Instrumental activities of daily living in the screening of dementia in population studies: a systematic review and meta‐analysis

Castilla-Rilo, Juan; López‐Arrieta, Jesús; Bermejo‐Pareja, Félix; Ruiz, Miguel Á.; Sánchez-Sánchez, Fernando; Trincado, Rocío

doi:10.1002/gps.1747

Cited by 58 publications

(44 citation statements)

References 21 publications

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“…81 IADL scales have been shown to be 'reliable, sensitive and responsive' and useful in dementia screening in a heterogeneous Indian population 83 , with acceptable efficiency for dementia screening. 84 They have been shown to compare favourably against the MMSE when administered by General Practitioners and have the advantage of being simple and nonthreatening to administer. 85 It has been shown that subjects who performed poorly on ?…”

Section: African Journal Of Psychiatry • November 2013mentioning

confidence: 99%

Mild cognitive impairment and dementia in a heterogeneous elderly population: prevalence and risk profile

et al. 2013

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Objective: To describe the demographic, clinical and risk profile of Mild Cognitive Impairment and dementia in a sample of elderly South Africans within a residential setting. Method: One hundred and forty participants residing in a group of residential homes for the elderly were assessed by psychiatrists and assigned diagnoses of dementia or Mild Cognitive Impairment (MCI). Participants diagnosed with dementia were also offered haematological investigations and a CT scan of the brain. Results: The sample consisted of 140 participants comprising 46.4% White, 29.3% Coloured, 20% Asian and 4.3% Black participants. There were 97 (69.3%) females and 106 (75.7%) participants had less than 12 years of education. Eleven (7.9%) dementia and 38 (27.1%) MCI cases were diagnosed. Increasing age was associated with cognitive impairment (MCI and dementia) (p=.020) but there was no association between gender and cognitive impairment (p=.165). MCI was significantly associated with a lower education level (p=.036) and no association was found between depression (current-p=.646; past-p=.719) and dementia or MCI. The presence of vascular risk factors (n=140) ranged from 66.4% (hypertension) to 14.3% (stroke). Subjective memory complaints were significantly associated with cognitive impairment (p=.001). Except for the use of the telephone (p=.225) and the television (p=.08), impairment in all domains of instrumental activities of daily living that were assessed were significantly associated with a dementia diagnosis. Conclusion: The study showed that cognitive impairment was associated with increasing age and low education levels. The presence of vascular risk factors places this population at risk for future cognitive decline. ?? differences in the risk profile (low levels of cardiovascular risk and hypolipidaemia) in LAMIC populations may be contributing to the lower rates. 1 While the incidence and prevalence of dementia have been extensively studied in Western and European countries 5 there remains a dearth of similar studies from Africa. The few studies conducted in Africa prior to 2000 used small samples and was reported to have used 'non-standardised clinical assessments'. 10 Recent studies from Africa reported prevalence figures ranging from 2.6% to 8.1%. 11,12,13 Dementia studies from South Africa include a Western Cape sample of coloured people 14 , with a prevalence of 8.6%, and a Free State sample of indigenous Sotho-speaking elderly black people 15 , which reported a prevalence of 7.7%. This paper describes the clinical and risk profile of a sample of elderly participants who were assessed for the presence of dementia and MCI. In addition, the value of functional assessments and subjective memory complaints in case-finding are also explored. Keywords MethodThe study consisted of three stages: 1) Administration of dementia screening tools; 2) Clinical diagnostic evaluation for dementia; and 3) Administration of a neuropsychological battery of tests. SampleThe study population comprised residents (N=1450) of a ...

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Section: African Journal Of Psychiatry • November 2013mentioning

confidence: 99%

Mild cognitive impairment and dementia in a heterogeneous elderly population: prevalence and risk profile

et al. 2013

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“…The use of standardized scales assessing IADL in elderly persons experiencing cognitive impairment may be useful in addition to commonly used cognitive tests for an earlier, more accurate diagnosis of MCI and prediction of dementia [1]. There is a large variability in measuring IADL and more research is needed regarding the relationship between IADL and cognitive processes [12,13]. …”

Section: Introductionmentioning

confidence: 99%

Disability in Instrumental Activities of Daily Living in Elderly Patients with Mild Cognitive Impairment and Alzheimer‘s Disease

Hesseberg

Bentzen

Ranhoff

et al. 2013

Dement Geriatr Cogn Disord

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Background/Aims: The aim is toexamine disability in instrumental activities of daily living (IADL) in elderly persons with mild cognitive impairment (MCI) and Alzheimer‘s disease (AD), further to identify items of IADL which separate the two conditions and to explore potential gender differences. Methods: A cross-sectional study of 729 patients aged ≥65 years recruited from outpatient memory clinics. Multiple logistic regression analysis was used in the main analysis to explore the association between IADL and diagnosis. Results and Conclusions: We found an association between IADL and diagnosis, and a difference in the proportion of disability in IADL in patients with MCI and AD, i.e. 66 and 88%, respectively. Six of the 8 items revealed differences in the proportions of patients with IADL disability among MCI and AD. No substantial gender differences were found, except for laundry.

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“…We enjoyed reading the systematic review and meta-analysis of Castilla-Rilo et al (2007) concerning IADL in the screening for dementia in population studies. This is an interesting topic because an IADL scale might be a short and simple screening instrument for dementia.…”

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confidence: 99%

“…BADL contains basic self-maintenance skills and IADL more complex activities of daily living (Lawton and Brody, 1969). In the article of Castilla-Rilo et al (2007) the terms 'functional assessment' and 'IADL' are used interchangeable, while they are in fact separate terms. Moreover, no clear distinction was made between scales measuring exclusively IADL and scales measuring functional status.…”

mentioning

confidence: 99%

Instrumental activities of daily living in the screening of dementia in population studies: comment on Castilla‐Rilo et al. (2007)

Sikkes

Klerk²,

Pijnenburg

2007

Int J Geriat Psychiatry

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Instrumental activities of daily living in the screening of dementia in population studies: a systematic review and meta‐analysis

Cited by 58 publications

References 21 publications

Mild cognitive impairment and dementia in a heterogeneous elderly population: prevalence and risk profile

Mild cognitive impairment and dementia in a heterogeneous elderly population: prevalence and risk profile

Disability in Instrumental Activities of Daily Living in Elderly Patients with Mild Cognitive Impairment and Alzheimer‘s Disease

Instrumental activities of daily living in the screening of dementia in population studies: comment on Castilla‐Rilo et al. (2007)

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