Ondrej Bezdicek1,2, Hana Stepankova3, Lenka Martinec Novakova3,4, Miloslav Kopecek3. 1. National Institute of Mental Health, Klecany, Czech Republic. ondrej.bezdicek@gmail.com. 2. Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital in Prague, Charles University in Prague, Kateřinská 30, 128 21, Praha 2, Czech Republic. ondrej.bezdicek@gmail.com. 3. National Institute of Mental Health, Klecany, Czech Republic. 4. Department of Anthropology, Faculty of Humanities, Charles University in Prague, Praha 5, Czech Republic.
Abstract
BACKGROUND: The aim of this study was to describe an instrumental activities of daily living (IADL) measure: Functional Activities Questionnaire (FAQ), which is often used in clinical settings as a self- or informant-based measure of IADL. However, the FAQ's relationship with age or education in healthy aging has not been investigated. METHODS: FAQ and a neuropsychological battery were administered to old and very old Czech adults (n = 540). Participants met strict inclusion criteria for the absence of any active or past neurodegenerative disorders. RESULTS: FAQ is significantly dependent on age and education, but not gender. Younger subjects and those with higher education have the lowest scores in the FAQ and show a higher degree of functional independence. FAQ moderately correlates with speed of processing, visual-perceptual and executive functions measures (Trail Making Tests, Stroop Test) and depressive symptoms, but not with episodic memory (WMS-III logical memory). We present normative percentile values for different age groups from 60 to 96 years of age. CONCLUSIONS: The present study shows conclusively that IADL measures, such as FAQ, should not be used without appropriate normative data, especially in very old adults. Thus, it has the ability to differentiate functional dependence due to age-related decline from neurodegenerative disease.
BACKGROUND: The aim of this study was to describe an instrumental activities of daily living (IADL) measure: Functional Activities Questionnaire (FAQ), which is often used in clinical settings as a self- or informant-based measure of IADL. However, the FAQ's relationship with age or education in healthy aging has not been investigated. METHODS: FAQ and a neuropsychological battery were administered to old and very old Czech adults (n = 540). Participants met strict inclusion criteria for the absence of any active or past neurodegenerative disorders. RESULTS: FAQ is significantly dependent on age and education, but not gender. Younger subjects and those with higher education have the lowest scores in the FAQ and show a higher degree of functional independence. FAQ moderately correlates with speed of processing, visual-perceptual and executive functions measures (Trail Making Tests, Stroop Test) and depressive symptoms, but not with episodic memory (WMS-III logical memory). We present normative percentile values for different age groups from 60 to 96 years of age. CONCLUSIONS: The present study shows conclusively that IADL measures, such as FAQ, should not be used without appropriate normative data, especially in very old adults. Thus, it has the ability to differentiate functional dependence due to age-related decline from neurodegenerative disease.
Entities:
Keywords:
Activities of daily living; Instrumental activities of daily living; Normal aging; Normative data; Questionnaire
Authors: Ondrej Bezdicek; Markéta Červenková; Tyler M Moore; Hana Stepankova Georgi; Zdenek Sulc; David A Wolk; Daniel A Weintraub; Paul J Moberg; Robert Jech; Miloslav Kopecek; David R Roalf Journal: Assessment Date: 2018-06-21
Authors: Jessica N Kraft; Hanna K Hausman; Cheshire Hardcastle; Alejandro Albizu; Andrew O'Shea; Nicole D Evangelista; Emanuel M Boutzoukas; Emily J Van Etten; Pradyumna K Bharadwaj; Hyun Song; Samantha G Smith; Steven DeKosky; Georg A Hishaw; Samuel Wu; Michael Marsiske; Ronald Cohen; Gene E Alexander; Eric Porges; Adam J Woods Journal: Geroscience Date: 2022-08-11 Impact factor: 7.581
Authors: Charles H Brown; Julia Probert; Ryan Healy; Michelle Parish; Yohei Nomura; Atsushi Yamaguchi; Jing Tian; Kenton Zehr; Kaushik Mandal; Vidyulata Kamath; Karin J Neufeld; Charles W Hogue Journal: Anesthesiology Date: 2018-09 Impact factor: 7.892
Authors: Ondrej Bezdicek; Tomas Nikolai; Jiri Michalec; Filip Růžička; Petra Havránková; Jan Roth; Robert Jech; Evžen Růžička Journal: Mov Disord Clin Pract Date: 2016-07-08
Authors: Jessica N Kraft; Andrew O'Shea; Alejandro Albizu; Nicole D Evangelista; Hanna K Hausman; Emanuel Boutzoukas; Nicole R Nissim; Emily J Van Etten; Pradyumna K Bharadwaj; Hyun Song; Samantha G Smith; Eric Porges; Steven DeKosky; Georg A Hishaw; Samuel Wu; Michael Marsiske; Ronald Cohen; Gene E Alexander; Adam J Woods Journal: Front Aging Neurosci Date: 2020-09-02 Impact factor: 5.750