Neuropsychological screening performance and the association with activities of daily living and instrumental activities of daily living in dementia: baseline and 18- to 24-month follow-up

2011 ◽  
Vol 27 (2) ◽  
pp. 197-204 ◽  
Author(s):  
Linda Monaci ◽  
Robin G. Morris
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Neuropsychological Screening ◽  
Instrumental Activities ◽  
Screening Performance

Functional recovery and instrumental activities of daily living: follow-up 1-year after treatment in a stroke unit

Brain Injury ◽  
2002 ◽  
Vol 16 (3) ◽  
pp. 207-216 ◽  
Author(s):  
Francisco Javier Carod-Artal ◽  
José Luis González-Gutiérrez ◽  
José Antonio Egido Herrero ◽  
Thomas Horan ◽  
Eduardo Varela De Seijas
Keyword(s):  
Activities Of Daily Living ◽  
Functional Recovery ◽  
Daily Living ◽  
Stroke Unit ◽  
Instrumental Activities

Mortality in Relation to Instrumental Activities of Daily Living: One-year Follow-up in a Japanese Urban Community

1989 ◽  
Vol 44 (3) ◽  
pp. S107-S109 ◽  
Author(s):  
W. Koyano ◽  
H. Shibata ◽  
K. Nakazato ◽  
H. Haga ◽  
Y. Suyama ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Urban Community ◽  
Instrumental Activities ◽  
One Year

Impairment in instrumental activities of daily living with high cognitive demand is an early marker of mild cognitive impairment: the Sydney Memory and Ageing Study

2013 ◽  
Vol 43 (11) ◽  
pp. 2437-2445 ◽  
Author(s):  
S. Reppermund ◽  
H. Brodaty ◽  
J. D. Crawford ◽  
N. A. Kochan ◽  
B. Draper ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Cognitive Demand ◽  
Functional Abilities ◽  
Amnestic Mci ◽  
Instrumental Activities ◽  
High Cognitive Demand

BackgroundCriteria for mild cognitive impairment (MCI) consider impairment in instrumental activities of daily living (IADL) as exclusionary, but cross-sectional studies suggest that some high-level functional deficits are present in MCI. This longitudinal study examines informant-rated IADL in MCI, compared with cognitively normal (CN) older individuals, and explores whether functional abilities, particularly those with high cognitive demand, are predictors of MCI and dementia over a 2-year period in individuals who were CN at baseline.MethodA sample of 602 non-demented community dwelling individuals (375 CN and 227 with MCI) aged 70–90 years underwent baseline and 24-month assessments that included cognitive and medical assessments and an interview with a knowledgeable informant on functional abilities with the Bayer Activities of Daily Living Scale.ResultsSignificantly more deficits in informant-reported IADL with high cognitive demand were present in MCI compared with CN individuals at baseline and 2-year follow-up. Functional ability in CN individuals at baseline, particularly in activities with high cognitive demand, predicted MCI and dementia at follow-up. Difficulties with highly cognitively demanding activities specifically predicted amnestic MCI but not non-amnestic MCI whereas those with low cognitive demand did not predict MCI or dementia. Age, depressive symptoms, cardiovascular risk factors and the sex of the informant did not contribute to the prediction.ConclusionsIADL are affected in individuals with MCI, and IADL with a high cognitive demand show impairment predating the diagnosis of MCI. Subtle cognitive impairment is therefore likely to be a major hidden burden in society.

P1-333: DETECTING CLINICALLY RELEVANT CHANGES IN DEMENTIA USING INSTRUMENTAL ACTIVITIES OF DAILY LIVING: A LONGITUDINAL VALIDATION STUDY WITH 3, 6, 9 AND 12 MONTHS FOLLOW-UP

2006 ◽  
Vol 14 (7S_Part_7) ◽  
pp. P420-P420
Author(s):  
Merike Verrijp ◽  
Mark A. Dubbelman ◽  
Roos J. Jutten ◽  
Nina Beker ◽  
Linda M.P. Wesselman ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Validation Study ◽  
Daily Living ◽  
Instrumental Activities

scholarly journals Instrumental Activities of Daily Living Difficulties Predict Cognitive Decline in Older Puerto Rican Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 238-239
Author(s):  
Caitlin Pope ◽  
Tyler Bell ◽  
Brian Downer ◽  
Sadaf Milani ◽  
Lauren Roach ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Cognitive Decline ◽  
Puerto Rican ◽  
Daily Living ◽  
The United States ◽  
Community Dwelling ◽  
Instrumental Activities ◽  
Bidirectional Association ◽  
Bidirectional Associations

Abstract Given the hypothesized bidirectional association between functional and cognitive decline, further characterization of the temporal association between the two is needed, especially in Latinx samples as they are the most rapidly growing demographic in the United States and at greater risk for Alzheimer’s disease. This study assessed bidirectional associations between instrumental activities of daily living (IADL) difficulty and cognition in older Puerto Rican adults. Participants included 2,840 community-dwelling adults (60+ years) without cognitive impairment who completed baseline and a four-year follow-up in the Puerto Rican Elderly: Health Conditions (PREHCO) project. At each wave, cognition (using the Mini-Mental Cabán) and self-reported IADL difficulty (a sum score of 10 everyday tasks) were measured. Covariates included age, gender, education, comorbidities, and depressive symptoms. Bidirectional associations were tested using a path model with concurrent and cross-lagged paths between cognition and IADL difficulty adjusting for covariates. Lower baseline cognition related to more baseline IADL difficulty (B=-0.08, SE=0.02, p<.001). Cognitive decline at follow-up related to greater IADL difficulty at follow-up (B=-0.06, SE=0.02, p=.012). Looking at cross-lagged associations, greater baseline IADL difficulty associated with more cognitive decline at follow-up (B=-0.10, SE=0.04, p=.012). However, baseline cognition was not significantly associated with change in IADL difficulty at follow-up (B=-0.003, SE=0.02, p=.869). Findings support the growing body of literature that IADL difficulties can predict future cognitive decline in samples of community-dwelling older adults. More research into both functional and cognitive decline in Latinx samples will provide a more generalizable view of aging.

