%0 Journal Article %J J Geriatr Psychiatry Neurol %D 2013 %T Functional limitations in older adults who have cognitive impairment without dementia. %A Tanya R Gure %A Kenneth M. Langa %A Gwenith G Fisher %A John D Piette %A Brenda L Plassman %K Activities of Daily Living %K Age Factors %K Aged %K Aged, 80 and over %K Cognitive Dysfunction %K Dementia %K Female %K Humans %K Male %K Neuropsychological tests %K Severity of Illness Index %K Surveys and Questionnaires %X

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.

%B J Geriatr Psychiatry Neurol %V 26 %P 78-85 %8 2013 Jun %G eng %N 2 %1 http://www.ncbi.nlm.nih.gov/pubmed/23559664?dopt=Abstract %2 PMC3726208 %4 ADAMS/Cognitive Impairment/ADL and IADL Impairments/Physical health/Dementia/Functional limitation %$ 68962 %R 10.1177/0891988713481264