaM.World Alzheimer report 2014. 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