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Engagement in social activities and progression from mild to severe cognitive impairment
 — the MYHAT study
Author(s)Tiffany F Hughes, Jason D Flatt, Bo Fu
Journal titleInternational Psychogeriatrics, vol 25, no 4, April 2013
PublisherCambridge University Press, April 2013
Pagespp 587-595
Sourcejournals.cambridge.org/ipg
KeywordsCognitive impairment ; At risk ; Preventative medicine ; Social contacts ; Activities of older people ; Engagement.
AnnotationIt is of considerable public health importance to prevent or delay the progression of mild cognitive impairment (MCI) to more severely impaired cognitive states. This study examines the risk of progression from mild to severe cognitive impairment in relation to engagement in social activities while mildly impaired and the concurrence of subsequent change in engagement with MCI progression. Study participants were 816 older adults with cognitively defined MCI (mean age 78 years) from the Monongahela-Youghiogheny Healthy Aging Team (MYHAT) Study ? a prospective cohort study of MCI in the community. Over three years of follow-up, 78 individuals progressed from MCI to severe cognitive impairment, while 738 did not progress. Risk of progression was estimated using discrete time survival analyses. The main predictors were standardised composite measures of the variety and frequency of engagement in social activities. Results showed that lower risk of progression from mild to severe cognitive impairment was associated with both a greater level of frequency of engagement in social activities while mildly impaired and also with a slower rate of decline in the variety of activities over time. Greater engagement in social activities may potentially be beneficial for preventing or delaying further cognitive decline among older adults with MCI. Alternatively, lesser engagement in social activities may be a marker of impending cognitive decline in MCI. (JL).
Accession NumberCPA-130315220 A
ClassmarkE4: CA3: LK2: TOA: G: DN

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