Evidence map›Paper›PMID 33246408›Full record

ArticleBMC geriatrics2020

The role of physical and cognitive function in performance of activities of daily living in patients with mild-to-moderate Alzheimer's disease - a cross-sectional study.

Frederikke K Clemmensen, Kristine Hoffmann, Volkert Siersma, Nanna Sobol, Nina Beyer, Birgitte B Andersen, Asmus Vogel, Annette Lolk, Hanne Gottrup, Peter Høgh and 3 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01681602 (Preserving Quality of Life, Physical Health and Functional Ability in Alzheimer's Disease), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01681602 phase3completednot on this map

Preserving Quality of Life, Physical Health and Functional Ability in Alzheimer's Disease: The Effect of Physical Exercise

TypeinterventionalSponsorRigshospitalet, DenmarkRan2012 to 2014Enrolled200ConditionsAlzheimer DiseaseArmsAerobic exercise
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. The relation between cognitive functioning and activities of daily living in normal aging, mild cognitive impairment, and dementia: a meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
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  7. The bidirectional mechanistic links between Alzheimer's disease and cardiovascular disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  20. Social factors associated with everyday functioning in older Black adults.Journal of the International Neuropsychological Society : JINS · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Frederikke K ClemmensenDanish Dementia Research Centre, Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9 - section 8025, 2100, Copenhagen, Denmark.
Kristine HoffmannRegional Dementia Research Centre, Department of Neurology, Zealand University Hospital, Roskilde, Denmark.
Volkert SiersmaResearch Unit for General Practice and Section of General Practice, Department of public health, University of Copenhagen, Copenhagen, Denmark.
Nanna SobolDepartment of Physical and Occupational Therapy and Institute of Sports Medicine, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
Nina BeyerDepartment of Physical and Occupational Therapy and Institute of Sports Medicine, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
Birgitte B AndersenDanish Dementia Research Centre, Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9 - section 8025, 2100, Copenhagen, Denmark.
Asmus VogelDanish Dementia Research Centre, Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9 - section 8025, 2100, Copenhagen, Denmark.
Annette LolkDementia Clinic, Odense University Hospital, Odense, Denmark.
Hanne GottrupDementia Clinic, Aarhus University Hospital, Aarhus, Denmark.
Peter HøghRegional Dementia Research Centre, Department of Neurology, Zealand University Hospital, Roskilde, Denmark.
Gunhild WaldemarDanish Dementia Research Centre, Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9 - section 8025, 2100, Copenhagen, Denmark.
Steen G HasselbalchDanish Dementia Research Centre, Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9 - section 8025, 2100, Copenhagen, Denmark.
Kristian S FrederiksenDanish Dementia Research Centre, Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9 - section 8025, 2100, Copenhagen, Denmark. kristian.steen.frederiksen@regionh.dk.ORCID 0000-0001-5124-4417
Copenhagen University Hospital · DKUniversity of Copenhagen · DKZealand University Hospital · DKAarhus University Hospital · DKOdense University Hospital · DK

Funding

Lundbeckfonden (DK) FP 73/2012The Danish Council for Strategic Research 10-092814
6 · The paper itself

Abstract

backgroundSeveral factors may play a role in the ability of patients with Alzheimer's disease to perform activities of daily living (ADL). The aim of this study was to examine the impact of different aspects of physical performance and cognitive functions on ADL in patients suffering from mild-to-moderate Alzheimer's disease.

methodsWe conducted secondary analyses on cross-sectional baseline data from the randomized controlled multicentre study "Preserving quality of life, physical health and functional ability in Alzheimer's Disease: The effect of physical exercise" (ADEX). In total, 185 AD patients (76 women and 109 men), with a mean age on 70,4 years, were included. Data from physical performance tests (Astrand cycle test, Timed up & Go (TUG), Sit to Stand test (STS)) and cognitive tests (Mini Mental Status Examination (MMSE), Symbol Digit Modalities Test (SDMT), Stroop Color and Word test (Stroop)) were used. Their associations with ADL, measured on the ADCS-ADL scale was assessed in multivariable regression analyses.

resultsSDMT and MMSE had significant, moderate correlations with total ADL (SDMT: r = 0.33, MMSE: r = 0.42) and instrumental ADL (SDMT: r = 0.31, MMSE: r = 0.42), but not with basic ADL. Adjusting for age and sex, the associations between SDMT and MMSE to total ADL and instrumental ADL persisted. No significant associations were found between Astrand, TUG, STS or Stroop and total ADL, basic ADL or instrumental ADL.

conclusionTotal ADL and instrumental ADL are associated with cognitive functions, including executive function. No significant association between examined physical performance parameters and ADL functions was observed, and consequently does not support an impact of physical function on ADL functions in patients with mild-to-moderate Alzheimer's disease and relatively well-preserved physical function. Strategies aimed to improve cognition may be better suited to improve ADL function in patients with mild-to-moderate Alzheimer's disease.

trial registrationNCT01681602 . Registered 10 September 2012, retrospectively registered.

Indexed as

Activities of Daily LivingAlzheimer DiseaseAgedCognitionCross-Sectional StudiesFemaleHumansMaleQuality of LifeRandomized Controlled Trials as TopicActivity of daily livingAerobic exerciseAlzheimer’s diseaseCognitionDementiaExecutive functionsPhysical function

Identifiers

PMID33246408
PMCPMC7693499
OpenAlexW3109932292

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.