scholarly journals Trends in Risk of Limitations in Instrumental Activities of Daily Living Over Age in Older Persons With and Without Multiple Chronic Conditions

2019 ◽  
Vol 75 (1) ◽  
pp. 197-203 ◽  
Author(s):  
Sigrid Mueller-Schotte ◽  
Nicolaas P A Zuithoff ◽  
Yvonne T Van der Schouw ◽  
Marieke J Schuurmans ◽  
Nienke Bleijenberg
Keyword(s):  
Activities Of Daily Living ◽  
Chronic Conditions ◽  
Daily Living ◽  
Older Persons ◽  
Interquartile Range ◽  
Community Living ◽  
Multiple Chronic Conditions ◽  
Instrumental Activities ◽  
The Impact

Abstract Background To investigate trends over age by comorbidity status for the risk of limitations in individual activities of daily living for community-living older persons. Methods A longitudinal population-based study was conducted in 9,319 community-living Dutch persons aged 60 years and older. Self-reported multiple chronic conditions (MCC) and nine instrumental activities of daily livings (IADLs) were assessed in 15 studies of the Dutch National Care for the Elderly Program (TOPICS-MDS). Risks of limitations in IADLs, odds ratios (per 5 years), and rate ratios (per 5 years) were calculated with mixed logistic and negative binomial regression models with age as the underlying timescale, stratified by number of MCC (no, 1–2, ≥ 3 MCC), and corrected for confounders. Results At inclusion, the number of IADL limitations was highest for the “≥3 MCC” group (2.00 interquartile range [1.00–4.00]) and equal for “no MCC” or “1–2 MCC” (1.00 interquartile range [0.00–2.00]). Trends of individual IADLs depicted a higher risk in IADL limitation with increasing age over 2 years of follow-up, except for handling finances for the “no MCC” group. The longitudinal age effect on IADL limitations varied subject to MCC, being strongest for the “no MCC” group for most IADLs; grooming and telephone use were almost unaltered by age and MCC. Conclusion We observed a decline in IADL functioning with increasing age over 2 years of follow-up in persons with and without MCC. The impact of MCC on IADL decline varied per IADL activity.

Functional recovery and instrumental activities of daily living: follow-up 1-year after treatment in a stroke unit

Brain Injury ◽  
2002 ◽  
Vol 16 (3) ◽  
pp. 207-216 ◽  
Author(s):  
Francisco Javier Carod-Artal ◽  
José Luis González-Gutiérrez ◽  
José Antonio Egido Herrero ◽  
Thomas Horan ◽  
Eduardo Varela De Seijas
Keyword(s):  
Activities Of Daily Living ◽  
Functional Recovery ◽  
Daily Living ◽  
Stroke Unit ◽  
Instrumental Activities

Fall related self-efficacy in instrumental activities of daily living predict falls in old community-living people

2013 ◽  
Vol 4 ◽  
pp. S57
Author(s):  
K. Hellström ◽  
M. Sandström ◽  
P. Heideken Wågert ◽  
M. Sandborgh ◽  
A. Söderlund ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Self Efficacy ◽  
Daily Living ◽  
Community Living ◽  
Instrumental Activities

Mortality in Relation to Instrumental Activities of Daily Living: One-year Follow-up in a Japanese Urban Community

1989 ◽  
Vol 44 (3) ◽  
pp. S107-S109 ◽  
Author(s):  
W. Koyano ◽  
H. Shibata ◽  
K. Nakazato ◽  
H. Haga ◽  
Y. Suyama ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Urban Community ◽  
Instrumental Activities ◽  
One Year

Impairment in instrumental activities of daily living with high cognitive demand is an early marker of mild cognitive impairment: the Sydney Memory and Ageing Study

2013 ◽  
Vol 43 (11) ◽  
pp. 2437-2445 ◽  
Author(s):  
S. Reppermund ◽  
H. Brodaty ◽  
J. D. Crawford ◽  
N. A. Kochan ◽  
B. Draper ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Cognitive Demand ◽  
Functional Abilities ◽  
Amnestic Mci ◽  
Instrumental Activities ◽  
High Cognitive Demand

BackgroundCriteria for mild cognitive impairment (MCI) consider impairment in instrumental activities of daily living (IADL) as exclusionary, but cross-sectional studies suggest that some high-level functional deficits are present in MCI. This longitudinal study examines informant-rated IADL in MCI, compared with cognitively normal (CN) older individuals, and explores whether functional abilities, particularly those with high cognitive demand, are predictors of MCI and dementia over a 2-year period in individuals who were CN at baseline.MethodA sample of 602 non-demented community dwelling individuals (375 CN and 227 with MCI) aged 70–90 years underwent baseline and 24-month assessments that included cognitive and medical assessments and an interview with a knowledgeable informant on functional abilities with the Bayer Activities of Daily Living Scale.ResultsSignificantly more deficits in informant-reported IADL with high cognitive demand were present in MCI compared with CN individuals at baseline and 2-year follow-up. Functional ability in CN individuals at baseline, particularly in activities with high cognitive demand, predicted MCI and dementia at follow-up. Difficulties with highly cognitively demanding activities specifically predicted amnestic MCI but not non-amnestic MCI whereas those with low cognitive demand did not predict MCI or dementia. Age, depressive symptoms, cardiovascular risk factors and the sex of the informant did not contribute to the prediction.ConclusionsIADL are affected in individuals with MCI, and IADL with a high cognitive demand show impairment predating the diagnosis of MCI. Subtle cognitive impairment is therefore likely to be a major hidden burden in society.

