Malperformance in Verbal Fluency and Delayed Recall as Cognitive Risk Factors for Impairment in Instrumental Activities of Daily Living

被引:25
作者
Koehler, Mirjam [1 ]
Kliegel, Matthias [3 ]
Wiese, Birgitt [5 ]
Bickel, Horst [7 ]
Kaduszkiewicz, Hanna [1 ]
van den Bussche, Hendrik [1 ]
Eifflaender-Gorfer, Sandra [8 ]
Eisele, Marion [1 ]
Fuchs, Angela [9 ]
Koenig, Hans-Helmut [2 ]
Leicht, Hanna [2 ]
Luck, Tobias [6 ]
Maier, Wolfgang [4 ]
Moesch, Edelgard [7 ]
Riedel-Heller, Steffi [6 ]
Tebarth, Franziska [4 ]
Wagner, Michael [4 ]
Weyerer, Siegfried [8 ]
Zimmermann, Thomas [1 ]
Pentzek, Michael [9 ]
机构
[1] Univ Med Ctr Hamburg Eppendorf, Dept Primary Med Care, DE-20246 Hamburg, Germany
[2] Univ Med Ctr Hamburg Eppendorf, Dept Med Sociol & Hlth Econ, DE-20246 Hamburg, Germany
[3] Tech Univ Dresden, Dept Psychol, D-8027 Dresden, Germany
[4] Univ Bonn, Dept Psychiat, D-5300 Bonn, Germany
[5] Hanover Med Sch, Inst Biometr, Hanover, NH USA
[6] Univ Leipzig, Dept Psychiat, Leipzig, Germany
[7] Tech Univ Munich, Dept Psychiat, Munich, Germany
[8] Cent Inst Mental Hlth, D-6800 Mannheim, Germany
[9] Univ Dusseldorf, Univ Hosp Dusseldorf, Dept Gen Practice, Dusseldorf, Germany
关键词
Cognition; Executive functioning; Episodic memory; Instrumental activities of daily living; Neuropsychological tests; Geriatric assessment; Primary health care; FUNCTIONAL STATUS; EXECUTIVE CONTROL; COMMUNITY; DECLINE; ASSOCIATION; PERFORMANCE; PREVALENCE; PREDICTORS; DISABILITY; DEMENTIA;
D O I
10.1159/000323315
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Maintaining independence in instrumental activities of daily living (IADL) is crucial for older adults. This study explored the association between cognitive and functional performance in general and in single IADL domains. Also, risk factors for developing IADL impairment were assessed. Methods: Here, 3,215 patients aged 75-98 years were included. Data were collected during home visits. Results: Cognitive functioning was associated with IADL both cross-sectionally and longitudinally. Regarding the single IADL domains cross-sectionally, executive functioning was especially associated with shopping, while episodic memory was associated with responsibility for own medication. Conclusion: Reduced performance in neuropsychological tests is associated with a greater risk of current and subsequent functional impairment. Copyright (C) 2011 S. Karger AG, Basel
引用
收藏
页码:81 / 88
页数:8
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