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Published in: Quality of Life Research 6/2020

Open Access 01-06-2020 | Dementia

Mild cognitive impairment and quality of life in the oldest old: a closer look

Authors: Felix S. Hussenoeder, Ines Conrad, Susanne Roehr, Angela Fuchs, Michael Pentzek, Horst Bickel, Edelgard Moesch, Siegfried Weyerer, Jochen Werle, Birgitt Wiese, Silke Mamone, Christian Brettschneider, Kathrin Heser, Luca Kleineidam, Hanna Kaduszkiewicz, Marion Eisele, Wolfgang Maier, Michael Wagner, Martin Scherer, Hans-Helmut König, Steffi G. Riedel-Heller

Published in: Quality of Life Research | Issue 6/2020

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Abstract

Purpose

Mild cognitive impairment (MCI) is a widespread phenomenon, especially affecting older individuals. We will analyze in how far MCI affects different facets of quality of life (QOL).

Methods

We used a sample of 903 participants (110 with MCI) from the fifth follow-up of the German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe), a prospective longitudinal study, to analyze the effects of MCI on different facets of the WHOQOL-OLD. We controlled for age, gender, marital status, education, living situation, daily living skills, and the ability to walk, see, and hear.

Results

Univariate analyses showed that individuals with MCI exhibited lower QOL with regard to the facets autonomy; past, present, and future activities; social participation; and intimacy, but less fears related to death and dying. No significant difference was shown with regard to the facet sensory abilities. In multivariate analyses controlling for age, gender, marital status, education, living situation, daily living skills, and the ability to walk, see and hear, MCI-status was significantly associated with QOL in the facet autonomy.

Conclusion

Effects of MCI go beyond cognition and significantly impact the lives of those affected. Further research and practice will benefit from utilizing specific facets of QOL rather than a total score.
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Metadata
Title
Mild cognitive impairment and quality of life in the oldest old: a closer look
Authors
Felix S. Hussenoeder
Ines Conrad
Susanne Roehr
Angela Fuchs
Michael Pentzek
Horst Bickel
Edelgard Moesch
Siegfried Weyerer
Jochen Werle
Birgitt Wiese
Silke Mamone
Christian Brettschneider
Kathrin Heser
Luca Kleineidam
Hanna Kaduszkiewicz
Marion Eisele
Wolfgang Maier
Michael Wagner
Martin Scherer
Hans-Helmut König
Steffi G. Riedel-Heller
Publication date
01-06-2020
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 6/2020
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02425-5

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