ArticleBMC geriatrics2022
Investigating the relationship between specific executive functions and functional decline among community-dwelling older adults: results from a prospective pilot study.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Optimal type and dose of exercise for improving executive functions in older adults: a systematic review and Bayesian model-based network meta-analysis of RCTs.BMC geriatrics · 2026Pooled it
- Effects of exercise on executive function in cognitively healthy older adults: a systematic review and three-level meta-analysis.BMC public health · 2026Pooled it
- Associations between body composition phenotypes and physical function in community-dwelling older adults: an exploratory analysis of limb muscle mass asymmetry.Frontiers in medicine · 2026Article
- Association between 24-h activity patterns and inhibitory control in community-dwelling older adults: a cross-sectional study based on chronic disease status.Frontiers in public health · 2026Article
- The impact of sleep duration, depressive symptoms, and cognitive function on daily activity among Chinese older adults: a serial multiple mediation model.Journal of global health · 2025Article
- The Effect of Physical Activity on Executive Functions in the Elderly Population: A Systematic Review of Randomized Controlled Trials.Brain sciences · 2025Review
- Lost in Thought or Just Lonely? Everyday Cognitive Competence in Middle Adulthood.European journal of investigation in health, psychology and education · 2025Article
- The impact of cognitive-motor interference on balance and gait in hearing-impaired older adults: a systematic review.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024Review
- Cardiorespiratory fitness is associated with cognitive performance in 80 + -year-olds: Detangling processing levels.GeroScience · 2024Article
- Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from Beijing.Frontiers in public health · 2024Observational
- Engineering Virtuous health habits using Emotion and Neurocognition: Flexibility for Lifestyle Optimization and Weight management (EVEN FLOW).Frontiers in aging neuroscience · 2023Review
- Introduction and preliminary psychometric evaluation of the assessment of functional capacity interview for older adults.Applied neuropsychology. AdultArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs cognitive functions and, more specifically, executive functions (EF) seem to influence autonomy among the elderly, we investigated the role of each of the five EF sub-components (inhibition, spontaneous flexibility, reactive flexibility, planning, and updating in working memory) for the risk of functional decline.
methodA total of 137 community-dwelling participants over 75 years of age were included in a prospective cohort study and assigned to three groups: individuals with neuro-degenerative cognitive disorders, those having cognitive disorders with non-degenerative aetiology, and a control group without any cognitive problems. We measured each EF sub-component and assessed functional decline by evaluating basic (b-ADL) and instrumental activities of daily living (i-ADL) at baseline and 6 months later. We conducted three separate multiple logistic regression models to examine the extent to which the five EF facets predicted overall functional decline at the end of the follow-up period.
resultsWe found that people who exhibited a decline in b-ADLs or/and i-ADLs over 6 months had worse performance on inhibition and two flexibility tasks than those who did not experience a decline. The results suggest that decliners have more difficulties in managing unforeseen events. Inhibition and updating in working memory predicted a decline in b-ADL while spontaneous and reactive flexibilities predicted a decline in i-ADL.
conclusionIn our sample, specific executive dysfunctions were associated with a decline in functional status. With respect to the risk of decline in b-ADL, deficits in inhibition may represent a risk factor, as it regulates over-learned activities. Bothtypes of flexibility, which allow the shifting and generating of adaptive responses, predicted decline in i-ADL. In sum, paying more attention to particular EF profiles would help clinicians to anticipate some aspects of functional decline.
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