Cognitive, physical and emotional determinants of activities of daily living in nursing home residents—a cross-sectional study within the PROCARE-project

European Review of Aging and Physical Activity

Research Article

Laura Luise Bischoff¹  Bettina Wollesen¹  Ann-Kathrin Otto¹  Thomas Cordes²  Claudia Voelcker-Rehage³  Julian Rudisch³  Matthias Weigelt⁴  Thomas Joellenbeck⁴  Thomas Klotzbier⁵  Nadja Schott⁵  Katharina Zwingmann⁶  Daniel Schoene⁷  Lutz Vogt⁸  Claudia Hildebrand⁹ 

[1] Department of Human Movement Science, University of Hamburg, Turmweg 2, 20148, Hamburg, Germany;Department of Human Movement Science, University of Vechta, Vechta, Germany;Department of Neuromotor Behavior and Exercise, Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany;Department of Sport & Health Sciences, University of Paderborn, Paderborn, Germany;Department of Sports and Movement Science, University of Stuttgart, Stuttgart, Germany;Institute of Human Movement Science and Health, Chemnitz University of Technology, Chemnitz, Germany;Institute of Medical Physics, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany;Institute of Sports Sciences, Goethe-University Frankfurt, Frankfurt, Germany;Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany;

关键词: Cognition;    Emotion;    Mobility;    ADL;    Barthel-Index;   

DOI  :  10.1186/s11556-023-00327-2

 received in 2023-05-10, accepted in 2023-08-31,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundInterdependencies of health, fitness, cognition, and emotion can promote or inhibit mobility. This study aimed to analyse pathways and interactions between individual subjective and objective physical performance, cognition, and emotions with activities of daily living (ADLs) as mobility indicators in multimorbid nursing home residents.MethodsThe study included n = 448 (77.1% females, age = 84.1 ± 7.8 years) nursing home residents. To describe the participant's demographics, frailty, number of falls, and participating institutions' socioeconomic status (SES) were assessed. ADLs were measured with the Barthel Index (BI; dependent variable). Independent variables included objective physical performance, subjective physical performance, cognition, and emotions. A structural equation model (SEM) with maximum likelihood estimation was conducted with AMOS. Direct and indirect effects were estimated using standardized coefficients (significance level of 0.05).ResultsIndices showed (Chi2(148) = 217, PCMIN/DF = 1.47; p < .001; Comparative Fit Index = .940; Tucker Lewes Index = .902, RMSEA = .033) that the model fitted the data adequately. While there was no direct association between emotions, subjective physical performance, and ADLs, objective physical performance and cognition predicted higher ADLs (p < .01). Emotions had a strong relationship with subjective physical performance, and cognition had a moderate relationship with objective physical performance.Discussion and conclusionObjective performance and cognition predicted higher functional status, as expressed by higher BI scores. ADLs, such as mobility, dressing, or handling tasks, require motor and cognitive performance. Subjective performance is an important predictor of ADLs and is only partly explained by objective performance, but to a large extent also by emotions. Therefore, future interventions for nursing home residents should take a holistic approach that focuses not only on promoting objective physical and cognitive performance but also on emotions and perceived physical performance.Trial registrationTrial registration number: DRKS00014957.

【 授权许可】

CC BY   
© European Group for Research into Elderly and Physical Activity (EGRIPA) 2023

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