Functional limitations in older adults who have cognitive impairment without dementia.

TitleFunctional limitations in older adults who have cognitive impairment without dementia.
Publication TypeJournal Article
Year of Publication2013
AuthorsGure, TR, Langa, KM, Fisher, GG, Piette, JD, Plassman, BL
JournalJ Geriatr Psychiatry Neurol
Volume26
Issue2
Pagination78-85
Date Published2013 Jun
ISSN Number0891-9887
KeywordsActivities 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

<p><b>OBJECTIVE: </b>To characterize the prevalence of functional limitations among older adults with cognitive impairment without dementia (CIND).</p><p><b>METHODS: </b>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.</p><p><b>RESULTS: </b>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%).</p><p><b>CONCLUSIONS: </b>Many individuals with CIND have impairment in a range of complex and basic daily activities, largely due to physical health problems.</p>

Notes

NLM Title Abbreviation: J Geriatr Psychiatry Neurol

DOI10.1177/0891988713481264
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/23559664?dopt=Abstract

Endnote Keywords

ADAMS/Cognitive Impairment/ADL and IADL Impairments/Physical health/Dementia/Functional limitation

Endnote ID

68962

Alternate JournalJ Geriatr Psychiatry Neurol
Citation Key7799
PubMed ID23559664
PubMed Central IDPMC3726208
Grant ListU01 AG009740 / AG / NIA NIH HHS / United States
P30 DK092926 / DK / NIDDK NIH HHS / United States
R01 AG030155 / AG / NIA NIH HHS / United States
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