Relationship Between Activities of Daily Living and Attitude Toward Own Aging Among the Elderly in China: A Chain Mediating Model

Wang, Gang; Shi, Juan; Yao, Jin; Fang, Hong

doi:10.1177/0091415019864595

Cited by 14 publications

(8 citation statements)

References 53 publications

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“…The results of this study indicated that the elderly with IADLs decline were 4.635 times more likely to have cognitive impairment than those with independent IADLs. This finding was consistent with the results of previous studies, 11 , 36 which suggest that the decline of IADLs may be an indicator of potential cognitive impairment. Several studies 13 , 14 , 15 have confirmed that visual and hearing difficulties in seniors increase the risk of cognitive impairment, possibly because visual and hearing difficulties limit the ability of seniors to receive and process information and communicate; it is also because those with visual and hearing difficulties have difficulty remembering or recalling information as easily as normal individuals, and were therefore at increased risk for cognitive impairment.…”

Section: Discussionsupporting

confidence: 93%

The interaction between instrumental activities of daily living and dual sensory function on cognition among the elderly in China: A cross‐sectional survey

Liang

Jiang²,

Yang³

et al. 2023

Ibrain

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To explore the interaction of instrumental activities of daily living (IADLs) and dual sensory function on cognition in the elderly. A cross‐sectional survey was conducted in six general hospitals in China, from October 2022 to December 2022. Data collection included general information, IADLs scale, self‐reported sensory function questionnaire, and mini‐mental state examination (MMSE). Binary logistic regression was used to examine the association between factors and cognition. The interactive effect was evaluated by synergy index (S), relative excess risk due to interaction (RERI), and attributable proportion due to interaction (AP). The odds ratio (OR) of IADLs decline in cognition is 4.412 (95% confidence interval [CI]: 3.633–5.358, p < 0.001); the OR of dual sensory difficulty on cognition is 2.502 (95% CI: 1.272–4.921, p = 0.008). The OR of interaction between IADLs decline and dual sensory difficulty on cognition is 13.737 (95% CI: 9.726–19.400, p < 0.001). RERI (95% CI) = 7.823 (3.230–12.417), AP (95% CI) = 0.570 (0.392–0.747), S (95% CI) = 2.593 (1.616–4.160). IADLs decline and dual sensory difficulty are associated with cognitive decline. IADLs decline and dual sensory difficulty have interaction with cognitive decline; the interaction is greater than the sum effect of those two on cognitive decline independently. Sensory and IADLs assessment can be used as early screening items for cognition among the elderly. In addition, protecting sensory function and maintaining IADLs in the elderly can help protect their cognition.

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Section: Discussionsupporting

confidence: 93%

The interaction between instrumental activities of daily living and dual sensory function on cognition among the elderly in China: A cross‐sectional survey

Liang

Jiang²,

Yang³

et al. 2023

Ibrain

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“…The higher attitude scores among urban older people resemble the findings of Hou et al [30]. Various environmental factors can affect perception of and attitudes towards the aging process, including education levels, economic status, and functional independence [31]- [33]. In this study, urban participants had higher education levels.…”

Section: Rural-urban Comparisonssupporting

confidence: 81%

Comparing well-being among rural and urban Indonesian older people: a quantitative analysis of the related factors

Widagdo

Pudjohartono

Meilina

et al. 2022

IJPHS

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<p>Residential area has been identified as a factor that influences the well-being of older people. This study aimed to compare the well-being of older people living in urban and rural areas in Yogyakarta province, Indonesia, and analyze the predictors of well-being. A total of 141 (79 rural and 62 urban) older people participated in this study. Well-being was assessed using the world health organization-five (WHO-5) well-being index. The factors measured included sociodemographic data (age, sex, educational level, living arrangements, and current employment status), physical function, cognitive function, depression, independence, and attitude towards aging. Data of the two groups were compared using t-tests and Chi-square analysis. Correlations with well-being were analyzed using univariate correlation and multivariate hierarchical regression. The urban group had slightly older age, higher education, lower mobility and balance, higher attitude scores, and higher well-being. Depression was a significant variable in well-being for both communities. Physical capacity was an important factor in urban populations, while well-being in rural areas was better predicted by independence and cognitive function. The results suggest that there are similar and different correlates of the well-being of rural and urban older people, recommending different programs to enhance the well-being of older people living in different areas.</p>

