Cargando…
The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture
OBJECTIVE: To determine the impact of cognitive function on physical activity (PA), physical function and health-related quality of life (HRQoL) in older adults within the first year after hip fracture (HF) surgery. METHODS: We included 397 home-dwelling individuals aged 70 years or older with the a...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137112/ https://www.ncbi.nlm.nih.gov/pubmed/37104380 http://dx.doi.org/10.1093/ageing/afad061 |
_version_ | 1785032381124575232 |
---|---|
author | Runde, Henrik A Taraldsen, Kristin Follestad, Turid Saltvedt, Ingvild Johnsen, Lars G |
author_facet | Runde, Henrik A Taraldsen, Kristin Follestad, Turid Saltvedt, Ingvild Johnsen, Lars G |
author_sort | Runde, Henrik A |
collection | PubMed |
description | OBJECTIVE: To determine the impact of cognitive function on physical activity (PA), physical function and health-related quality of life (HRQoL) in older adults within the first year after hip fracture (HF) surgery. METHODS: We included 397 home-dwelling individuals aged 70 years or older with the ability to walk 10 m before the fracture. Cognitive function was measured at 1 month and other outcomes were assessed at 1, 4 and 12 months postoperatively. Mini-Mental State Examination was used to assess cognitive function, accelerometer-based body-worn sensors to register PA, Short Physical Performance Battery to test physical function and EuroQol-5-dimension-3-level to estimate the HRQoL. Data were analysed by linear mixed-effects models with interactions and ordinal logistic regression models. RESULTS: Cognitive function, adjusted for the pre-fracture ability to perform activities of daily living, comorbidity, age and gender, had an impact on PA [b = 3.64, 95% confidence interval (CI): 2.20–5.23, P < 0.001] and physical function (b = 0.08, 95% CI: 0.04–0.11, P < 0.001; b = 0.12, 95% CI: 0.09–0.15, P < 0.001; and b = 0.14, 95% CI: 0.10–0.18, P < 0.001 at 1, 4 and 12 months, respectively). The cognitive function did not have a considerable impact on HRQoL. CONCLUSIONS: For older adults with HFs, cognitive function 1 month postoperatively had a significant impact on PA and physical function in the first postoperative year. For the HRQoL, little or no evidence of such an effect was found. |
format | Online Article Text |
id | pubmed-10137112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-101371122023-04-28 The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture Runde, Henrik A Taraldsen, Kristin Follestad, Turid Saltvedt, Ingvild Johnsen, Lars G Age Ageing Research Paper OBJECTIVE: To determine the impact of cognitive function on physical activity (PA), physical function and health-related quality of life (HRQoL) in older adults within the first year after hip fracture (HF) surgery. METHODS: We included 397 home-dwelling individuals aged 70 years or older with the ability to walk 10 m before the fracture. Cognitive function was measured at 1 month and other outcomes were assessed at 1, 4 and 12 months postoperatively. Mini-Mental State Examination was used to assess cognitive function, accelerometer-based body-worn sensors to register PA, Short Physical Performance Battery to test physical function and EuroQol-5-dimension-3-level to estimate the HRQoL. Data were analysed by linear mixed-effects models with interactions and ordinal logistic regression models. RESULTS: Cognitive function, adjusted for the pre-fracture ability to perform activities of daily living, comorbidity, age and gender, had an impact on PA [b = 3.64, 95% confidence interval (CI): 2.20–5.23, P < 0.001] and physical function (b = 0.08, 95% CI: 0.04–0.11, P < 0.001; b = 0.12, 95% CI: 0.09–0.15, P < 0.001; and b = 0.14, 95% CI: 0.10–0.18, P < 0.001 at 1, 4 and 12 months, respectively). The cognitive function did not have a considerable impact on HRQoL. CONCLUSIONS: For older adults with HFs, cognitive function 1 month postoperatively had a significant impact on PA and physical function in the first postoperative year. For the HRQoL, little or no evidence of such an effect was found. Oxford University Press 2023-04-26 /pmc/articles/PMC10137112/ /pubmed/37104380 http://dx.doi.org/10.1093/ageing/afad061 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Research Paper Runde, Henrik A Taraldsen, Kristin Follestad, Turid Saltvedt, Ingvild Johnsen, Lars G The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture |
title | The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture |
title_full | The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture |
title_fullStr | The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture |
title_full_unstemmed | The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture |
title_short | The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture |
title_sort | impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137112/ https://www.ncbi.nlm.nih.gov/pubmed/37104380 http://dx.doi.org/10.1093/ageing/afad061 |
work_keys_str_mv | AT rundehenrika theimpactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT taraldsenkristin theimpactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT follestadturid theimpactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT saltvedtingvild theimpactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT johnsenlarsg theimpactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT rundehenrika impactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT taraldsenkristin impactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT follestadturid impactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT saltvedtingvild impactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture AT johnsenlarsg impactofcognitivefunctiononphysicalactivityphysicalfunctionandqualityoflifeinolderadultsfollowingahipfracture |