Journal of the Korean neurological association (대한신경과학회지)

Korean Neurological Association (대한신경과학회)
권호 표지

Correlates of Activities of Daily Living in Demented and Non-Demented Elderly

치매 및 비치매 노인에서 일상생활수행의 상관 인자

Kim, Jae-Min;Shin, Il-Seon;Kim, Sung-Wan;Yang, Su-Jin;Jeong, Seul-Ki;Park, Kee-Hyung;Yoon, Jin-Sang
김재민;신일선;김성완;양수진;정슬기;박기형;윤진상

  • Published : 2005.04.01
⟨ Previous Next ⟩

Abstract

Background: This study's aim is to compare the correlates of instrumental and physical activities of daily living (A이) according to the presence or absence of dementia in an elder populated community. Methods: This study was part of a community survey of late-life psychiatric morbidity carried out in Kwangju, South Korea in 2001. The Instrumental Activities of Daily Living Scale was administered to 740-community residents aged 65 or over. Data on the demographic characteristics (age, gender, living area, marital state, and religion), socio-economic state (education, monthly income, number of rooms, previous occupation, current employment, and social network), and clinical characteristics (cognitive function, physical illness, and depression) were gathered. Results: The instrumental ADL impairment was associated significantly with higher age and lower cognitive functional ability in both groups. However, the impairment was shown in those without dementia, currently unemployed and had no spouse. The physical ADL impairment was significantly associated with lower cognitive function and higher number of physical illnesses in those with dementia, while it was significantly associated with higher age and severe depressive symptoms in those without dementia. The accountability portion of the above correlates for the variances of the instrumental and physical ADL was high in those with dementia, but was unacceptably low in those without dementia. Conclusions: It was suggested that the correlates and utility of ADL scale might vary according to dementia state.

Keywords

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington DC: American Psychiatric Press, 1994
  2. Kluger A, Ferris SH. Scales for the assessment of Alzheimer's disease. Psychiatr Clin North Am 1991;14:309-326
  3. Hill RD, Backman L, Fratiglioni L. Determinants of functional abilities in dementia. J Am Geriatr Soc 1995;43:1092-1097
  4. Sohn SH, Choi TK, Oh BH, Ohrr HC, Kim SM, An SK, et al. Differences in cognitive function and activities of daily living between Alzheimer patients with depression and those without depression. J Korean Neuropsychiatr Assoc 1999;38:278-288
  5. Shin YJ, Jung SS, Wang SK, Shin SC. The multidimensional evaluation of dementia patients and the correlation among measures. J Korean Geriatr Psychiatry 2000;4:186-193
  6. Judge JO, Schechtman K, Cress E. The relationship between physical performance measures and independence in instrumental activities of daily living. The FICSIT Group. Frailty and Injury: Cooperative Studies of Intervention Trials. J Am Geriatr Soc 1996;44:1332-1341
  7. Grigsby J, Kaye K, Baxter J, Shetterly SM, Hamman RF. Executive cognitive abilities and functional status among community-dwelling older persons in the San Luis Valley Health and Aging Study. J Am Geriatr Soc 1998;46:590-596
  8. Beland F, Zunzunegui MV. Predictors of functional status in older people living at home. Age Ageing 1999;28:153-159 https://doi.org/10.1093/ageing/28.2.153
  9. Prince M. Dementia in developing countries. A consensus statement from the 10/66 Dementia Research Group. Int J Geriatr Psychiatry 2000;15:14-20 https://doi.org/10.1002/(SICI)1099-1166(200001)15:1<14::AID-GPS70>3.0.CO;2-8
  10. Kim JM, Shin IS, Yoon JS, Lee HY. Comparison of diagnostic validities between MMSE-K and K-MMSE for screening of dementia. J Korean Neuropsychiatr Assoc 2003;42:124-130
  11. Kim JM, Stewart R, Shin IS, Yoon JS. Limb length and dementia in an older Korean population. J Neurol Neurosurg Psychiatry 2003;74:427-432 https://doi.org/10.1136/jnnp.74.4.427
  12. Kim JM, Stewart R, Shin IS, Jung JS, Yoon JS. Assessment of association between mitochondrial aldehyde dehydrogenase polymorphism and Alzheimer's disease in an older Korean population. Neurobiol Aging 2004;25:295-301 https://doi.org/10.1016/S0197-4580(03)00114-3
  13. Lawton MP, Brody EM. Assessment of older people: selfmaintaining and instrumental activities of daily living. Gerontologist 1969;9:179-186 https://doi.org/10.1093/geront/9.3_Part_1.179
  14. Kang YO, Na DL, Hahn SH. A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. J Korean Neurol Assoc 1997;15:300-308
  15. Kim JM, Stewart R, Prince M, Shin IS, Yoon JS. Diagnosing dementia in a developing nation: an evaluation of the GMSAGECAT algorithm in an older Korean population. Int J Geriatr Psychiatry 2003;18:331-336 https://doi.org/10.1002/gps.834
  16. Kim JM, Shin IS, Yoon JS. Apolipoprotein E among Korean Alzheimers disease patients in community-dwelling and hospitalized elderly samples. Dement Geriatr Cogn Disord 2002;13:119- 124 https://doi.org/10.1159/000048643
  17. Katz S. Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychological function. JAMA 1963;185:914-919 https://doi.org/10.1001/jama.1963.03060120024016
  18. Rozzini R, Frisoni GB, Bianchetti A, Zanetti O, Trabucchi M. Physical Performance Test and Activities of Daily Living scales in the assessment of health status in elderly people. J Am Geriatr Soc 1993;41:1109-1113
  19. Di Carlo A, Baldereschi M, Amaducci L, Maggi S, Grigoletto F, Scarlato G, et al. Cognitive impairment without dementia in older people: prevalence, vascular risk factors, impact on disability. The Italian Longitudinal Study on Aging. J Am Geriatr Soc 2000;48: 775-782
  20. Barberger-Gateau P, Fabrigoule C, Helmer C, Rouch I, Dartigues JF. Functional impairment in instrumental activities of daily living: an early clinical sign of dementia? J Am Geriatr Soc 1999;47:456- 462
  21. Cromwell DA, Eagar K, Poulos RG. The performance of instrumental activities of daily living scale in screening for cognitive impairment in elderly community residents. J Clin Epidemiol 2003;56:131-137 https://doi.org/10.1016/S0895-4356(02)00599-1
  22. Park JH, Kim JC, Cho SW, Shon HS. Factors influencing on physical activities of daily living in elderly people with cognitive impairment. J Korean Neuropsychiatr Assoc 1997;36:683-687
  23. Berkman LF, Berkman CS, Kasl S, Freeman DH Jr, Leo L, Ostfeld AM, et al. Depressive symptoms in relation to physical health and functioning in the elderly. Am J Epidemiol 1986;124: 372-388
  24. Beekman AT, Deeg DJ, Braam AW, Smit JH, van Tilburg W. Consequences of major and minor depression in later life: a study of disability, well-being and service utilization. Psychol Med 1997;27:1397-1409 https://doi.org/10.1017/S0033291797005734
  25. Laukkanen P, Era P, Heikkinen RL, Suutama T, Kauppinen M, Heikkinen E. Factors related to carrying out everyday activities among elderly people aged 80. Aging (Milano) 1994;6:433-443
  26. Ishizaki T, Watanabe S, Suzuki T, Shibata H, Haga H. Predictors for functional decline among nondisabled older Japanese living in a community during a 3-year follow-up. J Am Geriatr Soc 2000; 48:1424-1429