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Role of age and sex on dual tasking using a treadmill desk while performing cognitive tests
Institution:1. Shriners Hospitals For Children, Portland, 3101 SW Sam Jackson Park Road, Portland, OR 97239, United States;2. Shriners Hospitals For Children, Northern California, 2425 SW Stockton Blvd, Sacramento, CA 95817, United States;3. University of California, Los Angeles, Department of Orthopaedics, 1000 Veteran Ave, Rehab Building 22-64, Los Angeles, CA 90025, United States;4. University of California Davis Medical Center, Department of Physical Medicine, 4869 Y Street, Suite 3850, Sacramento, CA 95817, United States;1. Institution Nationale des Invalides (INI) / CERAH, 47 rue de l’Echat, 94000, Créteil, France;2. Arts et Métiers ParisTech/ Institut de Biomécanique Humaine Georges Charpak, 151 boulevard de l’Hôpital, 75013, Paris, France;3. Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Piazza Lauro de Bosis, 6, 00135, Rome, Italy;1. Department of Rehabilitation Science, Human Motion Analysis Laboratory, Universidade Nove de Julho, São Paulo, Brazil;2. Human Movement Analysis Laboratory, Albert Einstein Hospital, São Paulo, Brazil;3. Department of Anatomy, Santa Marcelina Medical School, São Paulo, Brazil;1. College of Rehabilitation Sciences, University of Manitoba, Canada;2. Department of Psychology, Faculty of Arts, University of Manitoba, Canada;3. Department of Medicine, Division of Geriatric Medicine, Sir Mortimer B. Davis – Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, Quebec, Canada;4. Department of Neurology, Geneva University Hospital and University of Geneva, Switzerland
Abstract:BackgroundTreadmill desks have been used extensively to increase physical activity and decrease sedentary time in the work environment. However, dual tasking, such as simultaneously walking and performing a cognitive task, may result in diminished performance in one or both tasks.Research questionDo age and sex impact ability to dual task while using a treadmill desk at a preferred walking speed?.MethodsA total of n = 24 younger (range of 18–24 years, mean age = 21.1 ± 1.6 years) and n = 25 older (range of 45–65 years, mean age = 53.0 ± 5.1 years) adults self-selected a comfortable walking speed ranging from 0.5 to 2.0 mph and performed the Stroop Color & Word test (measuring Inhibition) and the Sternberg Test of Working Memory (measuring Working Memory) while walking at their chosen speed on a treadmill desk and while seated. Testing was performed in two separate sessions with the order counterbalanced. Step length, stride length, gait cycle time, and coefficient of variation (CV) for each were measured using OptoGait software, and both reaction time and accuracy for the two cognitive tests were assessed. Dual Task Cost (DTC) was calculated by using the formula (Single task score – Dual task score)/Single task score)*100.ResultsYounger adults had faster reaction time compared to older adults for both Working Memory and Inhibition tests (p < 0.05), and both males and females had slower reaction time for the Working Memory test when seated compared to walking (p < 0.05). For DTC, older adults had greater stride length CV during the Working Memory task (32.0 % vs 19.6 %), and regardless of age or sex, DTC for gait was greater than for cognition.SignificanceThese data provide evidence that while aging does decrease reaction time while dual tasking, few age differences and no sex differences were found in dual task cost. However, dual tasking results in diminished gait DTC compared to cognition DTC regardless of age or sex.
Keywords:Treadmill desk  Gait  Cognition  Inhibition  Working memory
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