Cross-Domain Variability of Cognitive Performance in Very Old Nursing Home Residents and Community Dwellers: Relationship to Functional Status
Background: Recent evidence suggests that cross-domain variability in cognition may be related to subsequent cognitive decline beyond mean performance levels in cognitive tasks. Objectives: To examine age-related changes in cross-domain variability across cognitive task performance in very old nursi...
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| Veröffentlicht in: | Gerontology (Basel) 2005-05, Vol.51 (3), p.206-212 |
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| creator | Rapp, Michael A. Schnaider-Beeri, Michael Sano, Mary Silverman, Jeremy M. Haroutunian, Vahram |
| description | Background: Recent evidence suggests that cross-domain variability in cognition may be related to subsequent cognitive decline beyond mean performance levels in cognitive tasks. Objectives: To examine age-related changes in cross-domain variability across cognitive task performance in very old nursing home residents in contrast to community-dwelling older adults. To explore the relationship between cross-domain variability in cognition and functional disability in very old age. Methods: 204 very old (82.00 ± 8.51 years) residents from the Jewish Home and Hospital, Bronx, N.Y., and 376 community-dwelling older adults of similar age (86.75 ± 5.84 years) were tested on a cognitive battery. Cross-domain variability scores were computed across the cognitive tasks. Functional disability measures were derived from the CDR (Clinical Dementia Rating) Scale. Results: Whereas oldest old community-dwelling adults showed a decrease in variability across domains with age, variability increased with age in nursing home residents, irrespective of the level of cognitive performance. Cross-domain variability was associated with functional disability beyond the effects of age, gender, education, dementia status, residential status, and level of cognitive performance. Conclusion: Findings suggest that cross-domain variability in cognition is related to functional decline with age. Cross-domain variability in cognition may be a prominent predictor for the development of functional decline in very old adults. |
| doi_str_mv | 10.1159/000083995 |
| format | Article |
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Objectives: To examine age-related changes in cross-domain variability across cognitive task performance in very old nursing home residents in contrast to community-dwelling older adults. To explore the relationship between cross-domain variability in cognition and functional disability in very old age. Methods: 204 very old (82.00 ± 8.51 years) residents from the Jewish Home and Hospital, Bronx, N.Y., and 376 community-dwelling older adults of similar age (86.75 ± 5.84 years) were tested on a cognitive battery. Cross-domain variability scores were computed across the cognitive tasks. Functional disability measures were derived from the CDR (Clinical Dementia Rating) Scale. Results: Whereas oldest old community-dwelling adults showed a decrease in variability across domains with age, variability increased with age in nursing home residents, irrespective of the level of cognitive performance. Cross-domain variability was associated with functional disability beyond the effects of age, gender, education, dementia status, residential status, and level of cognitive performance. Conclusion: Findings suggest that cross-domain variability in cognition is related to functional decline with age. Cross-domain variability in cognition may be a prominent predictor for the development of functional decline in very old adults.</description><identifier>ISSN: 0304-324X</identifier><identifier>EISSN: 1423-0003</identifier><identifier>DOI: 10.1159/000083995</identifier><identifier>PMID: 15832049</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Behavioural Science Section ; Cognition - physiology ; Female ; Health Status ; Hospitals ; Humans ; Life Style ; Male ; Multivariate Analysis ; Neuropsychological Tests ; Nursing Homes</subject><ispartof>Gerontology (Basel), 2005-05, Vol.51 (3), p.206-212</ispartof><rights>2005 S. Karger AG, Basel</rights><rights>Copyright (c) 2005 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c330t-2d239a4ad7f12aee984b0388f0ed618b6539c696a0a1634fae208543767bbece3</citedby><cites>FETCH-LOGICAL-c330t-2d239a4ad7f12aee984b0388f0ed618b6539c696a0a1634fae208543767bbece3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15832049$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rapp, Michael A.</creatorcontrib><creatorcontrib>Schnaider-Beeri, Michael</creatorcontrib><creatorcontrib>Sano, Mary</creatorcontrib><creatorcontrib>Silverman, Jeremy M.</creatorcontrib><creatorcontrib>Haroutunian, Vahram</creatorcontrib><title>Cross-Domain Variability of Cognitive Performance in Very Old Nursing Home Residents and Community Dwellers: Relationship to Functional Status</title><title>Gerontology (Basel)</title><addtitle>Gerontology</addtitle><description>Background: Recent evidence suggests that cross-domain variability in cognition may be related to subsequent cognitive decline beyond mean performance levels in cognitive tasks. Objectives: To examine age-related changes in cross-domain variability across cognitive task performance in very old nursing home residents in contrast to community-dwelling older adults. To explore the relationship between cross-domain variability in cognition and functional disability in very old age. Methods: 204 very old (82.00 ± 8.51 years) residents from the Jewish Home