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Published on: November 21, 2013
Prodromal Motoric Cognitive Risk Syndrome and Everyday Function
Nigel L Kravatz1, Dristi Adhikari1, Emmeline Ayers1
1Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Functional limitations in complex daily tasks emerge during the early stages of Motoric Cognitive Risk Syndrome (MCR), aiding in risk prediction for this pre-dementia condition.
Area of Science:
- Gerontology
- Neuroscience
- Public Health
Background:
- Motoric Cognitive Risk Syndrome (MCR) is a pre-dementia syndrome linked to daily living disabilities.
- It remains unclear if functional limitations precede MCR diagnosis.
Purpose of the Study:
- To investigate the functional profiles in individuals during the prodromal stages of MCR.
- To assess complex and instrumental activities of daily living in pre-MCR stages.
Main Methods:
- Study included 46 individuals who developed MCR (pre-MCR) and 264 cognitively intact controls.
- Functional profiles were assessed at baseline and during follow-up.
Main Results:
- Pre-MCR individuals exhibited more complex functional limitations at baseline (OR 1.21).
- Specific limitations included handling finances (OR 3.0) and hobbies (OR 5.5).
- Pre-MCR cases showed a significantly greater increase in functional limitations over time compared to controls (p < 0.001).
Conclusions:
- Complex everyday task limitations are present in the prodromal stages of MCR.
- These limitations can aid in predicting MCR risk.
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