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Dual Sensory Impairment and Cognitive Decline: The Results From the Shelter Study.
- Source :
-
The journals of gerontology. Series A, Biological sciences and medical sciences [J Gerontol A Biol Sci Med Sci] 2016 Jan; Vol. 71 (1), pp. 117-23. Date of Electronic Publication: 2015 Apr 13. - Publication Year :
- 2016
-
Abstract
- Objectives: To examine whether nursing home residents with concurrent vision and hearing impairment, dual sensory impairment (DSI), have a greater cognitive decline over time than do those without sensory impairment and whether social engagement modifies this association.<br />Methods: Based on the Services and Health for Elderly in Long TERm Care study, 1,989 nursing home residents who were assessed using the interRAI LTCF at 6-month intervals over 1 year were included. Multivariate linear regression models with time-variant exposure variables of sensory impairment and social engagement using generalized estimating equations were performed to predict cognitive function measured by the Cognitive Performance Scale (range 0-6).<br />Results: Residents with DSI had a greater cognitive decline [changes in Cognitive Performance Scale over 1 year = 1.12 (95% confidence interval = 0.81:1.42)] compared to those with either vision or hearing impairment [0.67 (0.53:0.64)] and those without sensory impairment [0.56 (0.48:0.64)]. A lower level of social engagement was also associated with a greater cognitive decline. The combined exposure variable of sensory impairment and social engagement revealed the greatest cognitive decline for socially disengaged residents with DSI [1.87 (1.24:2.51)] and the potential effect modification of social engagement on the association between DSI and cognitive decline; DSI was not associated with a greater cognitive decline among socially engaged residents, while it was associated among socially disengaged residents<br />Discussion: Cognitive function declines faster in nursing home residents with DSI only when residents were not socially engaged. Therefore, residents with DSI might cognitively benefit from interventions to improve involvement in social life at nursing homes.<br /> (© The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Subjects :
- Aged
Europe
Female
Follow-Up Studies
Geriatric Assessment methods
Homes for the Aged statistics & numerical data
Humans
Interpersonal Relations
Linear Models
Male
Nursing Homes statistics & numerical data
Prognosis
Social Support
Time Factors
Cognition
Cognition Disorders diagnosis
Cognition Disorders etiology
Cognition Disorders prevention & control
Hearing Loss complications
Hearing Loss psychology
Social Participation psychology
Vision Disorders complications
Vision Disorders psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1758-535X
- Volume :
- 71
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The journals of gerontology. Series A, Biological sciences and medical sciences
- Publication Type :
- Academic Journal
- Accession number :
- 25869524
- Full Text :
- https://doi.org/10.1093/gerona/glv036