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Cognitive Function in Patients With Mild Idiopathic Pulmonary Fibrosis: A Case-Control Pilot Study
Hiroki Annaka1, Tomonori Nomura1, Hiroshi Moriyama2
1Department of Occupational Therapy, Niigata University of Health and Welfare, Niigata, Japan.
Occupational Therapy in Health Care
|March 5, 2024
Summary
Idiopathic pulmonary fibrosis (IPF) patients show early cognitive decline, impacting verbal memory and processing speed. Early assessment and occupational therapy are crucial for managing IPF-related cognitive changes.
Area of Science:
- Pulmonary Medicine
- Neuroscience
- Rehabilitation Therapy
Background:
- Idiopathic pulmonary fibrosis (IPF) is a progressive lung disease.
- Cognitive impairment is increasingly recognized in chronic diseases.
- Early detection of cognitive changes in IPF is vital for patient management.
Purpose of the Study:
- To investigate cognitive function in patients with mild and moderate-to-severe IPF.
- To compare cognitive performance between IPF patients and healthy controls.
- To determine if cognitive decline occurs early in the IPF disease process.
Main Methods:
- A case-control study design was employed.
- Participants included 10 mild IPF, 10 moderate-to-severe IPF, and 16 control subjects.
- Seven standardized cognitive function tests were administered to assess various cognitive domains.
Main Results:
- IPF patients exhibited significantly lower cognitive function compared to controls.
- Deficits were observed in verbal memory, cognitive flexibility, and information processing speed.
- Cognitive impairment was evident even in the mild IPF group, suggesting early disease manifestation.
Conclusions:
- Cognitive function declines early in the course of idiopathic pulmonary fibrosis.
- Occupational therapy interventions for IPF should incorporate cognitive assessments.
- Tailored assistance based on cognitive function is recommended for IPF patients.
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