Abstract
BackgroundSensory processing is essential for the interaction with the environment and for adequate daily function. Sensory processing may deteriorate with aging and restrict daily activity performance. Aging may also affect Executive functions (EFs) which are critical for daily activity performance. Yet, most studies refer separately to the impacts of sensory processing or EFs and use clinical evaluations that do not necessarily reflect functional restrictions in real life. This study aims to describe the prevalence of altered sensory processing in the elderly as expressed in daily life scenarios and explore whether EFs mediate between altered sensory processing and daily activity performance in older adults.MethodsThis cross-sectional study included 167 healthy independently functioning people aged 65 and above who were living in the community, had sufficient cognitive status and no symptoms of depression (based on the GDS and the MMSE). All participants completed a socio-demographic-health questionnaire, the Adolescent/Adult Sensory Profile, the Behavior Rating Inventory of Executive Function–Adult Version and the Daily Living Questionnaire.ResultsAltered sensory processing, and mainly by the reduced ability to register and modulate sensory input from daily environment, were prevalent in older adults. Their impacts on daily activity performance were mediated by executive dysfunctions.ConclusionsExecutive dysfunctions may worsen the negative effects of altered sensory processing on daily activity performance in older adults. The interaction between EFs and sensory processing should receive growing attention in intervention and prevention programs for older adults, with the emphasis on their expressions and implications on peoples’ function in real life context.
Highlights
Sensory processing is essential for the interaction with the environment and for adequate daily function
Differences in Executive functions (EFs) between people with and without altered sensory processing According to Aim 1, we examined differences in EF (BRIEF-A) and cognitive deficits in instrumental activities of daily living (IADL) performance (DLQ) between participants with and without altered sensory processing
This study focused on altered sensory processing, executive dysfunctions and their impacts on daily activity performance in older adults
Summary
Sensory processing is essential for the interaction with the environment and for adequate daily function. Sensory processing may deteriorate with aging and restrict daily activity performance. Aging may affect Executive functions (EFs) which are critical for daily activity performance. Individuals with hypersensitivity respond to sensation faster, intensely and for a longer duration. They are overwhelmed with sensation and even experience “regular” stimuli as painful. Individuals with hyposensitivity tend to miss sensory stimuli and fail to respond accurately to environmental demands [1]. Both hyper or hypo sensitivity may restrict adaptive behavior [2] and interfere with daily activity performance [3]
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