Self-reported Exhaustion is Associated with Small Life Space in Older Adults with Mild Cognitive Impairment

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  • Tsutsumimoto Kota
    Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences: 7-10-2 Tomogaoka, Suma-ku, Kobe, Hyogo 654-0142, Japan Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Japan
  • Doi Takehiko
    Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Japan
  • Shimada Hiroyuki
    Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Japan
  • Makizako Hyuma
    Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Japan
  • Uemura Kazuki
    Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Japan
  • Ando Hiroshi
    Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences: 7-10-2 Tomogaoka, Suma-ku, Kobe, Hyogo 654-0142, Japan
  • Suzuki Takao
    Research Institute, National Center for Geriatrics and Gerontology, Japan

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Abstract

[Purpose] Older adults experience exhaustion-induced health problems, such as poor physical function and low physical activity levels. The associations between self-reported exhaustion and physical function and activity are not clear in older adults with mild cognitive impairment (MCI). The aim of this study was to investigate the relationships between self-reported exhaustion and physical function and activity in older adults with mild cognitive impairment. [Subjects] A total of 356 older adults with mild cognitive impairment (mean age = 71.6 ± 0.3 years, 50.8% women) were included in this study. [Methods] Self-reported exhaustion was identified by one item from the Study of Osteoporotic Fractures index. Gait speed, gait endurance, and life space were also assessed. [Results] Sixty-two participants reported having exhaustion, giving a 17.4% prevalence of self-reported exhaustion among these individuals. Logistic regression analysis showed that the Life-Space Assessment score was the only parameter significantly independently associated with exhaustion status (adjusted odds ratio 0.97, 95% confidence interval 0.95–0.99). [Conclusion] These results suggest that self-reported exhaustion is associated with life space. Future research is needed to identify ways for older people with MCI to improve their exhaustion status.

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