Cognition and daily activities in a general population sample aged +55 |
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Authors: | Patricia Gracia-García Raúl López-Antón Javier Santabárbara Miguel Ángel Quintanilla Concepción De la Cámara Guillermo Marcos |
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Affiliation: | 1. Psychiatry Service, Hospital Universitario Miguel Servet , Zaragoza, Spain;2. Department of Medicine and Psychiatry, Universidad de Zaragoza , Zaragoza, Spain;3. Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Ministry of Science and Innovation , Madrid, Spain;4. Instituto Aragonés de Ciencias de la Salud (I+CS) , Zaragoza, Spain pgraciag@salud.aragon.eshttps://orcid.org/0000-0001-9822-6312;6. Instituto Aragonés de Ciencias de la Salud (I+CS) , Zaragoza, Spain;7. Department of Psychology and Sociology, Universidad de Zaragoza , Zaragoza, Spain;8. Department of Preventive Medicine and Public Health, Universidad de Zaragoza , Zaragoza, Spain;9. Psychiatry Service, Hospital Clínico Universitario , Zaragoza, Spain |
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Abstract: | ABSTRACT Objective: We tested the association of individual cognitive domains measured with the Mini-Mental State Examination (MMSE) and disability. Method: Cross-sectional study in a population-based cohort aged ≥55 years (n = 4,803). Sample was divided into two groups: individuals with cognition within the normal range (CNR) (n = 4,057) and those with cognitive impairment (CI) (n = 746). Main outcome measures: The MMSE, the Katz Index (Basic Activities of Daily Living, bADL), the Lawton and Brody Scale (Instrumental Activities of Daily Living, iADL), and the Geriatric Mental State (GMS-AGECAT). Results: MMSE-orientation was associated with disability in bADL, iADL and a decrease in social participation, regardless of cognitive status. MMSE-attention was associated with disability in iADL, but only in CNR. MMSE-language was associated with disability in bADL, iADL and with reduced social participation, but only in CI. Conclusions: The associations observed between disability and orientation may have clinical and public health implications. |
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Keywords: | Cognition Mini-Mental State Examination (MMSE) Activities of Daily Living (ADL) disability aging |
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