and Hospital, Bronx, N.Y., and 376 community-dwelling older adults of similar age (86.75 ± 5.84 years) were tested on a cognitive battery. Cross-domain variability scores were computed across the cognitive tasks. Functional disability measures were derived from the CDR (Clinical Dementia Rating) Scale. Results: Whereas oldest old community-dwelling adults showed a decrease in variability across domains with age, variability increased with age in nursing home residents, irrespective of the level of cognitive performance. Cross-domain variability was associated with functional disability beyond the effects of age, gender, education, dementia status, residential status, and level of cognitive performance. Conclusion: Findings suggest that cross-domain variability in cognition is related to functional decline with age. Cross-domain variability in cognition may be a prominent predictor for the development of functional decline in very old adults.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Behavioural Science Section</subject><subject>Cognition - physiology</subject><subject>Female</subject><subject>Health Status</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Life Style</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>Neuropsychological Tests</subject><subject>Nursing Homes</subject><issn>0304-324X</issn><issn>1423-0003</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpd0c9rFDEUB_Agil3bHjwLEjwIHqbm1_xIb7K1tlBs0bZ4G97MvFlTZ5I1yVT2n-jf3Ay7tGAu4YXP-_LII-QtZ0ec5_ozS6eSWucvyIIrIbNUy5dkwSRTmRTq1x55E8JdemSCs9dkj-eVFEzpBXlYehdCduJGMJbegjfQmMHEDXU9XbqVNdHcI71C3zs_gm2Rzg79hl4OHf0--WDsip65EekPDKZDGwMF26XmcZzsnHTyD4cBfThOYoBonA2_zZpGR08n2841DPRnhDiFA_KqhyHg4e7eJzenX6-XZ9nF5bfz5ZeLrJWSxUx0QmpQ0JU9F4CoK9UwWVU9w67gVVPkUreFLoABL6TqAQWrciXLomwabFHuk4_b3LV3fycMsR5NaNOYYNFNoS7KMsUxneCH_-Cdm3waONSiVEXOU2hCn7aonT_TY1-vvRnBb2rO6nlD9dOGkn2_C5yaEbtnuVtJAu-24A_4FfonsG1_BMQUlWY</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Rapp, Michael A.</creator><creator>Schnaider-Beeri, Michael</creator><creator>Sano, Mary</creator><creator>Silverman, Jeremy M.</creator><creator>Haroutunian, Vahram</creator><general>S. 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physiology</topic><topic>Female</topic><topic>Health Status</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Life Style</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>Neuropsychological Tests</topic><topic>Nursing Homes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rapp, Michael A.</creatorcontrib><creatorcontrib>Schnaider-Beeri, Michael</creatorcontrib><creatorcontrib>Sano, Mary</creatorcontrib><creatorcontrib>Silverman, Jeremy M.</creatorcontrib><creatorcontrib>Haroutunian, Vahram</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest Sociology & Social Sciences Collection</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Gerontology (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rapp, Michael A.</au><au>Schnaider-Beeri, Michael</au><au>Sano, Mary</au><au>Silverman, Jeremy M.</au><au>Haroutunian, Vahram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cross-Domain Variability of Cognitive Performance in Very Old Nursing Home Residents and Community Dwellers: Relationship to Functional Status</atitle><jtitle>Gerontology (Basel)</jtitle><addtitle>Gerontology</addtitle><date>2005-05</date><risdate>2005</risdate><volume>51</volume><issue>3</issue><spage>206</spage><epage>212</epage><pages>206-212</pages><issn>0304-324X</issn><eissn>1423-0003</eissn><abstract>Background: Recent evidence suggests that cross-domain variability in cognition may be related to subsequent cognitive decline beyond mean performance levels in cognitive tasks. Objectives: To examine age-related changes in cross-domain variability across cognitive task performance in very old nursing home residents in contrast to community-dwelling older adults. To explore the relationship between cross-domain variability in cognition and functional disability in very old age. Methods: 204 very old (82.00 ± 8.51 years) residents from the Jewish Home and Hospital, Bronx, N.Y., and 376 community-dwelling older adults of similar age (86.75 ± 5.84 years) were tested on a cognitive battery. Cross-domain variability scores were computed across the cognitive tasks. Functional disability measures were derived from the CDR (Clinical Dementia Rating) Scale. Results: Whereas oldest old community-dwelling adults showed a decrease in variability across domains with age, variability increased with age in nursing home residents, irrespective of the level of cognitive performance. Cross-domain variability was associated with functional disability beyond the effects of age, gender, education, dementia status, residential status, and level of cognitive performance. Conclusion: Findings suggest that cross-domain variability in cognition is related to functional decline with age. Cross-domain variability in cognition may be a prominent predictor for the development of functional decline in very old adults.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>15832049</pmid><doi>10.1159/000083995</doi><tpages>7</tpages></addata></record> |
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| subjects | Age Factors Aged Aged, 80 and over Behavioural Science Section Cognition - physiology Female Health Status Hospitals Humans Life Style Male Multivariate Analysis Neuropsychological Tests Nursing Homes |
| title | Cross-Domain Variability of Cognitive Performance in Very Old Nursing Home Residents and Community Dwellers: Relationship to Functional Status |
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