van Hooren SA et al (2005). Influence of cognitive functioning on functional status in an older population: 3- and 6-year follow-up of the Maastricht Aging Study. Int J Geriatr Psychiatry;20:883-888.

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Background

To date, it remains unclear to what extent cognitive competence is related to a change in general functional status in older adults.

Objectives

To evaluate both the cross-sectional and the longitudinal relation between cognitive functioning and functional status.

Methods

Sensorimotor speed, memory, and executive functioning were assessed in a large population of healthy adults aged 60 years and older (n = 485) who participated in the Maastricht Aging Study. Data from the baseline (1993-1995), three-year follow-up, and six-year follow-up were used. Functional status was measured using the SF-36, which was coded into a physical and a mental component summary measure.

Results

After adjustment for age, sex, and educational level, a high level of cognitive functioning appeared to be associated with better functional status in the cross-sectional analysis. Longitudinal analyses demonstrated, that cognitive functioning was not a predictor of functional status three or six years later.

Conclusions

Thus while cognitive functioning is useful clinically for predicting the short-term functional status of an older person, it is not useful for predicting that person’s long-term (>3 years) functional status and thus the period of validity of the results of these tests in answering such questions is limited.

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