Abstract

Objective The aim of this study was to investigate the relationship between participation in advanced activities of daily living (AADLs) and cognitive performance in community-dwelling elderly persons. Method The data presented is drawn from the population-based study entitled Frailty Profile of Elderly Brazilians (FIBRA-Unicamp). The sample comprised 2,549 older adults without cognitive impairments suggestive of dementia. Data was collected relating to socio-demographic characteristics (sex, age, years of education and family income), health status (number of diseases and depressive symptoms), cognitive performance (Mini-Mental State Examination - MMSE) and self-reported social, physical and intellectual AADLs. Results Mean MMSE scores were significantly higher among men, younger individuals and those with more years of education, higher income, fewer diseases and fewer depressive symptoms. Multivariate linear regression analysis and hierarchical regression analysis showed that years of education, family income and participation in intellectual AADLs were positively associated with cognitive performance. Conclusion The findings suggest that these factors may have a protective role in cognitive aging and that participation in intellectual AADLs can represent a feasible strategy for the promotion of mental health among older adults.

Highlights

  • Successful aging includes the absence of disease and the maintenance of functional capacity, and active engagement with life.[1]

  • This study was developed using the database of the Estudo Rede FIBRA (FIBRA Network Study), Universidade Estadual de Campinas (UNICAMP) hub, a study which aimed to analyze the relationship between frailty and psychosocial and sociodemographic variables, including health, function and cognition, among elderly individuals in the community

  • The present study evaluated the relationship of engagement in AADLs, grouped into the categories of physical, social and intellectual, with cognitive performance, monitoring the effect of the sociodemographic and health conditions of elderly people, without pre-existing cognitive impairment suggestive of dementia, living in the community

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Summary

Introduction

Successful aging includes the absence of disease and the maintenance of functional capacity, and active engagement with life.[1]. AADLs are part of a complex set of behavioral skills associated with functionality, motivation and previous experiences.[3] For this degree of functionality an individual requires more than just skills of self-care and survival, as the ability to perform AADLs is dependent on the preservation of physical and cognitive functions. It is influenced by gender, age, health conditions, education, marital status and place of residence.[2,3,4] a decline in the health of an individual often precludes their ability to perform AADLs, predisposing them to social isolation.[5]

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