[P1-294]: CHANGE OF INSTRUMENTAL ACTIVITIES OF DAILY LIVING IN THE PRESENCE OF NEUROPSYCHIATRIC SYMPTOMS IN PATIENTS WITH MCI AND AD: A SIX-MONTH FOLLOW-UP

2017 ◽  
Vol 13 (7S_Part_7) ◽  
pp. P363-P364
Author(s):  
Airam Campos ◽  
Loreli Alvarez ◽  
Gilberto Isaac Acosta-Castillo ◽  
Claudia I. Astudillo-Garcia ◽  
Ana Luisa Sosa-Ortiz
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Neuropsychiatric Symptoms ◽  
Instrumental Activities

scholarly journals Factors associated with basic and instrumental activities of daily living in elderly participants of a population-based survey: the Nord-Trøndelag Health Study, Norway

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e018942 ◽  
Author(s):  
Siri Høivik Storeng ◽  
Erik R Sund ◽  
Steinar Krokstad
Keyword(s):  
Risk Factors ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Population Based ◽  
Health Study ◽  
Factors Associated ◽  
Self Rated Health ◽  
Instrumental Activities ◽  
Iadl Disability

ObjectivesTo investigate factors associated with the need for assistance in basic and instrumental activities of daily living in Norwegian elderly.DesignProspective cohort study.SettingThe Nord-Trøndelag Health Study (HUNT), a large population-based health survey in Norway.Participants5050 individuals aged 60–69 years old at baseline in HUNT2 (1995–1997) who also participated in HUNT3 (2006–2008) were included in the study. 676/693 individuals were excluded in the analyses due to missing outcomes.OutcomesNeeding assistance in one or more basic or instrumental activities of daily living reported in HUNT3.ResultsIn adjusted multinomial logistic regression analyses, poor self-rated health and depression were the strongest risk factors for needing assistance in one or more basic activities of daily living in HUNT3, with ORs of 2.13 (1.35 to 3.38) and 1.58 (0.91 to 2.73). Poor self-rated health and poor life satisfaction were the strongest risk factors for needing assistance in one or more instrumental activities of daily living in HUNT3, with ORs of 2.30 (1.93 to 2.74) and 2.29 (1.86 to 2.81), respectively. Excessive sitting time, short or prolonged sleeping time, and physical inactivity seemed to be the most important lifestyle risk factors for basic/instrumental activities of daily living (ADL/IADL) disability. The studied factors were, in general, greater risk factors for mortality during follow-up than for ADL/IADL disability. Smoking was the strongest risk factor for mortality during follow-up and non-participation in HUNT3. Smoking and low social participation were the strongest risk factors for non-participation in HUNT3.ConclusionsSubjective health perception, life satisfaction and depression were the strongest risk factors for needing assistance in one or more basic/instrumental activities of daily living later in life. These factors could be possible targets for prevention purposes.

scholarly journals Trends in Risk of Limitations in Instrumental Activities of Daily Living Over Age in Older Persons With and Without Multiple Chronic Conditions

2019 ◽  
Vol 75 (1) ◽  
pp. 197-203 ◽  
Author(s):  
Sigrid Mueller-Schotte ◽  
Nicolaas P A Zuithoff ◽  
Yvonne T Van der Schouw ◽  
Marieke J Schuurmans ◽  
Nienke Bleijenberg
Keyword(s):  
Activities Of Daily Living ◽  
Chronic Conditions ◽  
Daily Living ◽  
Older Persons ◽  
Interquartile Range ◽  
Community Living ◽  
Multiple Chronic Conditions ◽  
Instrumental Activities ◽  
The Impact

Abstract Background To investigate trends over age by comorbidity status for the risk of limitations in individual activities of daily living for community-living older persons. Methods A longitudinal population-based study was conducted in 9,319 community-living Dutch persons aged 60 years and older. Self-reported multiple chronic conditions (MCC) and nine instrumental activities of daily livings (IADLs) were assessed in 15 studies of the Dutch National Care for the Elderly Program (TOPICS-MDS). Risks of limitations in IADLs, odds ratios (per 5 years), and rate ratios (per 5 years) were calculated with mixed logistic and negative binomial regression models with age as the underlying timescale, stratified by number of MCC (no, 1–2, ≥ 3 MCC), and corrected for confounders. Results At inclusion, the number of IADL limitations was highest for the “≥3 MCC” group (2.00 interquartile range [1.00–4.00]) and equal for “no MCC” or “1–2 MCC” (1.00 interquartile range [0.00–2.00]). Trends of individual IADLs depicted a higher risk in IADL limitation with increasing age over 2 years of follow-up, except for handling finances for the “no MCC” group. The longitudinal age effect on IADL limitations varied subject to MCC, being strongest for the “no MCC” group for most IADLs; grooming and telephone use were almost unaltered by age and MCC. Conclusion We observed a decline in IADL functioning with increasing age over 2 years of follow-up in persons with and without MCC. The impact of MCC on IADL decline varied per IADL activity.

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