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
JournalJournal of geriatric psychiatry and neurology
KeywordsHealth Conditions and Status

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.


NLM Title Abbreviation: J Geriatr Psychiatry Neurol

Endnote Keywords

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

Endnote ID


Citation Key7799
PubMed ID23559664
PubMed Central IDPMC3726208