Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging.
Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging.
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DOI：
10.1038/s41598-021-91838-4
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发表时间：
2021-06-09
影响因子：
4.6
通讯作者：
Lee SC
中科院分区：
文献类型：
--
作者：
Lee PH;Yeh TT;Yen HY;Hsu WL;Chiu VJ;Lee SC
中风和认知障碍在老年人群中很常见。它们经常一起发生，它们的综合影响显着增加了日常生活的基本（BADL）和工具（IADL）活动的残疾。我们调查了脑卒中和认知障碍对BADL和IADL的单独和联合影响。2011年台湾老龄化纵向研究共招募了3331名社区老年人。分析了BADL和IADL。脑卒中和认知障碍的结合增加了ADL残疾的严重程度，但在脑卒中组和认知障碍组之间发现了相似的患病率、相似的合并残疾的BADL和IADL任务的数量以及相似的每个BADL和IADL任务的难度水平。前者在穿衣方面较困难，而后者在使用电话、交通和理财方面较困难。在所有组中还观察到ADL的层次结构。ADL技能训练辅以认知和身体干预应侧重于痴呆的二级预防，提高运动功能能力，以减少ADL的损失。
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.
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影响因子：
2.5
作者：
Chiao, Chi;Botticello, Amanda;Fuh, Jong-Ling
通讯作者：
Fuh, Jong-Ling
影响因子：
5.1
作者：
Chiu, Ching-Ju;Wray, Linda A.;Ofstedal, Mary Beth
通讯作者：
Ofstedal, Mary Beth
影响因子：
3.5
作者：
Liu, K. R. Y.;Chan, C. C. H.;Fisher, A. G.
通讯作者：
Fisher, A. G.
影响因子：
2.2
作者：
Barberger-Gateau, P;Rainville, C;Dartigues, JF
通讯作者：
Dartigues, JF
影响因子：
2.6
作者：
Ashendorf, Lee;Alosco, Michael L.;Stern, Robert A.
通讯作者：
Stern, Robert A.