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Alcohol use and functional disability among cognitively impaired adults
Author(s)M Carrington Reid, John Concato, Virginia R Towle
Journal titleJournal of the American Geriatrics Society, vol 47, no 7, July 1999
Pagespp 854-859
KeywordsAlcoholism ; Mental disorder ; Self care capacity ; Mobility ; Alcoholic beverages ; Social surveys ; United States of America.
AnnotationThe extent to which alcohol exposure increases risks for functional disability among older adults with cognitive impairment has not previously been assessed. In a US study of 242 such individuals, their proxy-reported alcohol intake was classified in categories from never to heavy drinking, and functional status determined in proxy-rated performance in 7 basic (BADL) and 7 instrumental (IADL) activities of daily living. Compared with never drinkers, moderate drinkers demonstrated higher mean BADL and IADL scores, whereas heavy drinkers had higher BADL but lower IADL scores. Former drinkers demonstrated both lower BADL and IADL scores compared with never drinkers. Among cognitively impaired adults, moderate and heavy drinkers demonstrated better BADL function, whereas former drinkers had poorer IADL function, compared with never drinkers. Prospective studies that incorporate additional measures of exposure (e.g. cumulative lifetime consumption) and function (e.g. performance-based tests) may provide a more comprehensive understanding of the effect of alcohol among older cognitively impaired people. (RH).
Accession NumberCPA-990825319 A
ClassmarkETA: E: CA: C4: YPP: 3F: 7T

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