Lorenzo López, LauraCampos Magdaleno, MaríaLópez-López, RocíoFacal Mayo, DavidPereiro Rozas, Arturo X.Maseda, AnaBlanco-Fandiño, JuliaMillán-Calenti, José Carlos2025-10-072025-10-072020Lorenzo-López, L., Campos-Magdaleno, M., López-López, R., Facal, D., Pereiro, A. X., Maseda, A., Blanco-Fandiño, J., & Millán-Calenti, J. C. (2020). Dual and triple tasks performance in institutionalized prefrail and frail older adults. International Journal of Geriatric Psychiatry, 35(11), 1358-1366https://hdl.handle.net/10347/42990This is the peer reviewed version of the following article: Lorenzo-López, L., Campos-Magdaleno, M., López-López, R., Facal, D., Pereiro, A. X., Maseda, A., Blanco-Fandiño, J., & Millán-Calenti, J. C. (2020). Dual and triple tasks performance in institutionalized prefrail and frail older adults. International Journal of Geriatric Psychiatry, 35(11), 1358-1366, which has been published in final form at https://doi.org/10.1002/gps.5375. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.Objective: The aim of this pilot study was to investigate differences on dual- and triple-task performance in institutionalized prefrail and frail older adults. Performance on these tasks is relevant since many activities of daily living involve simultaneous motor and cognitive tasks. Methods: We used a phenotypic description of frailty based on the presence or absence of five criteria related to physical fitness and metabolism (unintentional weight loss, self-reported exhaustion, muscle weakness, low gait speed, and low physical activity). Thirty-three institutionalized older adults (≥ 65 years, 78.8% females) were divided according to their frailty status. Participants completed cognitive tasks (a phonemic verbal fluency task and a visuospatial tracking task) while cycling on a stationary cycle (upper- and lower-extremity function was assessed). Cycling (number of arm and foot cycles) and cognitive (number of correct answers) performances were measured during single-, dual-, and triple-task conditions. Performances and costs of dual -and triple- tasking on cycling and cognitive performances were compared between prefrail and frail groups. Results: Prefrail and frail older adults did not differ in their performance in dual-tasks; however, frail older adults showed a poorer performance in the triple-task. Conclusions: Although future studies need to confirm our observations in larger samples, this pilot study suggests that developing new tools based on triple tasking could be useful for the comprehensive assessment of frailty.engAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Cognitive ageingDual-tasksFrail older adultsMultiple-tasksTriple-tasks610803 Senectudjournal article10.1002/gps.53751099-1166open access