Long-term cognitive trajectory and activities of daily living in healthy aging

Bezdíček, Ondřej; Červenková, Markéta; Georgi, Hana; Schmand, Ben; Hladka, Adela; Rulseh, Aaron; Kopeček, Miloslav

doi:10.1080/13854046.2020.1745895

Cited by 9 publications

(6 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Baran et al required ‘supernormals’ to maintain a positive mean slope of executive function and episodic memory performance over a 5‐year period 34 . Bezdicek et al required a non‐negative random slope of Montreal Cognitive Assessment scores over 5 years in ‘successful healthy agers’ 35 . Bott et al determined that ‘resilient‐agers’ have 0.5 SD or less change in cognitive processing speed at follow up (median 2.5 years) 27 .…”

Section: Resultsmentioning

confidence: 99%

Defining exceptional cognition in older adults: A systematic review of cognitive super‐ageing

Powell,

Page,

et al. 2023

Int J Geriat Psychiatry

View full text Add to dashboard Cite

ObjectiveA consistent approach to defining cognitive super‐ageing is needed to increase the value of research insights that may be gained from studying this population including ageing well and preventing and treating neurodegenerative conditions. This review aims to evaluate the existing definitions of ‘super‐ageing’ with a focus on cognition.MethodsA systematic literature search was conducted across PubMed, Embase, Web of Science, Scopus, PsycINFO and Google Scholar from inception to 24 July 2023.ResultsOf 44 English language studies that defined super‐ageing from a cognitive perspective in older adults (60–97 years), most (n = 33) were based on preserved verbal episodic memory performance comparable to that of younger adult in age range 16–65 years. Eleven studies defined super‐agers as the top cognitive performers for their age group based upon standard deviations or percentiles above the population mean. Only nine studies included longitudinal cognitive performance in their definitions.ConclusionsEquivalent cognitive abilities to younger adults, exceptional cognition for age and a lack of cognitive deterioration over time are all meaningful constructs and may provide different insights into cognitive ageing. Using these criteria in combination or individually to define super‐agers, with a clear rationale for which elements have been selected, could be fit for purpose depending on the research question. However, major discrepancies including the age range of super‐agers and comparator groups and the choice of cognitive domains assessed should be addressed to reach some consensus in the field.

show abstract

Section: Resultsmentioning

confidence: 99%

Defining exceptional cognition in older adults: A systematic review of cognitive super‐ageing

Powell,

Page,

et al. 2023

Int J Geriat Psychiatry

View full text Add to dashboard Cite

show abstract

“…Similarly, in our prior study on medication management (Suchy et al, 2020), several participants unwittingly took fewer than 70% of their medications correctly, and a significant minority took fewer than 90% correctly. In other words, functional errors (Burton et al, 2006) and gradual declines in IADLs (Bezdicek et al, 2021) are common among independently functioning older adults. These findings demonstrate the importance of assessing EF and daily functioning in the context of demands of daily life, especially since non-demented, independent-living older adults are highly unlikely to make many, if any, errors on IADL tasks performed in structured laboratory settings (Owsley et al, 2002; Suchy et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

It’s complicated: Executive functioning moderates impacts of daily busyness on everyday functioning in community-dwelling older adults

Suchy

Mora

DesRuisseaux

et al. 2023

J Int Neuropsychol Soc

View full text Add to dashboard Cite

Objective: Research shows that cognitively healthy older adults with mild executive function (EF) weaknesses are vulnerable to the negative impacts of life complexity (or daily busyness) when performing instrumental activities of daily living (IADLs). However, past research assessed life complexity only at one timepoint, not capturing daily fluctuations. Importantly, fluctuations in busyness can themselves have deleterious impacts on functioning. This study extended past research by examining whether (1) variability in daily busyness would be more detrimental than level of busyness to performance of IADLs, and (2) EF assessed at home would moderate deleterious impact of busyness on IADLs. Method: Fifty-two community-dwelling older adults aged 60 to 95 completed daily IADL tasks and daily measures of EF and busyness via ecological momentary assessment, independently at home for 18 days. Results: (1) In a subset of participants with mild EF weaknesses, high variability in busyness across days was associated with fewer tasks completed correctly; and (2) across all participants (regardless of EF), high levels of daily busyness were associated with fewer tasks completed on time. Conclusions: Findings indicate that high variability in daily busyness, potentially reflecting a lack of daily routine, was associated with IADL errors among cognitively healthy older adults with mild EF weaknesses. Additionally, consistently high levels of busyness were associated with failures to complete tasks, or failures to complete them on time, regardless of EF. These results further support the Contextually Valid Executive Assessment (ConVExA) model, which posits that EF and contextual factors interact to predict functional outcomes.

show abstract

“…Instrumental activities of daily living (IADL) consist of complex activities that require more advanced physical and mental activities and skills, such as food preparation, shopping, money management, and housework [ 10 ]. ADL and IADL are essential prerequisites for healthy aging, and the maintenance of independent functional ability is the most important factor in quality of life in old age [ 11 ]. Therefore, it is necessary to identify behaviors that can prevent and manage functional disorders by improving self-management.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Multicomponent Intervention on Daily Functioning among the Community-Dwelling Elderly: A Systematic Review

Kim

Shin

Kim

et al. 2022

IJERPH

View full text Add to dashboard Cite

The deterioration of physical and cognitive functioning in the elderly is an impairment to their independent self-management and to improving their ability to perform daily functions. Nurses should support the elderly to experience a healthy and a successful aging process by preventing dependence on daily functioning and understanding the care assistance that such persons need. This study aimed to gain insight into the evidence on the effectiveness of multicomponent intervention on the activities of daily living (ADL) and instrumental activities of daily living (IADL) among the community-dwelling elderly without cognitive impairment. The design is a systematic review of a randomized controlled trial. The language of the published literature was English, and the search period was from January 2000 to December 2020. Articles were included under the PICO (population, intervention, comparison, and outcome) framework for: (a) community-dwelling elderly without cognitive impairment; (b) multicomponent intervention; (c) comparison group who did not receive the intervention; and (d) measurement of the effect of ADL and IADL. A total of 4413 references were found, 6 studies were included. Most studies (n = 5) reported that the multicomponent intervention exerted a beneficial effect on ADL and IADL. Only one study showed the highest methodology and reporting quality in the Cochrane review. Common components of the programs included: occupational therapy, physical therapy, exercise, memory training, cognitive–behavioral therapy, interdisciplinary intervention, and cognitive training. Multicomponent intervention may be a beneficial way to improve dependence on ADL and IADL as an important area of functional evaluation in the elderly. Considering the physical condition of the elderly, multicomponent interventions, including physical activity, exercise, occupational therapy, and especially individually customized coaching related to ADL and IADL training, may be useful.

show abstract

Long-term cognitive trajectory and activities of daily living in healthy aging

Cited by 9 publications

References 57 publications

Defining exceptional cognition in older adults: A systematic review of cognitive super‐ageing

Defining exceptional cognition in older adults: A systematic review of cognitive super‐ageing

It’s complicated: Executive functioning moderates impacts of daily busyness on everyday functioning in community-dwelling older adults

The Effectiveness of Multicomponent Intervention on Daily Functioning among the Community-Dwelling Elderly: A Systematic Review

Contact Info

Product

Resources

About