Tuesday, October 10, 2006
Activities of Daily Living Score Can Differentiate Mild Cognitive Impairment From Mild Alzheimer's Disease: Presented at ANA
An assessment of a patient's ability to perform certain activities of daily living can help differentiate mild cognitive impairment from Alzheimer's disease, according to investigators who presented their findings here at the American Neurological Association (ANA) 131st Annual Meeting.
The researchers evaluated the Functional Activities Questionnaire (FAQ), which is commonly administered to the patient's caregiver and assesses the patient's ability to participate in 10 categories of instrumental activities of daily living. These included:
1) writing checks and maintaining other financial records;
2) assembling tax or business records;
3) shopping alone;
4) playing a game of skill;
5) making coffee or tea;
6) preparing a balanced meal;
7) keeping track of current events;
8) attending to and understanding a television program, book or magazine;
9) remembering appointments, family occasions, and medications; and
10) traveling out of the neighborhood.
The study required the caregiver to give the patient a score of zero to 3 on each activity, with 0 equaling normal independent participation in the activity, 1 indicating the patient's ability to do the activity alone but with difficulty, 2 indicating that the patient requires assistance, and 3 indicating that the patient is dependent on others to conduct the activity.
"Our findings show that analyses of individual assessments of activities of daily living, such as the FAQ, may be useful for diagnosing mild cognitive impairment," said principal investigator Edmond Teng, MD, PhD, fellow, Alzheimer Disease Center, David Geffen School of Medicine, UCLA, Los Angeles, California.....