Studies have shown that parkinsonian signs are related to cognitive
function in aging. What remains unclear is whether this association is
stronger for some cognitive domains than it is for others, and precisely
how much variability in global and specific cognitive functions is
explained by the motor signs. We examined the associations between four
parkinsonian signs (gait, rigidity, bradykinesia, tremor) and five
cognitive domains (episodic memory, semantic memory, working memory,
perceptual speed, visuospatial ability) in a large cohort of older persons
who were free of Parkinson's disease and dementia and were
participating in the Rush Memory and Aging Project. In a series of
regression equations that controlled for age, sex, and education, higher
levels of three signs (gait, rigidity, and bradykinesia) were related to
lower levels of cognitive function, but they accounted for less than 5% of
the variance in most measures. The results did not change when the
presence of depressive symptoms, diabetes, and hypertension were added to
the models. The cross-sectional association between parkinsonian signs and
cognitive function did not vary substantially across specific cognitive
domains or specific cognitive tests. The results suggest that parkinsonian
signs have a modest, but statistically reliable, association with level of
cognitive function in old age. (JINS, 2005, 11,
591–597.)