| |
Centre for Policy on Ageing | |
 | |
|
| The hierarchy of functional loss associated with cognitive decline in older persons | | Author(s) | Vesna Njegovan, Malcolm Man-Son-Hing, Susan L Mitchell |
| Journal title | Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, vol 56A, no 10, October 2001 |
| Pages | pp M638-M643 |
| Keywords | Cognitive impairment ; Self care capacity ; Mobility ; Cognitive processes ; Living in the community ; Evaluation ; Canada. |
| Annotation | A cohort of 5,874 people age 65+ living in the community from the Canadian Study of Health and Aging were studied to: examine the relationship between the loss of specific functional activities and cognitive status at the time of these losses; compare the cognitive status of participants who have and have not lost independence in these functional activities; and determine whether a hierarchical scale of functional loss is associated with declining cognitive status. For each functional item, the 5-year decline in Modified Mini-Mental State Examination (3MS) scores of those with lost independence were significantly greater than those who remained independent (e.g. able to do finances). A hierarchy of functional items existed, with instrumental activities of daily living (IADLs, e.g. shopping and cooking) being lost to higher cognitive scores than for basic ADLs (e.g. eating, dressing and walking). Such patterns of decline can help caregivers, clinicians and health policy makers to anticipate care needs, and to improve quality of life both for carers and those with declining cognition. (RH). |
| Accession Number | CPA-011130211 A |
| Classmark | E4: CA: C4: DA: K4: 4C: 7S |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|