{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:03:17Z","timestamp":1789448597656,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ther Adv Respir Dis"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Fibrosing interstitial lung diseases (F-ILD) are associated with reduced exercise capacity and functional limitations. Motor\u2013cognitive dual-task performance refers to the ability to perform a mobility task while simultaneously completing a cognitive task, reflecting the motor\u2013cognitive demands of everyday multitasking. Dual-task performance has not been systematically compared between patients with F-ILD and healthy individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To compare motor\u2013cognitive dual-task performance between patients with fibrosing interstitial lung disease and healthy controls, and to examine associations with clinical parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Forty-five patients with F-ILD and 45 age-matched healthy controls completed the Timed Up and Go (TUG) test under single-task and dual-task (serial subtraction) conditions. Dual-task interference (DTI) was computed as the percentage change from single-task performance. Pulmonary function tests, the six-minute walk distance (6MWT), and the Montreal cognitive assessment (MoCA) were administered. Between-group differences were assessed with the Mann\u2013Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      test. Associations were examined using Spearman\u2019s correlation and multivariable regression adjusted for age, body mass index, and comorbidity count.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Compared to controls, patients with F-ILD demonstrated slower TUG dual-task performance (12.35 vs 10.21\u2009s;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0016), reduced dual-task accuracy (66.7% vs 77.8%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and increased cognitive interference (36.6% vs 10.9%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Physical interference was also elevated (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0328). In ILD patients, a shorter 6MWT distance was associated with longer TUG dual-task time (\u03c1\u2009=\u2009\u22120.42,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004) and greater cognitive interference (\u03c1\u2009=\u2009\u22120.38,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.009). No correlations were found with FVC, FEV\n                      <jats:sub>1<\/jats:sub>\n                      , or MoCA. After adjusting for confounders, ILD status independently correlated with longer TUG dual-task time (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.029), lower accuracy (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0003), and increased cognitive DTI (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with F-ILD show significant motor and cognitive dual-task impairments compared with healthy controls, partly independent of conventional lung function measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration:<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17534666261459212","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:15:59Z","timestamp":1785129359000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Functional mobility under cognitive load in fibrosing interstitial lung disease: a motor\u2013cognitive dual-task study"],"prefix":"10.1177","volume":"20","author":[{"given":"Dacian","family":"Mihart","sequence":"first","affiliation":[{"name":"Doctoral School, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6020-4593","authenticated-orcid":false,"given":"Alexandru Florian","family":"Cri\u0219an","sequence":"additional","affiliation":[{"name":"Research Center for the Assessment of Human Motion, Functionality and Disability (CEMFD), \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, Timisoara, Romania"},{"name":"Pulmonary Rehabilitation Center, Clinical Hospital of Infectious Diseases and Pulmonology, \u201cVictor Babes,\u201d Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vlad","family":"C\u0103runta","sequence":"additional","affiliation":[{"name":"Pulmonary Rehabilitation Center, Clinical Hospital of Infectious Diseases and Pulmonology, \u201cVictor Babes,\u201d Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Tr\u0103il\u0103","sequence":"additional","affiliation":[{"name":"Center for Research and Innovation in Personalized Medicine of Respiratory Diseases (CRIPMRD), \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, Timisoara, Romania"},{"name":"Pulmonology Clinic, Clinical Hospital of Infectious Diseases and Pulmonology, \u201cVictor Babes\u201d, 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