Cognitive dysfunction, social participation, and performance of activities of daily living among a sub-urban community-dwelling older adults in Nigeria
Cognitive dysfunction (CF) in older adults significantly impacts activities of daily living (ADLs), social participation (SP), instrumental activities of daily living (IADLs), and overall quality of life. This cross-sectional study assessed CF, SP, ADLs, and IADLs among 150 community-dwelling older...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Cogent Gerontology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/28324897.2025.2450341 |
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| author | Obiekwe Sochima Johnmark Uzoamaka Nwakego Akobundu Okwudili Precious Emuka Akosile Christopher Olusanjo Uchechukwu Martha Chukwuemeka Ukamaka Gloria Mgbeojedo Uchenna Prosper Okonkwo |
| author_facet | Obiekwe Sochima Johnmark Uzoamaka Nwakego Akobundu Okwudili Precious Emuka Akosile Christopher Olusanjo Uchechukwu Martha Chukwuemeka Ukamaka Gloria Mgbeojedo Uchenna Prosper Okonkwo |
| author_sort | Obiekwe Sochima Johnmark |
| collection | DOAJ |
| description | Cognitive dysfunction (CF) in older adults significantly impacts activities of daily living (ADLs), social participation (SP), instrumental activities of daily living (IADLs), and overall quality of life. This cross-sectional study assessed CF, SP, ADLs, and IADLs among 150 community-dwelling older adults (mean age 76.31 ± 8.74 years) in Nnewi, Nigeria. Data were collected using the Mini-Mental State Exam, Katz Index of Independence in ADLs, Lawton IADL scale, and Participation Scale. Mean scores for the IADL scale, Katz Index, SP, and CF were 6.03 ± 2.020, 5.73 ± 1.016, 7.47 ± 8.092, and 25.34 ± 5.800, respectively. Cognitive dysfunction prevalence was 29.3%. Most participants (83.3%) had no significant community or social function restrictions. Half required assistance with IADLs, but 93.3% were fully functional with basic ADLs. Significant relationships were found between ADLs and IADLs (p < 0.001), SP (p < 0.001), and CF (p = 0.001), and between IADLs, SP (p < 0.001), and CF (p = 0.001). Regular cognitive and social engagement programs are recommended to maintain functional abilities in older adults. |
| format | Article |
| id | doaj-art-bfc91d3eb80c4b1493685d14b7c06d29 |
| institution | Kabale University |
| issn | 2832-4897 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Cogent Gerontology |
| spelling | doaj-art-bfc91d3eb80c4b1493685d14b7c06d292025-01-24T16:59:19ZengTaylor & Francis GroupCogent Gerontology2832-48972025-12-014110.1080/28324897.2025.2450341Cognitive dysfunction, social participation, and performance of activities of daily living among a sub-urban community-dwelling older adults in NigeriaObiekwe Sochima Johnmark0Uzoamaka Nwakego Akobundu1Okwudili Precious Emuka2Akosile Christopher Olusanjo3Uchechukwu Martha Chukwuemeka4Ukamaka Gloria Mgbeojedo5Uchenna Prosper Okonkwo6Department of Medical Rehabilitation, Nnamdi Azikiwe University, Awka, Anambra State, NigeriaDepartment of Medical Rehabilitation, Nnamdi Azikiwe University, Awka, Anambra State, NigeriaDepartment of Medical Rehabilitation, Nnamdi Azikiwe University, Awka, Anambra State, NigeriaDepartment of Medical Rehabilitation, Nnamdi Azikiwe University, Awka, Anambra State, NigeriaDepartment of Medical Rehabilitation, Nnamdi Azikiwe University, Awka, Anambra State, NigeriaDepartment of Medical Rehabilitation, University of Nigeria, Nsuka, Enugu State, NigeriaDepartment of Medical Rehabilitation, Nnamdi Azikiwe University, Awka, Anambra State, NigeriaCognitive dysfunction (CF) in older adults significantly impacts activities of daily living (ADLs), social participation (SP), instrumental activities of daily living (IADLs), and overall quality of life. This cross-sectional study assessed CF, SP, ADLs, and IADLs among 150 community-dwelling older adults (mean age 76.31 ± 8.74 years) in Nnewi, Nigeria. Data were collected using the Mini-Mental State Exam, Katz Index of Independence in ADLs, Lawton IADL scale, and Participation Scale. Mean scores for the IADL scale, Katz Index, SP, and CF were 6.03 ± 2.020, 5.73 ± 1.016, 7.47 ± 8.092, and 25.34 ± 5.800, respectively. Cognitive dysfunction prevalence was 29.3%. Most participants (83.3%) had no significant community or social function restrictions. Half required assistance with IADLs, but 93.3% were fully functional with basic ADLs. Significant relationships were found between ADLs and IADLs (p < 0.001), SP (p < 0.001), and CF (p = 0.001), and between IADLs, SP (p < 0.001), and CF (p = 0.001). Regular cognitive and social engagement programs are recommended to maintain functional abilities in older adults.https://www.tandfonline.com/doi/10.1080/28324897.2025.2450341Older adultsactivities of daily livingcognitive functioncommunity-dwellinginstrumental activities of daily livingNigeria |
| spellingShingle | Obiekwe Sochima Johnmark Uzoamaka Nwakego Akobundu Okwudili Precious Emuka Akosile Christopher Olusanjo Uchechukwu Martha Chukwuemeka Ukamaka Gloria Mgbeojedo Uchenna Prosper Okonkwo Cognitive dysfunction, social participation, and performance of activities of daily living among a sub-urban community-dwelling older adults in Nigeria Cogent Gerontology Older adults activities of daily living cognitive function community-dwelling instrumental activities of daily living Nigeria |
| title | Cognitive dysfunction, social participation, and performance of activities of daily living among a sub-urban community-dwelling older adults in Nigeria |
| title_full | Cognitive dysfunction, social participation, and performance of activities of daily living among a sub-urban community-dwelling older adults in Nigeria |
| title_fullStr | Cognitive dysfunction, social participation, and performance of activities of daily living among a sub-urban community-dwelling older adults in Nigeria |
| title_full_unstemmed | Cognitive dysfunction, social participation, and performance of activities of daily living among a sub-urban community-dwelling older adults in Nigeria |
| title_short | Cognitive dysfunction, social participation, and performance of activities of daily living among a sub-urban community-dwelling older adults in Nigeria |
| title_sort | cognitive dysfunction social participation and performance of activities of daily living among a sub urban community dwelling older adults in nigeria |
| topic | Older adults activities of daily living cognitive function community-dwelling instrumental activities of daily living Nigeria |
| url | https://www.tandfonline.com/doi/10.1080/28324897.2025.2450341 |
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