Activity level by clinical severity and sex differences in patients with Alzheimer disease and mild cognitive impairment.
Alzheimer's disease
activities of daily living
dementia
mild cognitive impairment
Journal
Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
ISSN: 1479-8301
Titre abrégé: Psychogeriatrics
Pays: England
ID NLM: 101230058
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
revised:
13
06
2023
received:
23
03
2023
accepted:
16
06
2023
medline:
5
9
2023
pubmed:
25
7
2023
entrez:
24
7
2023
Statut:
ppublish
Résumé
To determine how to maintain activity in persons with dementia and mild cognitive impairment, we examined the daily activity level by different degrees of clinical severity and sex differences in patients with Alzheimer's disease and mild cognitive impairment. This study included 92 patients with Alzheimer's disease and 33 patients with mild cognitive impairment who visited our rehabilitation department. The Frenchay Activities Index was used to assess the level of activity. Women had high Frenchay Activities Index scores for household activities, such as meal preparation, washing clothes, and light housework, whereas men had high Frenchay Activities Index scores for social occasions and walking outside. Although activity decreased with the severity of dementia in women, there was no difference in men. Additionally, a negative correlation was observed between the number of people living together and activity in women. To maintain and improve activities in persons with Alzheimer's disease and mild cognitive impairment, it is important to suggest activities that fit the lifestyle of the individual and family caregivers and to provide lifestyle instructions that consider sex differences.
Sections du résumé
BACKGROUND
BACKGROUND
To determine how to maintain activity in persons with dementia and mild cognitive impairment, we examined the daily activity level by different degrees of clinical severity and sex differences in patients with Alzheimer's disease and mild cognitive impairment.
METHODS
METHODS
This study included 92 patients with Alzheimer's disease and 33 patients with mild cognitive impairment who visited our rehabilitation department. The Frenchay Activities Index was used to assess the level of activity.
RESULTS
RESULTS
Women had high Frenchay Activities Index scores for household activities, such as meal preparation, washing clothes, and light housework, whereas men had high Frenchay Activities Index scores for social occasions and walking outside. Although activity decreased with the severity of dementia in women, there was no difference in men. Additionally, a negative correlation was observed between the number of people living together and activity in women.
CONCLUSIONS
CONCLUSIONS
To maintain and improve activities in persons with Alzheimer's disease and mild cognitive impairment, it is important to suggest activities that fit the lifestyle of the individual and family caregivers and to provide lifestyle instructions that consider sex differences.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
815-820Informations de copyright
© 2023 Japanese Psychogeriatric Society.
Références
Ministry of Health, Labour and Welfare. Comprehensive strategy to accelerate dementia measures (new orange plan). Houdouhappyou-12304500-Roukenkyoku-Ninchishougya kutaiboushitaisakusuishinshitsu/01_1, Available from https://www.mhlw.go.jp/file/04-.pdf Accessed 11 Dec 2022.
McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA work group under the auspices of Department of Health and Human Services Task Force on Alzheimer's disease. Neurology 1984; 34: 939-944.
Petersen RC, Smith GE, Waring SC, Ivnik RJ, Tangalos EG, Kokmen E. Mild cognitive impairment: clinical characterization and outcome. Arch Neurol 1999; 56: 303-308.
Arai H, Maeshima S, Osawa A, eds. Rehabilitation Manual for People with Mild Cognitive Impairment and Dementia and their Family Caregivers 2022. (Supervision) 2022, Vol. 86. Tokyo, Japan: Life Sciences Corporation (Japanese); 2022.
Holbrook M, Skilbeck CE. An activities index for use with stroke patients. Age Ageing 1983; 12: 166-170.
Hachisuka K, Saeki S, Tsutsui Y et al. Gender-related differences in scores of the Barthel index and Frenchay activities index in randomly sampled elderly persons living at home in Japan. J Clin Epidemiol 1999; 52: 1089-1094.
Morris JC. The clinical dementia rating (CDR): current version and scoring rules. Neurology 1993; 43: 2412-2414.
Iwata A, Iwatsubo T, Ihara R et al. Effects of sex, educational background, and chronic kidney disease grading on longitudinal cognitive and functional decline in patients in the Japanese Alzheimer's disease neuroimaging initiative study. Alzheimers Dement (N Y) 2018; 4: 765-774.
Bassuk SS, Glass TA, Berkman LF. Social disengagement and incident cognitive decline in community-dwelling elderly persons. Ann Intern Med 1999; 131: 165-173.
Fujiwara Y, Shinkai S, Kobayashi E et al. Engagement in paid work as a protective predictor of basic activities of daily living disability in Japanese urban and rural community-dwelling elderly residents: an 8-year prospective study. Geriatr Gerontol Int 2016; 16: 126-134.
Even with dementia, want to work! You can work! Focus on day care services that offer work opportunities. Nursing Care Job Naevi: Helpful Information for Caregivers Changing Careers, [cited 2023-1-3]. Available from https://www.kaigokyuujin.com/oyakudachi/topics/23176.
Hellström I, Eriksson H, Sandberg J. Chores and sense of self: gendered understandings of voices of older married women with dementia. Int J Older People Nurs 2015; 10: 127-135.
Murai T, Yamaguchi H. Effects of a cooking program based on brain-activating rehabilitation for elderly residents with dementia in a roken facility: a randomized controlled trial. Prog Rehabil Med 2017; 2: 20170004.
Kamo E, Miyake E, Asai N, Kaneko M. Housework support in a day-care center for a case of semantic dementia: maintaining the role of housewife through occupational therapy using pictures and rehabilitation conferences. Jpn Occup Ther Res 2020; 39: 623-629. (Japanese).
Yoshimura N, Muraki S, Oka H et al. Is osteoporosis a predictor for future sarcopenia, or vice-versa? Four-year observations between the second and third ROAD study surveys. Osteoporos Int 2017; 28: 189-199.
Ohsugi H, Murata S, Kubo A et al. Verification of the correlation between cognitive function and lower limb muscle strength for the community-dwelling elderly. J Phys Ther Sci 2014; 26: 1861-1863.
Nagawasa K, Yamamura E, Iwasimizu T. Difficulty of informal caregiving provided by husbands to dementia patients. Jpn J Res Fam Nurs 2015; 20: 117-124. (Japanese).
Hesseberg K, Bentzen H, Ranhoff AH, Engedal K, Bergland A. Disability in instrumental activities of daily living in elderly patients with mild cognitive impairment and Alzheimer's disease. Dement Geriatr Cogn Disord 2013; 36: 146-153.
Kráčmarová LK, Tomanová J, Černíková KA et al. Perception of dignity in older men and women in the early stages of dementia: a cross-sectional study. BMC Geriatr 2022; 22: 684.
Oh SS, Cho E, Kang B. Social engagement and cognitive function among middle-aged and older adults: gender-specific findings from the Korean longitudinal study of aging (2008-2018). Sci Rep 2021; 11: 15876.