@article {7799, title = {Functional limitations in older adults who have cognitive impairment without dementia.}, journal = {J Geriatr Psychiatry Neurol}, volume = {26}, year = {2013}, note = {NLM Title Abbreviation: J Geriatr Psychiatry Neurol}, month = {2013 Jun}, pages = {78-85}, 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.

}, 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}, issn = {0891-9887}, doi = {10.1177/0891988713481264}, author = {Tanya R Gure and Kenneth M. Langa and Gwenith G Fisher and John D Piette and Brenda L Plassman} }