The relationship between health-related quality of life and higher-level functional capacity in elderly women with mild cognitive impairment

轻度认知障碍老年女性的健康相关生活质量与高级功能能力之间的关系

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Abstract

[Purpose] To clarify health-related quality of life (HR-QOL) in subjects with mild cognitive impairment (MCI), using EuroQOL (EQ-5D), and to investigate the relationship between HR-QOL and Tokyo Metropolitan Institute Gerontology Index of Competence (TMIG-IC) scores. [Subjects and Methods] The subjects included 25 women with MCI or frail constitutions. A variety of methods were used to assess mental states and activities of daily living (ADL). [Results] EQ-5D scores were significantly lower in the MCI group than in the normal cognitive (NC) group. Among the assessed subscales, the percentages of participants with "moderate problems" during self-care and "moderate and extreme problems" during usual activities were significantly higher in the MCI group. TMIG-IC scores were significantly lower in the MCI group than in the NC group. There was a positive correlation between TMIG-IC and EQ-5D scores in the MCI group. There were also significant positive correlations between instrumental activities of daily living and social roles between EQ-5D and TMIG-IC scores in the MCI group. [Conclusion] TMIG-IC scores may reflect cognitive disorders earlier than BI and FIM. The decline of TMIG-IC scores, especially for IADL and social roles, affects HR-QOL even in the early phases of cognitive impairment.

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