Mild cognitive impairment and quality of life in the oldest old: a closer look.


Journal

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation
ISSN: 1573-2649
Titre abrégé: Qual Life Res
Pays: Netherlands
ID NLM: 9210257

Informations de publication

Date de publication:
Jun 2020
Historique:
accepted: 09 01 2020
pubmed: 30 1 2020
medline: 24 7 2020
entrez: 30 1 2020
Statut: ppublish

Résumé

Mild cognitive impairment (MCI) is a widespread phenomenon, especially affecting older individuals. We will analyze in how far MCI affects different facets of quality of life (QOL). We used a sample of 903 participants (110 with MCI) from the fifth follow-up of the German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe), a prospective longitudinal study, to analyze the effects of MCI on different facets of the WHOQOL-OLD. We controlled for age, gender, marital status, education, living situation, daily living skills, and the ability to walk, see, and hear. Univariate analyses showed that individuals with MCI exhibited lower QOL with regard to the facets autonomy; past, present, and future activities; social participation; and intimacy, but less fears related to death and dying. No significant difference was shown with regard to the facet sensory abilities. In multivariate analyses controlling for age, gender, marital status, education, living situation, daily living skills, and the ability to walk, see and hear, MCI-status was significantly associated with QOL in the facet autonomy. Effects of MCI go beyond cognition and significantly impact the lives of those affected. Further research and practice will benefit from utilizing specific facets of QOL rather than a total score.

Identifiants

pubmed: 31993915
doi: 10.1007/s11136-020-02425-5
pii: 10.1007/s11136-020-02425-5
pmc: PMC7253517
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1675-1683

Subventions

Organisme : Bundesministerium für Wissenschaft und Forschung
ID : several

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Auteurs

Felix S Hussenoeder (FS)

Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany. Felix.Hussenoeder@medizin.uni-leipzig.de.

Ines Conrad (I)

Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.

Susanne Roehr (S)

Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.

Angela Fuchs (A)

Institute of General Practice, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

Michael Pentzek (M)

Institute of General Practice, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

Horst Bickel (H)

Department of Psychiatry, Technical University of Munich, Munich, Germany.

Edelgard Moesch (E)

Department of Psychiatry, Technical University of Munich, Munich, Germany.

Siegfried Weyerer (S)

Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.

Jochen Werle (J)

Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.

Birgitt Wiese (B)

Institute for General Practice, Hanover Medical School, Hanover, Germany.

Silke Mamone (S)

Institute for General Practice, Hanover Medical School, Hanover, Germany.

Christian Brettschneider (C)

Department of Health Economics and Health Services Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Kathrin Heser (K)

Clinic for Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital of Bonn, Bonn, Germany.

Luca Kleineidam (L)

Clinic for Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital of Bonn, Bonn, Germany.

Hanna Kaduszkiewicz (H)

Institute of General Practice, Medical Faculty, Kiel University, Kiel, Germany.

Marion Eisele (M)

Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Wolfgang Maier (W)

Clinic for Psychiatry and Psychotherapy, University Hospital of Bonn, Bonn, Germany.

Michael Wagner (M)

Clinic for Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital of Bonn, Bonn, Germany.
German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.

Martin Scherer (M)

Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Hans-Helmut König (HH)

Department of Health Economics and Health Services Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Steffi G Riedel-Heller (SG)

Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.

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Classifications MeSH