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“…It is well known that natural aging in the elderly is associated with cognitive decline, and many elderly people experience a gradual decline in cognitive function with age (22). In addition, the results of several previous studies in elderly patients over 65 years of age have shown that the ability of daily living is closely related to cognitive function (9,23,24), ADL score was negatively correlated with cognitive function score (25), whereas IADL is goal-oriented and includes more complex functional abilities such as cooking, handling nances, shopping, etc(26-28), good IADL is one of the reasons for good cognitive function (23), thinning of the medial temporal cortex caused by mild changes in IADL is associated with cognitive decline (29). It has also been shown that the changes in hippocampal volume or white matter in patients with cognitive impairment are independently related to the ability of daily life, which also implies the clinical value of the ADLs & IADLs (30).…”

Section: Discussionmentioning

confidence: 99%

The correlation between Comprehensive Geriatric Assessment parameters and cognitive impairment in elderly inpatients

Liang

Yang

et al. 2022

Preprint

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Background: Cognitive impairment is common in elderly inpatients and is associated with many diseases and leads to adverse outcomes. However, there is currently no reversible treatment, so preventing cognitive impairment is critical. Objective: Statistical methods were used to explore the correlation between the Comprehensive Geriatric Assessment and cognitive impairment in elderly inpatients. Methods: A cross-sectional study of 168 hospitalized patients aged 60 years and older from the Comprehensive Geriatric Assessment database was conducted. Develop a Comprehensive Geriatric Assessment checklist to screen for general characteristics, the ability of daily life, geriatric depression, frailty, nutritional status, anthropometric measurements (body mass index, body fat percentage, and lower limb muscle mass), and blood biochemical markers (hemoglobin, albumin, prealbumin, triglycerides, low density lipoprotein cholesterol, high density lipoprotein cholesterol, and fasting blood glucose). Mini-mental State Examination was also conducted for each elderly patient to screen for cognitive impairment. Multiple linear logistic regression analysis was used to determine the correlation between Comprehensive Geriatric Assessment parameters and geriatric cognitive impairment. Results: Finally, there were 26 patients (15.48%) in the cognitive impairment group with a median age of 89.00 years, and 142 patients (84.52%) in the normal cognitive function group with a median age of 79.00 years. Patients in the cognitive impairment group were older (P<0.001), had poorer ability of daily life (P<0.001), and had higher low density lipoprotein cholesterol concentrations (P=0.002) compared with the control group. In the multiple linear logistic regression analysis, Mini-mental State Examination scores was inversely associated with age (β=-0.089, P<0.001), activities of daily living and instrumental activities of daily living scores (β=-0.146, P<0.001), and low density lipoprotein cholesterol concentrations (β=-0.906, P<0.001). Conclusion: Our findings suggest that Comprehensive Geriatric Assessment parameters such as age, the ability of daily life, and low density lipoprotein cholesterol concentrations are associated with cognitive impairment. Mini-mental State Examination scores were inversely correlated with age, activities of daily living and instrumental activities of daily living scores, and low-density lipoprotein cholesterol concentrations. Improving the ability to perform daily living and low-density lipoprotein cholesterol concentrations may help prevent cognitive impairment.

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Relationship Between Activities of Daily Living and Attitude Toward Own Aging Among the Elderly in China: A Chain Mediating Model

Cited by 14 publications

References 53 publications

The interaction between instrumental activities of daily living and dual sensory function on cognition among the elderly in China: A cross‐sectional survey

The interaction between instrumental activities of daily living and dual sensory function on cognition among the elderly in China: A cross‐sectional survey

Comparing well-being among rural and urban Indonesian older people: a quantitative analysis of the related factors

The correlation between Comprehensive Geriatric Assessment parameters and cognitive impairment in elderly inpatients

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