The Prevalence and Trends of Instrumental Activities of Daily Living Impairments in the United States from 2008-2018.

Autor:	Knoll K; Healthy Aging North Dakota (HAND), North Dakota State University, Fargo, ND, USA.; Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USA., Rhee Y; Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USA., Hamm JM; Department of Psychology, North Dakota State University, Fargo, ND, USA., Hammer KDP; Fargo VA Healthcare System, Fargo, ND, USA.; Department of Internal Medicine, University of North Dakota, Grand Forks, ND, USA., Heimbuch H; Healthy Aging North Dakota (HAND), North Dakota State University, Fargo, ND, USA.; Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USA., Holloway J; Department of Geriatrics, University of North Dakota, Grand Forks, ND, USA., Jurivich D; Department of Geriatrics, University of North Dakota, Grand Forks, ND, USA., Lahr P; Healthy Aging North Dakota (HAND), North Dakota State University, Fargo, ND, USA.; Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USA., McGrath B; OCHIN Inc., Portland, OR, USA., Parker K; Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USA., Robinson-Lane S; School of Nursing, University of Michigan, Ann Arbor, MI, USA., Stover E; Healthy Aging North Dakota (HAND), North Dakota State University, Fargo, ND, USA.; Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USA., Tomkinson GR; Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA, Australia., McGrath R; Healthy Aging North Dakota (HAND), North Dakota State University, Fargo, ND, USA.; Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USA.; Fargo VA Healthcare System, Fargo, ND, USA.
Jazyk:	angličtina
Zdroj:	Journal of Alzheimer's disease reports [J Alzheimers Dis Rep] 2023 Apr 18; Vol. 7 (1), pp. 271-278. Date of Electronic Publication: 2023 Apr 18 (Print Publication: 2023).
DOI:	10.3233/ADR-220107
Abstrakt:	Background: Instrumental activities of daily living (IADL) are neuropsychological-driven tasks that are linked to cognitive dysfunction. Examining population-based IADL deficits may reveal insights for the presence of these impairments in the United States. Objective: This investigation sought to evaluate the prevalence and trends of IADL impairments in Americans. Methods: A secondary analysis of data from the 2006-2018 waves of the Health and Retirement Study was conducted. The overall unweighted analytic sample included 29,764 Americans aged≥50 years. Respondents indicated their ability to perform six IADLs: manage money, manage medications, use a telephone, prepare hot meals, shop for groceries, and use a map. Persons reporting difficulty or an inability to complete an individual IADL were considered as having a task-specific impairment. Similarly, those indicating difficulty or an inability to perform any IADL were classified as having an IADL impairment. Sample weights were utilized to generate nationally-representative estimates. Results: Having an impairment in using a map (2018 wave: 15.7% (95% confidence interval (CI): 15.0-16.4) had the highest prevalence in individual IADLs regardless of wave examined. The overall prevalence of IADL impairments declined during the study period ( p  < 0.001) to 25.4% (CI: 24.5-26.2) in the 2018 wave. Older Americans and women had a consistently higher prevalence of IADL impairments compared to middle-aged Americans and men, respectively. The prevalence of IADL impairments was also highest among Hispanics and non-Hispanic Blacks. Conclusion: IADL impairments have declined over time. Continued surveillance of IADLs may help inform cognitive screening, identify subpopulations at risk of impairment, and guide relevant policy. Competing Interests: The authors have no conflict of interest to report. (© 2023 – The authors. Published by IOS Press.)
Databáze:	MEDLINE
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