Cognition, daily living, and health-related quality of life in 85-year-olds in Sweden

Abstract

This study investigates how cognition influences activities of daily living and healthrelated quality of life in 85-year-olds in Sweden (n=373). Data collection included a postal questionnaire comprising demographics and health-related quality of life measured by the EQ-5D. The ability to perform personal activities of daily living was assessed during a home visit that included administering the Mini Mental State Examination (MMSE). Cognitive impairment was shown in 108 individuals (29%). The majority were independent with respect to personal activities of daily living (PADL). A larger number of participants with cognitive impairment reported that they needed assistance in instrumental activities of daily living (IADL) compared to the group without cognitive impairment. Impaired cognition was significantly related to problems with IADL. Significant but low correlations were found between cognition and health-related quality of life -higher ratings on perceived quality of life correlated with higher results on the MMSE.Cognition,

Association between age associated cognitive decline and health related quality of life among Iranian older individuals

“…The results also showed that MMSE scores, a measure of cognitive function, were significantly associated with HRQL scores after accounting for known covariates in a way which, changes in MMSE scores resulted in changes in HRQL scores after adjusting for potential confounders. In a similar community based survey, Pan et al found that QOL scores were significantly lower in older adults with cognitive dysfunction (13), while in another study in Sweden, cognitive decline was not associated with all dimensions of HRQL in nursing home residents (16); and Davis et al, in a study on community dwelling older adults found relation between only cognitive function and well-being and not HRQL (37). Doordian found that not only cognitive function, but also changes in cognitive function had significant crude association with HRQL, but after adjusting for covariates of depression, age and functional dependence, this association lost its significant (38).…”

“…A study on Chinese elderly by Pan et al showed that negative impact on HRQL was increased by the severity of cognitive dysfunction (13). Akday et al also suggested cognitive impairment results in low scores in some areas of HRQL in Turkish elders (14); on the other hand, Missotten et al found that only dementia, not mild cognitive impairment (MCI), is related to HRQL in older Belgian people (15), and Johansson et al found low but significant correlation between HRQL and cognitive function in 85-year-olds in Sweden (16); finally, Elliot et al suggested that cognitive impairment did not modify HRQL (17). As presented above, the results of previous studies vary considerably based on settings, study populations and conditions.…”

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Abbreviated Care‐Process Quality Indicator Sets Linked with Survival and Functional Status Benefit in Older Adults Under Ambulatory Care

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