Title | Functional limitations in older adults who have cognitive impairment without dementia. |
Publication Type | Journal Article |
Year of Publication | 2013 |
Authors | Gure, TR, Langa, KM, Fisher, GG, Piette, JD, Plassman, BL |
Journal | J Geriatr Psychiatry Neurol |
Volume | 26 |
Issue | 2 |
Pagination | 78-85 |
Date Published | 2013 Jun |
ISSN Number | 0891-9887 |
Keywords | Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Cognitive Dysfunction, Dementia, Female, Humans, Male, Neuropsychological tests, Severity of Illness Index, Surveys and Questionnaires |
Abstract | OBJECTIVE: To characterize the prevalence of functional limitations among older adults with cognitive impairment without dementia (CIND). METHODS: Secondary data analysis was performed using the Aging, Demographics, and Memory Study data set. A total of 856 individuals aged ≥ 71 years were assigned to 3 diagnostic cognitive categories. A questionnaire was completed by a proxy informant regarding functional limitations for 744 of the 856 respondents. RESULTS: Of the 744 patients, 263 (13.9%) had dementia, 201 (21.3%) had CIND, and 280 (64.8%) had normal cognition. Informants reported ≥1 instrumental activities of daily living (ADLs) limitation in 45% of the patients with CIND compared to 13% of the patients with normal cognition and 85% of the patients with dementia (P < .001). The ADL impairments among individuals with CIND were primarily attributed to physical health problems (n = 41; 40%). CONCLUSIONS: Many individuals with CIND have impairment in a range of complex and basic daily activities, largely due to physical health problems. |
Notes | NLM Title Abbreviation: J Geriatr Psychiatry Neurol |
DOI | 10.1177/0891988713481264 |
User Guide Notes | |
Endnote Keywords | ADAMS/Cognitive Impairment/ADL and IADL Impairments/Physical health/Dementia/Functional limitation |
Endnote ID | 68962 |
Alternate Journal | J Geriatr Psychiatry Neurol |
Citation Key | 7799 |
PubMed ID | 23559664 |
PubMed Central ID | PMC3726208 |
Grant List | DK 020572 / DK / NIDDK NIH HHS / United States U01 AG09740 / AG / NIA NIH HHS / United States P60 DK020572 / DK / NIDDK NIH HHS / United States R01 AG027010-02S1 / AG / NIA NIH HHS / United States R01 AG027010 / AG / NIA NIH HHS / United States P30 DK020572 / DK / NIDDK NIH HHS / United States UL1 RR024986 / RR / NCRR NIH HHS / United States U01 AG009740 / AG / NIA NIH HHS / United States P30 DK092926 / DK / NIDDK NIH HHS / United States R01 AG030155 / AG / NIA NIH HHS / United States |