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Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging
Stroke and cognitive impairment are common in older population. They often occur together and their combined effects significantly increase disability in both basic (BADLs) and instrumental (IADLs) activities of daily living. We investigated the individual and combined impacts of stroke and cognitiv...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8190118/ https://www.ncbi.nlm.nih.gov/pubmed/34108582 http://dx.doi.org/10.1038/s41598-021-91838-4 |
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author | Lee, Pi-Hsia Yeh, Ting-Ting Yen, Hsin-Yen Hsu, Wan-Ling Chiu, Valeria Jia-Yi Lee, Shu-Chun |
author_facet | Lee, Pi-Hsia Yeh, Ting-Ting Yen, Hsin-Yen Hsu, Wan-Ling Chiu, Valeria Jia-Yi Lee, Shu-Chun |
author_sort | Lee, Pi-Hsia |
collection | PubMed |
description | Stroke and cognitive impairment are common in older population. They often occur together and their combined effects significantly increase disability in both basic (BADLs) and instrumental (IADLs) activities of daily living. We investigated the individual and combined impacts of stroke and cognitive impairment on BADLs and IADLs. A total of 3331 community-dwelling older adults were enrolled from the Taiwan longitudinal study on aging in 2011. Both BADLs and IADLs were analyzed. Combination of stroke and cognitive impairment increased severity of ADL disabilities, but similar prevalence, similar numbers of summed BADL and IADL tasks with disability, and similar levels of difficulty for each BADL and IADL task were found between the stroke group and cognitive impairment group. The former had more difficult in dressing while the latter had more difficult in using the telephone, transport, and managing finances. A hierarchy of ADLs was also observed in all groups. ADL skill training supplemented with cognitive and physical interventions should focus on secondary prevention of dementia and improve motor functional capacity to reduce loss of ADLs. |
format | Online Article Text |
id | pubmed-8190118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-81901182021-06-10 Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging Lee, Pi-Hsia Yeh, Ting-Ting Yen, Hsin-Yen Hsu, Wan-Ling Chiu, Valeria Jia-Yi Lee, Shu-Chun Sci Rep Article Stroke and cognitive impairment are common in older population. They often occur together and their combined effects significantly increase disability in both basic (BADLs) and instrumental (IADLs) activities of daily living. We investigated the individual and combined impacts of stroke and cognitive impairment on BADLs and IADLs. A total of 3331 community-dwelling older adults were enrolled from the Taiwan longitudinal study on aging in 2011. Both BADLs and IADLs were analyzed. Combination of stroke and cognitive impairment increased severity of ADL disabilities, but similar prevalence, similar numbers of summed BADL and IADL tasks with disability, and similar levels of difficulty for each BADL and IADL task were found between the stroke group and cognitive impairment group. The former had more difficult in dressing while the latter had more difficult in using the telephone, transport, and managing finances. A hierarchy of ADLs was also observed in all groups. ADL skill training supplemented with cognitive and physical interventions should focus on secondary prevention of dementia and improve motor functional capacity to reduce loss of ADLs. Nature Publishing Group UK 2021-06-09 /pmc/articles/PMC8190118/ /pubmed/34108582 http://dx.doi.org/10.1038/s41598-021-91838-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Lee, Pi-Hsia Yeh, Ting-Ting Yen, Hsin-Yen Hsu, Wan-Ling Chiu, Valeria Jia-Yi Lee, Shu-Chun Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging |
title | Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging |
title_full | Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging |
title_fullStr | Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging |
title_full_unstemmed | Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging |
title_short | Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging |
title_sort | impacts of stroke and cognitive impairment on activities of daily living in the taiwan longitudinal study on aging |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8190118/ https://www.ncbi.nlm.nih.gov/pubmed/34108582 http://dx.doi.org/10.1038/s41598-021-91838-4 |
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