Fall-Related Self-efficacy in Instrumental Activities of Daily Living is Associated with Falls in Older Community-Living People

2013 ◽  
Vol 31 (2) ◽  
pp. 128-139 ◽  
Author(s):  
Karin Hellström ◽  
Marie Sandström ◽  
Petra Heideken Wågert ◽  
Maria Sandborgh ◽  
Anne Söderlund ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Self Efficacy ◽  
Daily Living ◽  
Community Living ◽  
Instrumental Activities

scholarly journals Do baby boomers feel healthier than earlier cohorts after retirement age? The Lausanne cohort Lc65+ study

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e025175 ◽  
Author(s):  
Yves Henchoz ◽  
Armin von Gunten ◽  
Christophe Büla ◽  
Laurence Seematter-Bagnoud ◽  
David Nanchen ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Activities Of Daily Living ◽  
Baby Boomers ◽  
Chronic Conditions ◽  
Daily Living ◽  
Community Dwelling ◽  
Retirement Age ◽  
Self Perception ◽  
Self Rated Health ◽  
Instrumental Activities

ObjectiveDespite the popular belief that baby boomers are ageing in better health than previous generations, limited scientific evidence is available since baby boomers have turned retirement age only recently. This study aimed to compare self-reported health status at ages 65–70 years among three cohorts of older people born before, during and at the end (baby boomers) of the Second World War.DesignRepeated cross-sectional population-based study.SettingCommunity in a region of French-speaking Switzerland.ParticipantsCommunity-dwelling older adults who enrolled in the Lausanne cohort 65+ study at ages 65–70 years in 2004 (n=1561), 2009 (n=1489) or 2014 (n=1678).OutcomesNumber of self-reported chronic conditions (from a list of 11) and chronic symptoms (from a list of 11); depressive symptoms; self-rated health (very good, good, average, poor or very poor); fear of disease (not afraid at all, barely afraid, a bit afraid, quite afraid or very afraid); self-perception of ageing; disability in basic and instrumental activities of daily living.ResultsThere was no significant difference between cohorts in the number of self-reported chronic conditions and chronic symptoms as well as the presence of difficulty in basic activities of daily living, depressive symptoms, fear of disease and negative self-perception of ageing. In women only, significant differences between cohorts were observed in self-rated health (p=0.005) and disability in instrumental activities of daily living (p=0.003), but these associations did not remain significant in logistic regression models adjusted for sociodemographic characteristics and unhealthy behaviours.ConclusionsDespite important sociodemographic differences between older baby boomers and earlier cohorts, most health indicators did not suggest any trend towards a compression of morbidity. Future studies comparing these three cohorts at more advanced age are required to further investigate whether differences emerge later in life.

The Impact of Poststroke Depression on Recovery in Activities of Daily Living Over a 2-Year Follow-up

1990 ◽  
Vol 47 (7) ◽  
pp. 785-789 ◽  
Author(s):  
R. M. Parikh ◽  
R. G. Robinson ◽  
J. R. Lipsey ◽  
S. E. Starkstein ◽  
J. P. Fedoroff ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Poststroke Depression ◽  
The Impact

P1-333: DETECTING CLINICALLY RELEVANT CHANGES IN DEMENTIA USING INSTRUMENTAL ACTIVITIES OF DAILY LIVING: A LONGITUDINAL VALIDATION STUDY WITH 3, 6, 9 AND 12 MONTHS FOLLOW-UP

2006 ◽  
Vol 14 (7S_Part_7) ◽  
pp. P420-P420
Author(s):  
Merike Verrijp ◽  
Mark A. Dubbelman ◽  
Roos J. Jutten ◽  
Nina Beker ◽  
Linda M.P. Wesselman ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Validation Study ◽  
Daily Living ◽  
Instrumental Activities

Impact of impairment in instrumental activities of daily living and mild cognitive impairment on time to incident dementia: results of the Leipzig Longitudinal Study of the Aged

2010 ◽  
Vol 41 (5) ◽  
pp. 1087-1097 ◽  
Author(s):  
T. Luck ◽  
M. Luppa ◽  
M. C. Angermeyer ◽  
A. Villringer ◽  
H.-H. König ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Longitudinal Study ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
High Risk Population ◽  
Instrumental Activities ◽  
Incident Dementia ◽  
The Impact ◽  
Mean Time

BackgroundEarly diagnosis of dementia requires knowledge about associated predictors. The aim of this study was to determine the impact of mild cognitive impairment (MCI) and impairment in instrumental activities of daily living (IADL) on the time to an incident dementia diagnosis.MethodData were derived from the Leipzig Longitudinal Study of the Aged (LEILA75+), a population-based study of individuals aged ⩾75 years. Kaplan-Meier survival analysis was used to determine time to incident dementia. Cox proportional hazards models were applied to determine the impact of MCI and IADL impairment on the time to incident dementia.ResultsIn total, 180 (22.0%) of 819 initially dementia-free subjects developed dementia by the end of the study. Mean time to incident dementia was 6.7 years [95% confidence interval (CI) 6.5–6.9]. MCI combined with IADL impairment was associated with a higher conversion rate to dementia, a shorter time to clinically manifest diagnosis and a lower chance of reversibility to cognitive normal. The highest risk for a shorter time to incident dementia was found for amnestic MCI combined with IADL impairment. The mean time to incident dementia was 3.7 years (95% CI 2.9–4.4) and thus half as long as in subjects without MCI and IADL impairment.ConclusionsSubjects with MCI and IADL impairment constitute a high-risk population for future dementia. The consideration of both – MCI and IADL impairment – might help to improve the prediction of dementia.

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