Daily Activities: The Impact of COPD and Cognitive Dysfunction

Amanda M Brunette; Kelsey Warner; Kristen E Holm; Kimberly A Meschede; Frederick S Wamboldt; Elizabeth Kozora; David J Moser; Barry J Make; James D Crapo; Kerrie L Moreau; Howard D Weinberger; Russell Bowler; Karin F Hoth

doi:10.1093/arclin/acaa090

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Daily Activities: The Impact of COPD and Cognitive Dysfunction

Journal article

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Daily Activities: The Impact of COPD and Cognitive Dysfunction

Amanda M Brunette, Kelsey Warner, Kristen E Holm, Kimberly A Meschede, Frederick S Wamboldt, Elizabeth Kozora, David J Moser, Barry J Make, James D Crapo, Kerrie L Moreau, …

Archives of clinical neuropsychology, Vol.36(5), pp.767-779

10/26/2020

DOI: 10.1093/arclin/acaa090

PMID: 33103191

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Abstract

OBJECTIVE Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation; however, pulmonary function does not fully account for patients' functional difficulties. The primary aim of the study was to determine the association between several domains of cognition and daily activity among those with COPD. METHOD Eighty-nine former smokers completed a neuropsychological battery including measures across multiple domains of cognition, pulmonary function measures, and daily activity questionnaires. Using a cross-sectional design, we compared daily activity between former smokers with and without COPD using two measures (St. George's Respiratory Questionnaire [SGRQ] Activity Subscale and Lawton Instrumental Activities of Daily Living [IADL] Scale) and examined the association between cognition and daily activity among those with COPD. RESULTS As expected, former smokers with COPD reported more difficulty than those without COPD on both activity measures (SGRQ Activity Subscale p < .001; Lawton IADL Scale p = .040). Among former smokers with COPD, poorer delayed recall was associated with more difficulty with daily activities (SGRQ Activity Subscale) (p = .038) while adjusting for severity of airflow limitation, exercise tolerance, oxygen use, dyspnea, and symptoms of anxiety and depression. CONCLUSION The findings suggest that cognition is associated with daily activity in patients with COPD. Future research should examine whether cognitive interventions may help to maximize patients' engagement in daily activities.

Details

Title: Subtitle: Daily Activities: The Impact of COPD and Cognitive Dysfunction
Creators: Amanda M Brunette
Kelsey Warner
Kristen E Holm
Kimberly A Meschede - National Jewish Health
Frederick S Wamboldt
Elizabeth Kozora
David J Moser
Barry J Make
James D Crapo
Kerrie L Moreau
Howard D Weinberger
Russell Bowler
Karin F Hoth - University of Iowa, Psychiatry
Resource Type: Journal article
Publication Details: Archives of clinical neuropsychology, Vol.36(5), pp.767-779
DOI: 10.1093/arclin/acaa090
PMID: 33103191
NLM abbreviation: Arch Clin Neuropsychol
ISSN: 0887-6177
eISSN: 1873-5843
Grant note: DOI: 10.13039/100008184, name: COPD Foundation, award: NCT00608764; name: NCATS Colorado CTSI Grant, award: UL1 TR001082; DOI: 10.13039/100000002, name: National Institutes of Health, award: R01 HL089856, R01 HL08989, K23 HL095658
Language: English
Date published: 10/26/2020
Academic Unit: Psychiatry; Iowa Neuroscience Institute; Medicine Administration
Record Identifier: 9984071793802771

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