ArticleBMJ open2022
Bidirectional relationship between cognitive function and loss hierarchy of activities of daily living among older adults with disabilities in urban China: a cross-lagged analysis.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 23 citations in OpenAlex.
- Plasma Inflammatory Biomarkers Lack Strong Association With Cognitive Outcomes Among Young Adults With Perinatal HIV Exposure and/or Acquisition.Journal of acquired immune deficiency syndromes (1999) · 2026Article
- Development of a dietary management indicator system for older adults with disabilities: a Delphi study.Frontiers in public health · 2026Article
- Bidirectional relationships between disability and cognitive decline: a 6-year longitudinal study.BMC geriatrics · 2025Article
- Development of a Longitudinal Model for Disability Prediction in Older Adults in China: Analysis of CHARLS Data (2015-2020).JMIR aging · 2025Article
- Association between impaired cognition status and activities of daily living among elderly: Evidence from longitudinal ageing study in India.Journal of family medicine and primary care · 2025Article
- Cognitive impairment and dependency in activities of daily living: a cross-lagged analysis.Frontiers in aging neuroscience · 2025Article
- A chain mediation model reveals the association between depression and cognitive function in the elderly.Scientific reports · 2024Article
- Assessing the long-term care (LTC) service needs of older adults based on time-driven activity-based costing (TDABC)-a cross-sectional survey in central China.BMC nursing · 2024Article
- Associations between sensory impairment and functional limitations among older Chinese adults: mediating roles of social isolation and cognition.BMC geriatrics · 2024Article
- Exploring Early, Middle, and Late Loss in Basic Activities of Daily Living among Nursing Home Residents: A Multicenter Observational Study.Healthcare (Basel, Switzerland) · 2024Article
- Trajectories of health conditions and their associations with the risk of cognitive impairment among older adults: insights from a national prospective cohort study.BMC medicine · 2024Article
- A Multidimensional Assessment of Activities of Daily Living, Mental Status, Communication, and Social Abilities Among Older Adults in Shenzhen, China: Cross-Sectional Study.JMIR public health and surveillance · 2023Article
- A 13-Year Time-Lagged Description of General Cognitive and Functional Abilities in Older Men: A Cross-Lagged Panel Model.Journal of aging and health · 2023Article
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe present study aimed to determine the bidirectional relationship between cognitive function and the loss hierarchy of activities of daily living (ADL) among older adults in China.
designData were derived from the Longitudinal Study on Family Caregivers for Frail Older Adults Aged 75 or Above in Shanghai (2010-2013).
settingCommunity-dwelling older adults and their primary caregivers were invited to participate in this research.
participantsThe inclusion criteria for the older adults were as follows: (a) have a Shanghai urban household registration status, (b) be 75 years old or older, (c) have no fewer than two limitations in ADLs or equivalent, and (d) have one primary caregiver aged 18 years or older. 469 older adults cared by their spouses or children were included in the final analytical sample of this research. PRIMARY AND SECONDARY OUTCOME MEASURES: Cognitive function was assessed using the Chinese version of the Short Portable Mental Status Questionnaire and ADLs were measured by self-reports of having difficulty or needing help with basic daily activities.
resultsCognitive function in 2010 was a significant predictor of intermediate loss of ADLs in 2013 (β=-0.13, p<0.05) and late loss of ADLs in 2013 (β=-0.17, p<0.01). The loss hierarchy of ADLs among older adults was not shown to be significant as a risk factor of cognitive function in 2013.
conclusionsPractitioners are encouraged to adopt the ADL loss hierarchy as a supplementary needs assessment tool to make the social service delivery process more effective, economical and tailored. Cognitive function change monitoring programmes and services providing education on nutrition and encouraging social participation of older individuals were also helpful in promoting the quality of life of the older adults.
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