Daily activities and suspected dementia among community-dwelling older adults: a cross-sectional study

Abstract Background Dementia is undiagnosed among many older adults, and more than half the people in local communities live with symptoms of dementia are not properly treated. Objective The study aims to explore the relationship between decline of daily activities and the incidence of suspected dem...

Full description

Saved in:
Bibliographic Details
Main Authors: Shuhan Yan, Zihan Geng, Jie Zhang, Huahua Liu, Zhifang Chen, Yaqin Shi, Feng Zhang
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-024-05648-0
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846100888800722944
author Shuhan Yan
Zihan Geng
Jie Zhang
Huahua Liu
Zhifang Chen
Yaqin Shi
Feng Zhang
author_facet Shuhan Yan
Zihan Geng
Jie Zhang
Huahua Liu
Zhifang Chen
Yaqin Shi
Feng Zhang
author_sort Shuhan Yan
collection DOAJ
description Abstract Background Dementia is undiagnosed among many older adults, and more than half the people in local communities live with symptoms of dementia are not properly treated. Objective The study aims to explore the relationship between decline of daily activities and the incidence of suspected dementia. Methods A two-stage sampling method was used to conduct a multicenter cross-sectional survey. Older adults who have not been diagnosed as dementia were recruited from the local community. The Revised Hasegawa Dementia Scale (HDS-R) was used to evaluate the cognitive function. We evaluated daily activities from several aspects (bathing, dressing, toileting, grooming, feeding, transportation, walking, telephone, housekeeping, and taking medications). Logistic regression was adopted to assess the influence of daily activities on the risk of suspected dementia after controlling for the covariates. Results The analysis included 2458 individuals. Daily activities included toileting (OR = 1.830, 95%CI 1.581 ~ 2.119), grooming (OR = 1.938, 95%CI 1.659 ~ 2.265), dressing (OR = 1.771, 95%CI 1.542 ~ 2.033), bathing (OR = 1.793, 95%CI 1.591 ~ 2.022), feeding (OR = 1.821, 95%CI 1.565 ~ 2.118), transportation (OR = 1.996, 95%CI 1.743 ~ 2.285), walking (OR = 2.069, 95%CI 1.685 ~ 2.542), telephone (OR = 3.640, 95%CI 2.738 ~ 4.838), housekeeping (OR = 1.415, 95%CI 1.213 ~ 1.649), and taking medications (OR = 1.633, 95%CI 1.451 ~ 1.839) were still related to the incidence of suspected dementia after controlling for age, education, post-retirement work, social activity, drinking, smoking, living with spouses, and diabetes. Conclusions Daily activities were related to the incidence of suspected dementia. Daily activities were affected even if the older adults were not diagnosed as dementia. Timely and accurate diagnosis of dementia should be encouraged among community-dwelling older adults.
format Article
id doaj-art-3e2edf1b494d4f28ae9fed4a4e7ad54f
institution Kabale University
issn 1471-2318
language English
publishDate 2024-12-01
publisher BMC
record_format Article
series BMC Geriatrics
spelling doaj-art-3e2edf1b494d4f28ae9fed4a4e7ad54f2024-12-29T12:46:27ZengBMCBMC Geriatrics1471-23182024-12-012411910.1186/s12877-024-05648-0Daily activities and suspected dementia among community-dwelling older adults: a cross-sectional studyShuhan Yan0Zihan Geng1Jie Zhang2Huahua Liu3Zhifang Chen4Yaqin Shi5Feng Zhang6School of Nursing and Rehabilitation, Nantong UniversityMedical College, Nantong UniversityMedical College, Nantong UniversityAffiliated Maternity and Child Health Care Hospital of Nantong UniversityAffiliated Maternity and Child Health Care Hospital of Nantong UniversitySchool of Nursing and Rehabilitation, Nantong UniversitySchool of Nursing and Rehabilitation, Nantong UniversityAbstract Background Dementia is undiagnosed among many older adults, and more than half the people in local communities live with symptoms of dementia are not properly treated. Objective The study aims to explore the relationship between decline of daily activities and the incidence of suspected dementia. Methods A two-stage sampling method was used to conduct a multicenter cross-sectional survey. Older adults who have not been diagnosed as dementia were recruited from the local community. The Revised Hasegawa Dementia Scale (HDS-R) was used to evaluate the cognitive function. We evaluated daily activities from several aspects (bathing, dressing, toileting, grooming, feeding, transportation, walking, telephone, housekeeping, and taking medications). Logistic regression was adopted to assess the influence of daily activities on the risk of suspected dementia after controlling for the covariates. Results The analysis included 2458 individuals. Daily activities included toileting (OR = 1.830, 95%CI 1.581 ~ 2.119), grooming (OR = 1.938, 95%CI 1.659 ~ 2.265), dressing (OR = 1.771, 95%CI 1.542 ~ 2.033), bathing (OR = 1.793, 95%CI 1.591 ~ 2.022), feeding (OR = 1.821, 95%CI 1.565 ~ 2.118), transportation (OR = 1.996, 95%CI 1.743 ~ 2.285), walking (OR = 2.069, 95%CI 1.685 ~ 2.542), telephone (OR = 3.640, 95%CI 2.738 ~ 4.838), housekeeping (OR = 1.415, 95%CI 1.213 ~ 1.649), and taking medications (OR = 1.633, 95%CI 1.451 ~ 1.839) were still related to the incidence of suspected dementia after controlling for age, education, post-retirement work, social activity, drinking, smoking, living with spouses, and diabetes. Conclusions Daily activities were related to the incidence of suspected dementia. Daily activities were affected even if the older adults were not diagnosed as dementia. Timely and accurate diagnosis of dementia should be encouraged among community-dwelling older adults.https://doi.org/10.1186/s12877-024-05648-0CommunityDementiaDaily activities
spellingShingle Shuhan Yan
Zihan Geng
Jie Zhang
Huahua Liu
Zhifang Chen
Yaqin Shi
Feng Zhang
Daily activities and suspected dementia among community-dwelling older adults: a cross-sectional study
BMC Geriatrics
Community
Dementia
Daily activities
title Daily activities and suspected dementia among community-dwelling older adults: a cross-sectional study
title_full Daily activities and suspected dementia among community-dwelling older adults: a cross-sectional study
title_fullStr Daily activities and suspected dementia among community-dwelling older adults: a cross-sectional study
title_full_unstemmed Daily activities and suspected dementia among community-dwelling older adults: a cross-sectional study
title_short Daily activities and suspected dementia among community-dwelling older adults: a cross-sectional study
title_sort daily activities and suspected dementia among community dwelling older adults a cross sectional study
topic Community
Dementia
Daily activities
url https://doi.org/10.1186/s12877-024-05648-0
work_keys_str_mv AT shuhanyan dailyactivitiesandsuspecteddementiaamongcommunitydwellingolderadultsacrosssectionalstudy
AT zihangeng dailyactivitiesandsuspecteddementiaamongcommunitydwellingolderadultsacrosssectionalstudy
AT jiezhang dailyactivitiesandsuspecteddementiaamongcommunitydwellingolderadultsacrosssectionalstudy
AT huahualiu dailyactivitiesandsuspecteddementiaamongcommunitydwellingolderadultsacrosssectionalstudy
AT zhifangchen dailyactivitiesandsuspecteddementiaamongcommunitydwellingolderadultsacrosssectionalstudy
AT yaqinshi dailyactivitiesandsuspecteddementiaamongcommunitydwellingolderadultsacrosssectionalstudy
AT fengzhang dailyactivitiesandsuspecteddementiaamongcommunitydwellingolderadultsacrosssectionalstudy