Changes in Mobility Among Older Adults with Psychometrically Defined Mild Cognitive Impairment

Overview

Journal J Gerontol B Psychol Sci Soc Sci

Specialties Geriatrics
Psychology
Social Sciences

Date 2010 Feb 12

PMID 20147739

Citations 33

Authors

Melissa L OConnor

Jerri D Edwards

Virginia G Wadley

Michael Crowe

Affiliations

Soon will be listed here.

Abstract

Studies have found that adults with possible mild cognitive impairment (MCI) exhibit decrements in everyday functioning (e.g., Wadley, V. G., Crowe, M., Marsiske, M., Cook, S. E., Unverzagt, F. W., Rosenberg, A. L., et al. (2007). Changes in everyday function among individuals with psychometrically defined mild cognitive impairment. Journal of the American Geriatrics Society, 55, 1192-1198). However, it is not known whether driving mobility and life space mobility are reduced in such individuals. The current study examined 5-year trajectories of mobility change in older adults (N = 2,355) with psychometrically defined MCI from the Advanced Cognitive Training for Independent and Vital Elderly trial. Mixed effect models evaluated group differences for the following mobility outcomes: driving space, life space, driving frequency, and driving difficulty. Relative to cognitively normal participants, participants with possible MCI showed reduced baseline mobility for all outcomes as well as faster rates of decline for driving frequency and difficulty. These results suggest that mobility declines could be features of MCI, and changes in mobility may be particularly important for researchers and clinicians to monitor in this population.

Citing Articles

Using a Device-Free Wi-Fi Sensing System to Assess Daily Activities and Mobility in Low-Income Older Adults: Protocol for a Feasibility Study.

Chung J, Pretzer-Aboff I, Parsons P, Falls K, Bulut E JMIR Res Protoc. 2024; 13():e53447.

PMID: 39531268 PMC: 11599892. DOI: 10.2196/53447.

Life-space mobility and cognition in community-dwelling late-life women: A cross-sectional analysis.

Sheets K, Kats A, Fink H, Langsetmo L, Yaffe K, Ensrud K J Am Geriatr Soc. 2024; 73(1):206-213.

PMID: 39275882 PMC: 11734094. DOI: 10.1111/jgs.19190.

Cognitive and physical impairment in spinal cord injury: A scoping review and call for new understanding.

Sargent L, Smitherman J, Sorenson M, Brown R, Starkweather A J Spinal Cord Med. 2022; 46(3):343-366.

PMID: 36441038 PMC: 10114976. DOI: 10.1080/10790268.2022.2134634.

Reliability and Validity of the Japanese Version of the Assessment of Readiness for Mobility Transition (ARMT-J) for Japanese Elderly.

Nasu S, Ishibashi Y, Ikuta J, Yamane S, Kobayashi R Int J Environ Res Public Health. 2022; 19(21).

PMID: 36360838 PMC: 9656332. DOI: 10.3390/ijerph192113957.

Life-Space Mobility and Parkinson's Disease. A Multiple-Methods Study.

Ryder-Burbidge C, Wieler M, Nykiforuk C, Jones C Mov Disord Clin Pract. 2022; 9(3):351-361.

PMID: 35402649 PMC: 8974890. DOI: 10.1002/mdc3.13406.

References

Liang J, Van Tran T, Krause N, Markides K . Generational differences in the structure of the CES-D scale in Mexican Americans. J Gerontol. 1989; 44(3):S110-20. DOI: 10.1093/geronj/44.3.s110. View

Busse A, Hensel A, Guhne U, Angermeyer M, Riedel-Heller S . Mild cognitive impairment: long-term course of four clinical subtypes. Neurology. 2006; 67(12):2176-85. DOI: 10.1212/01.wnl.0000249117.23318.e1. View

McGwin Jr G, Chapman V, Owsley C . Visual risk factors for driving difficulty among older drivers. Accid Anal Prev. 2000; 32(6):735-44. DOI: 10.1016/s0001-4575(99)00123-2. View

Hsiung G, Alipour S, Jacova C, Grand J, Gauthier S, Black S . Transition from cognitively impaired not demented to Alzheimer's disease: an analysis of changes in functional abilities in a dementia clinic cohort. Dement Geriatr Cogn Disord. 2008; 25(6):483-90. DOI: 10.1159/000126499. View

