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Analysis of characteristics affecting instrumental activities of daily living in Parkinson's disease patients without dementia.
Neurol Sci. 2019 Jul; 40(7):1403-1408.NS

Abstract

Patients with Parkinson's disease (PD) are liable to experience impairment in their activities of daily living (ADL), which include ambulating, eating, dressing, bathing, and personal hygiene. The aim of this study is to assess which clinical characteristics contribute significantly to instrumental ADL (IADL) in PD patients without dementia. We included 106 PD patients in our study, and each patient's motor and non-motor status and basic and instrumental ADL were assessed using the appropriate scales. Of the 106 PD patients, 31 (29.2%) had abnormal Korean IADL (K-IADL) scores. These patients were older and had higher scores in terms of the modified Hoehn and Yahr (mHY) staging scale, Unified Parkinson's Disease Rating Scale (UPDRS) parts II and III, UPDRS part IV motor fluctuation, Beck Depression Inventory (BDI), and total Non-Motor Symptoms assessment scale for PD (NMSS), as well as lower scores in the Mini-Mental State Examination (MMSE). Pearson's correlation analysis showed significant associations between the scores of K-IADL and each of the following characteristics of the patients: age, mHY stage, UPDRS parts II and III, UPDRS part IV motor fluctuation, BDI, total NMSS, and MMSE. Multivariate linear regression analysis showed that the significant clinical characteristics associated with the K-IADL scores were determined to be the UPDRS part II, MMSE, and BDI scores. The results of our study revealed that the cognitive, depression, and motor symptoms were the significant predictors of IADL in PD patients without dementia.

Authors+Show Affiliations

Department of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju, 58128, South Korea. National Research Center for Dementia, Gwangju, South Korea.Department of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju, 58128, South Korea.Department of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju, 58128, South Korea.Department of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju, 58128, South Korea. byeong.kim7@gmail.com. National Research Center for Dementia, Gwangju, South Korea. byeong.kim7@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30931509

Citation

Choi, Seong-Min, et al. "Analysis of Characteristics Affecting Instrumental Activities of Daily Living in Parkinson's Disease Patients Without Dementia." Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, vol. 40, no. 7, 2019, pp. 1403-1408.
Choi SM, Yoon GJ, Jung HJ, et al. Analysis of characteristics affecting instrumental activities of daily living in Parkinson's disease patients without dementia. Neurol Sci. 2019;40(7):1403-1408.
Choi, S. M., Yoon, G. J., Jung, H. J., & Kim, B. C. (2019). Analysis of characteristics affecting instrumental activities of daily living in Parkinson's disease patients without dementia. Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 40(7), 1403-1408. https://doi.org/10.1007/s10072-019-03860-0
Choi SM, et al. Analysis of Characteristics Affecting Instrumental Activities of Daily Living in Parkinson's Disease Patients Without Dementia. Neurol Sci. 2019;40(7):1403-1408. PubMed PMID: 30931509.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Analysis of characteristics affecting instrumental activities of daily living in Parkinson's disease patients without dementia. AU - Choi,Seong-Min, AU - Yoon,Geum-Jin, AU - Jung,Hyun-Jung, AU - Kim,Byeong C, Y1 - 2019/04/01/ PY - 2019/01/30/received PY - 2019/03/19/accepted PY - 2019/4/2/pubmed PY - 2020/1/14/medline PY - 2019/4/2/entrez KW - Activities of daily living KW - Cognition KW - Depression KW - Parkinson’s disease SP - 1403 EP - 1408 JF - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JO - Neurol Sci VL - 40 IS - 7 N2 - Patients with Parkinson's disease (PD) are liable to experience impairment in their activities of daily living (ADL), which include ambulating, eating, dressing, bathing, and personal hygiene. The aim of this study is to assess which clinical characteristics contribute significantly to instrumental ADL (IADL) in PD patients without dementia. We included 106 PD patients in our study, and each patient's motor and non-motor status and basic and instrumental ADL were assessed using the appropriate scales. Of the 106 PD patients, 31 (29.2%) had abnormal Korean IADL (K-IADL) scores. These patients were older and had higher scores in terms of the modified Hoehn and Yahr (mHY) staging scale, Unified Parkinson's Disease Rating Scale (UPDRS) parts II and III, UPDRS part IV motor fluctuation, Beck Depression Inventory (BDI), and total Non-Motor Symptoms assessment scale for PD (NMSS), as well as lower scores in the Mini-Mental State Examination (MMSE). Pearson's correlation analysis showed significant associations between the scores of K-IADL and each of the following characteristics of the patients: age, mHY stage, UPDRS parts II and III, UPDRS part IV motor fluctuation, BDI, total NMSS, and MMSE. Multivariate linear regression analysis showed that the significant clinical characteristics associated with the K-IADL scores were determined to be the UPDRS part II, MMSE, and BDI scores. The results of our study revealed that the cognitive, depression, and motor symptoms were the significant predictors of IADL in PD patients without dementia. SN - 1590-3478 UR - https://www.unboundmedicine.com/medline/citation/30931509/Analysis_of_characteristics_affecting_instrumental_activities_of_daily_living_in_Parkinson's_disease_patients_without_dementia_ L2 - https://link.springer.com/10.1007/s10072-019-03860-0 DB - PRIME DP - Unbound Medicine ER -