Cognitive impairment and task-specific incident disability: Japanese cohort study

Hiroko H. Dodge; T. Kadowaki; T. Hayakawa; M. Yamakawa; A. Sekikawa; H. Ueshima

Cognitive impairment and task-specific incident disability: Japanese cohort study

Hiroko H. Dodge, T. Kadowaki, T. Hayakawa, M. Yamakawa, A. Sekikawa, H. Ueshima

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

We examined the effect of cognitive impairment on task-specific incident disability measured by the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), in three-year follow-up of community-dwelling elderly in Azuchi, Japan. Assessing cognition with the Hasegawa Dementia Scale (HDS), we found that minimally (21≤HDS<25) or mildly (17≤IDS<21) cognitively impaired subjects had significantly higher risk of losing functional abilities compared with those with intact cognition. Cognitive impairment accounts for 11% to 36% of incident disability in ADL-IADL tasks, with the highest PAR% (Population Attributable Risk) shown for the ability to feed oneself. Even among those with intact ADL and IADL abilities, depending on the status of cognitive impairment, a significant portion of individuals lose both ADL and IADL abilities within 3 years.

Original language	English (US)
Title of host publication	Research and Practice in Alzheimer's Disease
Editors	B. Vellas, E. Giacobini
Pages	184-190
Number of pages	7
State	Published - 2006
Externally published	Yes

Publication series

Name	Research and Practice in Alzheimer's Disease
Volume	11
ISSN (Print)	1284-8360

Keywords

ADL
Care giving needs
Hasegawa Dementia Scale
IADL
Population attributable risk

ASJC Scopus subject areas

Neuropsychology and Physiological Psychology
Aging
Geriatrics and Gerontology
Biological Psychiatry

Cite this

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title = "Cognitive impairment and task-specific incident disability: Japanese cohort study",

abstract = "We examined the effect of cognitive impairment on task-specific incident disability measured by the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), in three-year follow-up of community-dwelling elderly in Azuchi, Japan. Assessing cognition with the Hasegawa Dementia Scale (HDS), we found that minimally (21≤HDS<25) or mildly (17≤IDS<21) cognitively impaired subjects had significantly higher risk of losing functional abilities compared with those with intact cognition. Cognitive impairment accounts for 11% to 36% of incident disability in ADL-IADL tasks, with the highest PAR% (Population Attributable Risk) shown for the ability to feed oneself. Even among those with intact ADL and IADL abilities, depending on the status of cognitive impairment, a significant portion of individuals lose both ADL and IADL abilities within 3 years.",

keywords = "ADL, Care giving needs, Hasegawa Dementia Scale, IADL, Population attributable risk",

author = "Dodge, {Hiroko H.} and T. Kadowaki and T. Hayakawa and M. Yamakawa and A. Sekikawa and H. Ueshima",

year = "2006",

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T1 - Cognitive impairment and task-specific incident disability

T2 - Japanese cohort study

AU - Dodge, Hiroko H.

AU - Kadowaki, T.

AU - Hayakawa, T.

AU - Yamakawa, M.

AU - Sekikawa, A.

AU - Ueshima, H.

PY - 2006

Y1 - 2006

N2 - We examined the effect of cognitive impairment on task-specific incident disability measured by the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), in three-year follow-up of community-dwelling elderly in Azuchi, Japan. Assessing cognition with the Hasegawa Dementia Scale (HDS), we found that minimally (21≤HDS<25) or mildly (17≤IDS<21) cognitively impaired subjects had significantly higher risk of losing functional abilities compared with those with intact cognition. Cognitive impairment accounts for 11% to 36% of incident disability in ADL-IADL tasks, with the highest PAR% (Population Attributable Risk) shown for the ability to feed oneself. Even among those with intact ADL and IADL abilities, depending on the status of cognitive impairment, a significant portion of individuals lose both ADL and IADL abilities within 3 years.

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KW - ADL

KW - Care giving needs

KW - Hasegawa Dementia Scale

KW - IADL

KW - Population attributable risk

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M3 - Chapter

AN - SCOPUS:33847070802

SN - 2914377959

SN - 9782914377959

T3 - Research and Practice in Alzheimer's Disease

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BT - Research and Practice in Alzheimer's Disease

A2 - Vellas, B.

A2 - Giacobini, E.

ER -

Cognitive impairment and task-specific incident disability: Japanese cohort study

Abstract

Publication series

Keywords

ASJC Scopus subject areas

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