Baker P, Bodner E, Allman R . Measuring life-space mobility in community-dwelling older adults. J Am Geriatr Soc. 2003; 51(11):1610-4. DOI: 10.1046/j.1532-5415.2003.51512.x. View

Giovannetti T, Bettcher B, Brennan L, Libon D, Burke M, Duey K . Characterization of everyday functioning in mild cognitive impairment: a direct assessment approach. Dement Geriatr Cogn Disord. 2008; 25(4):359-65. DOI: 10.1159/000121005. View

Aretouli E, Brandt J . Everyday functioning in mild cognitive impairment and its relationship with executive cognition. Int J Geriatr Psychiatry. 2009; 25(3):224-33. PMC: 2987652. DOI: 10.1002/gps.2325. View

Wood K, Edwards J, Clay O, Wadley V, Roenker D, Ball K . Sensory and cognitive factors influencing functional ability in older adults. Gerontology. 2005; 51(2):131-41. DOI: 10.1159/000082199. View

Crowe M, Andel R, Wadley V, Cook S, Unverzagt F, Marsiske M . Subjective cognitive function and decline among older adults with psychometrically defined amnestic MCI. Int J Geriatr Psychiatry. 2006; 21(12):1187-92. PMC: 2905787. DOI: 10.1002/gps.1639. View

10.

Freund B, Szinovacz M . Effects of cognition on driving involvement among the oldest old: variations by gender and alternative transportation opportunities. Gerontologist. 2002; 42(5):621-33. DOI: 10.1093/geront/42.5.621. View

11.

Farias S, Cahn-Weiner D, Harvey D, Reed B, Mungas D, Kramer J . Longitudinal changes in memory and executive functioning are associated with longitudinal change in instrumental activities of daily living in older adults. Clin Neuropsychol. 2008; 23(3):446-61. PMC: 2881703. DOI: 10.1080/13854040802360558. View

12.

Brown L, Ott B, Papandonatos G, Sui Y, Ready R, Morris J . Prediction of on-road driving performance in patients with early Alzheimer's disease. J Am Geriatr Soc. 2005; 53(1):94-8. PMC: 3292197. DOI: 10.1111/j.1532-5415.2005.53017.x. View

13.

Vance D, Roenker D, Cissell G, Edwards J, Wadley V, Ball K . Predictors of driving exposure and avoidance in a field study of older drivers from the state of Maryland. Accid Anal Prev. 2006; 38(4):823-31. DOI: 10.1016/j.aap.2006.02.008. View

14.

Lyman J, McGwin Jr G, Sims R . Factors related to driving difficulty and habits in older drivers. Accid Anal Prev. 2001; 33(3):413-21. DOI: 10.1016/s0001-4575(00)00055-5. View

15.

Edwards J, Ross L, Wadley V, Clay O, Crowe M, Roenker D . The useful field of view test: normative data for older adults. Arch Clin Neuropsychol. 2006; 21(4):275-86. DOI: 10.1016/j.acn.2006.03.001. View

16.

Tuokko H, Morris C, Ebert P . Mild cognitive impairment and everyday functioning in older adults. Neurocase. 2005; 11(1):40-7. DOI: 10.1080/13554790490896802. View

17.

Petersen R, Morris J . Mild cognitive impairment as a clinical entity and treatment target. Arch Neurol. 2005; 62(7):1160-3. DOI: 10.1001/archneur.62.7.1160. View

18.

Jefferson A, Byerly L, Vanderhill S, Lambe S, Wong S, Ozonoff A . Characterization of activities of daily living in individuals with mild cognitive impairment. Am J Geriatr Psychiatry. 2008; 16(5):375-83. PMC: 2682324. DOI: 10.1097/JGP.0b013e318162f197. View

19.

Anstey K, Wood J, Lord S, Walker J . Cognitive, sensory and physical factors enabling driving safety in older adults. Clin Psychol Rev. 2004; 25(1):45-65. DOI: 10.1016/j.cpr.2004.07.008. View

20.

Schmitter-Edgecombe M, Woo E, Greeley D . Characterizing multiple memory deficits and their relation to everyday functioning in individuals with mild cognitive impairment. Neuropsychology. 2009; 23(2):168-77. DOI: 10.1037/a0014186. View