Influence of instrumental activities of daily living on the cognitive impairment: EpiFloripa study.
Aging Ment Health
; 24(3): 382-386, 2020 03.
Article
in En
| MEDLINE
| ID: mdl-30588826
ABSTRACT
Objective:
To investigate the influence of instrumental activities of daily living (IADL) on cognitive impairment of the older adults' population in southern Brazil.Methods:
A longitudinal, population-based and home-based study that evaluates the older adults population (60 years or older) living in the city of Florianópolis, Southern Brazil. The sample at the baseline (2009/2010) was composed by 1,702 older adults. Cognitive impairment and IADL disability were investigated. A multilevel logistic model was used, in which the analyzed variables were included as the first level and time (baseline and follow-up interviews) as the second level variable.Results:
The prevalence of cognitive impairment increased from baseline to follow-up. There was an increase in the chance of the older adults presenting cognitive impairment among those with low (OR 1.5, 95% CI 1.0-2.3) and moderate/severe disability (OR 3.2, 95% CI 2.1-4.9). Adjusted probability of presenting the outcome almost doubled among those with mild disability, and were nearly four times higher among the older adults with moderate/severe disability when compared to those without disability.Conclusions:
IADL disability can be considered an indicator of risk for clinical diagnosis of cognitive impairment. Its evaluation and follow-up are of paramount importance, especially in the older adults with mild disability, in order to avoid the progression of functional and cognitive impairment over time.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Activities of Daily Living
/
Disabled Persons
/
Cognitive Dysfunction
Type of study:
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Humans
Country/Region as subject:
America do sul
/
Brasil
Language:
En
Year:
2020
Type:
Article