Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging

Abstract 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...

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Autores principales:	Pi-Hsia Lee, Ting-Ting Yeh, Hsin-Yen Yen, Wan-Ling Hsu, Valeria Jia-Yi Chiu, Shu-Chun Lee
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/406ec3100ee54d0d90a4c078fabd9423
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spelling	oai:doaj.org-article:406ec3100ee54d0d90a4c078fabd94232021-12-02T14:58:14ZImpacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging10.1038/s41598-021-91838-42045-2322https://doaj.org/article/406ec3100ee54d0d90a4c078fabd94232021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91838-4https://doaj.org/toc/2045-2322Abstract 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.Pi-Hsia LeeTing-Ting YehHsin-Yen YenWan-Ling HsuValeria Jia-Yi ChiuShu-Chun LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Pi-Hsia Lee Ting-Ting Yeh Hsin-Yen Yen Wan-Ling Hsu Valeria Jia-Yi Chiu Shu-Chun Lee Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging
description	Abstract 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	article
author	Pi-Hsia Lee Ting-Ting Yeh Hsin-Yen Yen Wan-Ling Hsu Valeria Jia-Yi Chiu Shu-Chun Lee
author_facet	Pi-Hsia Lee Ting-Ting Yeh Hsin-Yen Yen Wan-Ling Hsu Valeria Jia-Yi Chiu Shu-Chun Lee
author_sort	Pi-Hsia Lee
title	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_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_sort	impacts of stroke and cognitive impairment on activities of daily living in the taiwan longitudinal study on aging
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/406ec3100ee54d0d90a4c078fabd9423
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Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging

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