Social Resources that Preserve Functional Independence after Memory Loss
Abstract
We used a large, diverse, longitudinal study of middle aged and older Americans to identify social factors that help individuals preserve functional independence in basic and instrumental ADLs as long as possible, even in the context of declining memory or severe memory impairment. As expected, we found strong associations between decreased cognitive functioning and incident ADL and IADL limitations. We also found that physical activity may help to decrease the risk of ADL and IADL limitations even among those with cognitive impairment, while smoking and depression may increase the risk of incident ADL limitations among those with cognitive impairments. This finding has critical importance for clinicians, patients, and family members of individuals with cognitive impairments or incipient dementia. By managing conventional risk factors, it may be possible to stave off dependencies, maximize quality of life, and minimize caregiver burden. This is especially important for older veterans and those with prior exposure to mild, moderate, or severe TBI, who are at elevated risk of memory loss and dementia.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 01, 2014
- Accession Number
- ADA603957
Entities
People
- M. A. Glymour
Organizations
- University of California, San Francisco