Activities of daily living in Parkinson's disease: Time/gender perspective.

Abstract

The objectives of this study were to explore the changes in the activities of daily living (ADL) in persons with Parkinson's disease (pwPD) over time and to investigate possible differences in ADL performance between men and women with PD. One hundred twenty-nine persons (76 men) with a clinically established PD self-assessed their ADL performance from the time of diagnosis up to 8years follow-up using the ADL taxonomy. Other demographic and clinical data (motor state, cognition, depression) were also collected and subjected to further analysis. Nine of 12 domains in the ADL taxonomy showed a change over time (Eating and Drinking [P=.009], Mobility [P<.001], Toilet activities [P=.031], Dressing [P<.001], Personal hygiene [P<.001], Communication [P<.001], Cooking [P=.001], Shopping [P<.001] and Cleaning [P<.001]). In addition to time, two domains, (Shopping [P=.007] and Cleaning [P=.027]) also showed an effect of gender with worse scores in women. The nine ADL domains showing effect of time, showed temporary improvement at 12months follow-up, most probably due to dopaminergic medication. All nine domains deteriorated at later follow-up. As expected, there was deterioration in self-assessed performance in the majority od ADL domains over time. Women assessed their ADLs worse in two domains (Shopping and Cleaning) probably reflecting a general gender-related activity pattern rather than being a PD-specific finding.