Evidence map›Paper›PMID 33738665›Full record

SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2021

Functional autonomy in dementia of the Alzheimer's type, mild cognitive impairment, and healthy aging: a meta-analysis.

Manuela Altieri, Federica Garramone, Gabriella Santangelo

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 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
  2. Observational
  3. Article
  4. Article
  5. Article
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  8. Concurrent Validity of Performance-Based Measures of Daily Functioning with Cognitive Measures and Informant Reported Everyday Functioning.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
  9. Article
  10. Review
  11. The Impact of Prior Incarceration on Cognitive Trajectories Among Older Adults: Evidence From the Health and Retirement Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  12. Social support and aging: psychometric analysis of the ENRICHD Social Support Instrument in a Chilean population over 50.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2025
    Article
  13. Article
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  18. Memory Support System in French: a Pilot Study.Canadian geriatrics journal : CGJ · 2024
    Article
  19. Social Isolation and Loneliness in a Population Study of Cognitive Impairment: The MYHAT Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  20. Review
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

3 authors at 2 institutions in 1 country.

Manuela AltieriDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Federica GarramoneIRCCS S.D.N., Naples, Italy.
Gabriella SantangeloDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy. Gabriella.SANTANGELO@unicampania.it.ORCID http://orcid.org/0000-0002-7728-852X
University of Campania "Luigi Vanvitelli" · ITSDN Istituto di Ricerca Diagnostica e Nucleare · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundActivities of daily living (ADL) are fundamental skills required to independently care for oneself and are categorized in basic (BADLs) and instrumental (IADLs) activities of daily living. ADL evaluation is of paramount importance in clinical practice to discriminate between healthy individuals (HC) and patients with mild cognitive impairment (MCI) or Alzheimer's disease (AD). However, it is unclear whether and to what extent BADL and IADL deficits occur in MCI, when compared with AD. Therefore, the present study aimed at comparing performance on both BADLs and IADLs in HC, MCI, and AD.

methodsThree electronic databases were consulted for studies comparing total BADLs/IADLs, and single BADLs/IADLs in AD, MCI, and HC (comparisons: AD versus MCI, AD versus HC, MCI versus HC). Ninety-six studies were included in the meta-analysis with random effect models (Hedges' g). Meta-regression was performed to evaluate the effect of clinical variables on ESs.

resultsAD group had more difficulties in BADLs and IADLs than HC and MCI groups; people with MCI showed more difficulties in both IADLs and BADLs than HC. The meta-regression analysis revealed that the percentage of males in the samples was a significant predictor of the ES in the meta-analysis comparing total BADL scores between MCI and HC; in the comparison between AD and HC, age at evaluation predicted the ES on some single IADLs: preparing food, handling medication, and finances.

conclusionsIn MCI, it should be considered not only a decline of IADLs but also subtle decline of BADL abilities.

Indexed as

Alzheimer DiseaseCognitive DysfunctionHealthy AgingActivities of Daily LivingHumansMaleADLAlzheimer’s diseaseDementiaFunctional autonomyHealthy agingMild cognitive impairment

Identifiers

PMID33738665
OpenAlexW3136562528

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.