Cognitive function and functional ability. A cross- sectional and longitudinal study at ages 85 and 95 in a non-demented population

Steen, Göran O.; Sonn, Ulla; Hanson, A. Börjesson; Steen, Bertil

doi:10.1007/bf03351528

Cited by 29 publications

(34 citation statements)

References 24 publications

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“…Although the individuals considered a basic activity such as taking a shower to be more difficult than an instrumental activity such as using the phone, the hierarchy of functional losses is not related to the individual classification of difficulty, but to the order of functional losses as part of the natural process of aging 10 . As was demonstrated in several investigations 3,23 , results of the present study point to a hierarchy of motor impairments in elderly people with cognitive deficits.…”

Section: A) B)supporting

confidence: 87%

“…The ability to execute complex tasks as IADL is first lost. Progression of the disease leads to impaired ability to perform tasks related to BADL 23 . Njegovan et al 3 studied a cohort of 5,874 elderly people living in the community for 5 years.…”

Section: A) B)mentioning

confidence: 99%

“…Despite the evidence for a hierarchy in the progression of functional deficits 3,23 , one study refuted this assumption. Thomas et al 7 examined the psychometric properties of a questionnaire with combined items of BADL and IADL with a sample of 8,900 elderly living in the community.…”

Section: A) B)mentioning

confidence: 99%

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Avaliação das atividades de vida diária de idosos com diferentes níveis de demência

Marra

Pereira²,

Faria³

et al. 2007

Rev. bras. fisioter.

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Objective: To compare the performance of elderly people with different levels of severity of dementia using questionnaires on basic activities of daily living (BADLs) and instrumental activities of daily living (IADLs). Also, to verify whether there were any association between the IADL questionnaires applied. Method: Ninety elderly people, aged 75.46 ± 7.66 years with a clinical diagnosis of dementia (DSM-IV/APA) who were seen at the Minas Gerais Reference Center for the Elderly, were randomized selected and classified according to the level of severity of their dementia (Clinical Dementia Rating). Their BADLs were assessed using the Katz Index and their IADLs by the Lawton-Brody and Pfeffer indexes. The Kruskal-Wallis and Mann-Whitney tests were used in order to investigate the elderly people's performance regarding BADLs, while the Spearman correlation was used to investigate the relationships among the IADL (α< 0.05). Results: Statistically significant differences in performance were found between the elderly people with different levels of severity of dementia, as assessed by the BADL and IADL questionnaires (p< 0.001). The IADL questionnaires presented significant correlation for the total sample (p< 0.0001; r = -0.818) as well as for the groups with mild dementia (p= 0.007; r = -0.530) and severe dementia (p< 0.0001; r = -0.723). Conclusion: The severity of the dementia process interfered with the elderly people's performance of the elderly in BADLs and IADLs. The IADLs were more affected in the early stages of dementia whereas the BADLs were more affected in the more advanced stages. Despite structural particularities, the IADL questionnaires utilized seemed to be measuring a common construct. The variability in the clinical condition of the individuals with moderate dementia may be an explanation for the lack of correlation between the questionnaires in this specific group.

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Section: A) B)supporting

confidence: 87%

Section: A) B)mentioning

confidence: 99%

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Avaliação das atividades de vida diária de idosos com diferentes níveis de demência

Marra

Pereira²,

Faria³

et al. 2007

Rev. bras. fisioter.

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“…Nevertheless, there was no significant difference on cognition, balance, and activities of daily living between both groups. Being older might have a negative influence on cognition, balance and independence in activities of daily living, as usually reported 21,22 . The aging process is associated with a 15% decline in strength during the sixth and seventh decade, with a 30% decline each decade 22,23 .…”

Section: Discussionmentioning

confidence: 93%

“…Being older might have a negative influence on cognition, balance and independence in activities of daily living, as usually reported 21,22 . The aging process is associated with a 15% decline in strength during the sixth and seventh decade, with a 30% decline each decade 22,23 . This is one of the contributing factors for limited capacity of coordination and static and dynamic balance control 21 .…”

Section: Discussionmentioning

confidence: 93%

Role of physical activity on the maintenance of cognition and activities of daily living in elderly with Alzheimer's disease

Arcoverde

Deslandes

Rangel

et al. 2008

Arq. Neuro-Psiquiatr.

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-Background:The practice of physical activities has proved to be an efficient strategy in the improvement of independency and cognitive functions in the elderly with Alzheimer's disease (AD). Objective: To evaluate the relation between the practice of physical activity, cognition and activities of daily living (ADL) of patients with AD. Method: The cognitive and physical aspects and ADL were evaluated of 37 elders (19 normal controls, 11 sedentary with AD and 7 active with AD). Results: The variable that best predicts the cognitive state (MMSE) is the duration of disease for the AD sedentary group and Lawton's Scale for the AD active group. We observed a correlation between MMSE score and duration of disease in the sedentary group and between MMSE and ADL in the active group. Conclusion: Our study showed that physical and cognitive stimulation in patients with AD can contribute to decrease cognitive and functional decline.KEy WOrDS: Alzheimer's disease, cognition, ADL, physical exercise, mobility. Papel da atividade física na manutenção da cognição e atividades de vida diária em idosos com doença de alzheimerResumo -Fundamento: A prática de atividade física tem se mostrado uma estratégia eficaz na melhora da independência e das funções cognitivas em idosos com doença de Alzheimer (DA). Objetivo: Avaliar a relação entre a prática de atividade física, a cognição e as atividades de vida diária (AVD) em pacientes com DA. Método: Foram avaliados os aspectos cognitivos, físicos e as AVD de 37 idosos (19 controles normais, 11 com DA sedentários e 7 com DA ativos). Resultados: A variável que melhor prediz o estado cognitivo (MEEM) foi o tempo de doença para o grupo DA sedentários e a Escala de Lawton para o grupo DA ativo. Observou-se correlação entre MEEM e tempo de doença no grupo sedentário e MEEM e AVD no grupo ativo. Conclusão: O nosso estudo mostrou que a estimulação física e cognitiva em pacientes com DA pode contribuir na diminuição do declínio cognitivo e funcional. PALAVrAS-chAVE: doença de Alzheimer, AVD, cognição, exercício físico, mobilidade. The practice of physical activity is associated to a lower prevalence and incidence of dementia and cognitive decline [1][2][3] . A recent study 1 found that healthy elderly who exercised regularly were 32% less prone to developing dementia than a control group of sedentary subjects. Low levels of functional capacity are associated with the risk of dementia whereas a three-day weekly exercise regimen seems to contribute to a protective effect. convincing evidence has also been presented regarding the improvement of the cognitive functioning with aerobic training independently of the type, duration, and intensity of the physical activity, mainly on the executive processes 4 . Activities of daily living (ADL) and cognition in Alzheimer's disease (AD) decline according to a temporal and parallel hierarchy 5 . Furthermore, the impairments on the ADL may be related to motor changes and neurological manifestations which occur along the progression of AD, such as ext...

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Current Awareness

2001

Int J Geriat Psychiatry

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Books, Reviews & Symposia; 2 General; 3 Assessment; 4 Epidemiology; 5 Therapy; 6 Care; 7 Dementia; 8 Depression; 9 Psychology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

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Cognitive function and functional ability. A cross- sectional and longitudinal study at ages 85 and 95 in a non-demented population

Cited by 29 publications

References 24 publications

Avaliação das atividades de vida diária de idosos com diferentes níveis de demência

Avaliação das atividades de vida diária de idosos com diferentes níveis de demência

Role of physical activity on the maintenance of cognition and activities of daily living in elderly with Alzheimer's disease

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