Patricia Gracia-García1,2,3,4, Raúl López-Antón3,4,5, Javier Santabárbara3,4,6, Miguel Ángel Quintanilla2,4,7, Concepción De la Cámara2,3,4,7, Guillermo Marcos3,4,6, Elena Lobo3,4,6, Antonio Lobo2,3,4. 1. Psychiatry Service, Hospital Universitario Miguel Servet , Zaragoza, Spain. 2. Department of Medicine and Psychiatry, Universidad de Zaragoza , Zaragoza, Spain. 3. Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Ministry of Science and Innovation , Madrid, Spain. 4. Instituto Aragonés de Ciencias de la Salud (I+CS) , Zaragoza, Spain. 5. Department of Psychology and Sociology, Universidad de Zaragoza , Zaragoza, Spain. 6. Department of Preventive Medicine and Public Health, Universidad de Zaragoza , Zaragoza, Spain. 7. Psychiatry Service, Hospital Clínico Universitario , Zaragoza, Spain.
Abstract
Objective: We tested the association of individual cognitive domains measured with the Mini-Mental State Examination (MMSE) and disability. Method: Cross-sectional study in a population-based cohort aged ≥55 years (n = 4,803). Sample was divided into two groups: individuals with cognition within the normal range (CNR) (n = 4,057) and those with cognitive impairment (CI) (n = 746). Main outcome measures: The MMSE, the Katz Index (Basic Activities of Daily Living, bADL), the Lawton and Brody Scale (Instrumental Activities of Daily Living, iADL), and the Geriatric Mental State (GMS-AGECAT). Results: MMSE-orientation was associated with disability in bADL, iADL and a decrease in social participation, regardless of cognitive status. MMSE-attention was associated with disability in iADL, but only in CNR. MMSE-language was associated with disability in bADL, iADL and with reduced social participation, but only in CI. Conclusions: The associations observed between disability and orientation may have clinical and public health implications.
Objective: We tested the association of individual cognitive domains measured with the Mini-Mental State Examination (MMSE) and disability. Method: Cross-sectional study in a population-based cohort aged ≥55 years (n = 4,803). Sample was divided into two groups: individuals with cognition within the normal range (CNR) (n = 4,057) and those with cognitive impairment (CI) (n = 746). Main outcome measures: The MMSE, the Katz Index (Basic Activities of Daily Living, bADL), the Lawton and Brody Scale (Instrumental Activities of Daily Living, iADL), and the Geriatric Mental State (GMS-AGECAT). Results: MMSE-orientation was associated with disability in bADL, iADL and a decrease in social participation, regardless of cognitive status. MMSE-attention was associated with disability in iADL, but only in CNR. MMSE-language was associated with disability in bADL, iADL and with reduced social participation, but only in CI. Conclusions: The associations observed between disability and orientation may have clinical and public health implications.
Entities:
Keywords:
Activities of Daily Living (ADL); Cognition; Mini-Mental State Examination (MMSE); aging; disability
Authors: David Vaquero-Puyuelo; Concepción De-la-Cámara; Beatriz Olaya; Patricia Gracia-García; Antonio Lobo; Raúl López-Antón; Javier Santabárbara Journal: Int J Environ Res Public Health Date: 2021-02-03 Impact factor: 3.390