Relationship Between Activities of Daily Living and Cognitive Function Among Community-Dwelling Elderly in Urban Areas of Kayseri, Turkey: A Cross-Sectional Study

Year 2019, , 30 - 35, 25.03.2019

Elif Deniz Şafak , Hatice Duygu Kızılçay Sibel Arguvanlı , Mumtaz M. Mazıcıoğlu , Salime Mucuk , Ahmet Öztürk Şemsinur Göçer , Yusuf Kırış Sibel Akın

https://doi.org/10.18521/ktd.483724

Cited By: 2

Abstract

Introduction:
This
study aimed to describe the relationship between activities of daily living and
cognitive function community-dwelling elderly in an urban area.

Materials
and Methods: Participants were 872 randomly selected people aged ≥65 years living in Kayseri, Turkey, who were registered with
Family Health Centers. We used the
Standardized Mini-Mental State Examination (SMMSE) to assess participants’
cognitive function, the Katz Index of Independence in Activities of Daily
Living (ADL) to assess activities of daily living, the Instrumental Activities
of Daily Living (IADL) scale to assess instrumental activities of daily living,
and a questionnaire to assess sociodemographic characteristics.

Results: Participants’ mean age was 71.9±5.5 years.
The overall prevalence of IADL dependency was 17.6%; dependency was
significantly higher in women than in men (by 5.5%). The prevalence of ADL
dependency was 0.6%, and there was no sex difference. SMMSE and IADL scores
decreased as age increased, whereas the ADL score did not change.

Conclusions:
Increased
age is a fundamental component of cognitive impairment and limitation in
activities of daily living. Community-dwelling adults aged ≥65 years with cognitive impairment should receive early
evaluation for IADL dependency. In addition, a daily living activity
scale that takes into account social, cultural and gender characteristics may
be useful in early detection of dependence.

Keywords

Activities of daily living, cognitive impairment, elderly

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