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Trajectories of cognitive decline and functional status in the frail older adults.
Arch Gerontol Geriatr. 2009 Jan-Feb; 48(1):28-34.AG

Abstract

This study investigates the implications of different levels of cognitive decline on functional status in frail older adults. Four cognitive trajectories, including two with catastrophic cognitive decline, were defined in a 3-year study. Participants with complete cognitive and functional status data at baseline, 12 and 36 months of follow-up were included in the study (n=456). Data were analysed with repeated measures statistics. Substantial functional deterioration over time was observed for the participants with catastrophic cognitive decline. Catastrophic cognitive decline influenced performance in instrumental activities of daily living (IADL) and activities of daily living (ADL) at 12 months, whereas basic physical and mental actions were affected at 36 months. IADL were found to deteriorate more than ADL. The results have implications on planning appropriate geriatric rehabilitation and long-term care program.

Authors+Show Affiliations

Research Center, Montreal Geriatric University Institute, 4565 Queen Mary, Montreal, Quebec, H3W 1W5 Canada. rossitza.nikolova@umontreal.caNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17976840

Citation

Nikolova, Rossitza, et al. "Trajectories of Cognitive Decline and Functional Status in the Frail Older Adults." Archives of Gerontology and Geriatrics, vol. 48, no. 1, 2009, pp. 28-34.
Nikolova R, Demers L, Béland F. Trajectories of cognitive decline and functional status in the frail older adults. Arch Gerontol Geriatr. 2009;48(1):28-34.
Nikolova, R., Demers, L., & Béland, F. (2009). Trajectories of cognitive decline and functional status in the frail older adults. Archives of Gerontology and Geriatrics, 48(1), 28-34.
Nikolova R, Demers L, Béland F. Trajectories of Cognitive Decline and Functional Status in the Frail Older Adults. Arch Gerontol Geriatr. 2009 Jan-Feb;48(1):28-34. PubMed PMID: 17976840.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trajectories of cognitive decline and functional status in the frail older adults. AU - Nikolova,Rossitza, AU - Demers,Louise, AU - Béland,François, Y1 - 2007/11/05/ PY - 2007/04/20/received PY - 2007/09/10/revised PY - 2007/09/12/accepted PY - 2007/11/3/pubmed PY - 2009/4/8/medline PY - 2007/11/3/entrez SP - 28 EP - 34 JF - Archives of gerontology and geriatrics JO - Arch Gerontol Geriatr VL - 48 IS - 1 N2 - This study investigates the implications of different levels of cognitive decline on functional status in frail older adults. Four cognitive trajectories, including two with catastrophic cognitive decline, were defined in a 3-year study. Participants with complete cognitive and functional status data at baseline, 12 and 36 months of follow-up were included in the study (n=456). Data were analysed with repeated measures statistics. Substantial functional deterioration over time was observed for the participants with catastrophic cognitive decline. Catastrophic cognitive decline influenced performance in instrumental activities of daily living (IADL) and activities of daily living (ADL) at 12 months, whereas basic physical and mental actions were affected at 36 months. IADL were found to deteriorate more than ADL. The results have implications on planning appropriate geriatric rehabilitation and long-term care program. SN - 1872-6976 UR - https://www.unboundmedicine.com/medline/citation/17976840/Trajectories_of_cognitive_decline_and_functional_status_in_the_frail_older_adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-4943(07)00212-9 DB - PRIME DP - Unbound Medicine ER -