Monitoring reaction time to digital device in the very-old to detect early cognitive decline.

IF 4.1 Q2 GERIATRICS & GERONTOLOGY npj aging Pub Date : 2024-09-06 DOI:10.1038/s41514-024-00167-z
Yukari Yamada, Tadahisa Okuda, Tomoe Uchida, Tatsuyoshi Ikenoue, Shingo Fukuma
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Abstract

Early detection of cognitive decline is essential for timely intervention and effective management of age-related impairments. We monitored repetitive reaction times to a simple task on senior-friendly tablet computers among 72 functionally independent older adults, with a mean age of 82, ranging up to 100 years, within natural settings over two years. Functional principal component analyses revealed a consistent decrease in reaction time in line with their task experience among those without subjective cognitive decline. Conversely, individuals reporting subjective cognitive decline showed no consistent trend and exhibited wide variability over time. These distinctive reaction time trajectories in very old adults suggest the potential for monitoring as a non-invasive, convenient method for early detection of cognitive impairment.

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监测老年人对数字设备的反应时间,以发现早期认知功能衰退。
早期发现认知能力下降对于及时干预和有效管理与年龄相关的损伤至关重要。我们在自然环境中对 72 名功能独立的老年人进行了为期两年的简单任务重复反应时间监测,他们的平均年龄为 82 岁,最大年龄为 100 岁。功能主成分分析表明,在没有主观认知能力下降的老年人中,反应时间会随着任务经验的增加而持续缩短。相反,报告主观认知能力下降的人则没有表现出一致的趋势,并且随着时间的推移表现出很大的变化。高龄成年人的这些独特反应时间轨迹表明,监测作为一种非侵入性的早期检测认知障碍的便捷方法,具有很大的潜力。
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