Patterns of loss of basic activities of daily living in Alzheimer patients: A cross-sectional study of the French REAL cohort

Dement Geriatr Cogn Disord. 2010;29(1):46-54. doi: 10.1159/000264632. Epub 2010 Jan 27.

Abstract

Background/aims: To characterize loss of basic activities of daily living (BADL) in 687 Alzheimer's disease (AD) community-dwelling patients included in the French REAL cohort.

Methods: Patients had mild to moderately severe AD, and the mean age was 77.8 years. Patterns of loss of the 6 BADL were described at inclusion using the Lawton scale.

Results: With 6 binary BADL scores, each patient presented at inclusion a set of losses. For 53% of women, the sets of losses were included within each other or were identical, adding losses in physical ambulation, grooming, bathing, dressing, toilet and feeding, respectively. For 47% of men, a similar sequence was identified, with loss of dressing occurring secondly. A global cohesion of sets of losses was found for 87% of women and 86% of men. The Lawton scale is very useful for the assessment of AD patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / epidemiology
  • Alzheimer Disease / psychology*
  • Cognition / physiology
  • Cohort Studies
  • Cross-Sectional Studies
  • Disease Progression
  • Female
  • France / epidemiology
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Socioeconomic Factors