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@ARTICLE{Bode:272838,
author = {Bode, Merle and Kalbe, Elke and Liepelt-Scarfone, Inga},
title = {{C}ognition and {A}ctivity of {D}aily {L}iving {F}unction
in people with {P}arkinson's disease.},
journal = {Journal of neural transmission},
volume = {131},
number = {10},
issn = {0375-9245},
address = {Wien [u.a.]},
publisher = {Springer},
reportid = {DZNE-2024-01256},
pages = {1159 - 1186},
year = {2024},
abstract = {The ability to perform activities of daily living (ADL)
function is a multifaceted construct that reflects
functionality in different daily life situations. The loss
of ADL function due to cognitive impairment is the core
feature for the diagnosis of Parkinson's disease dementia
(PDD). In contrast to Alzheimer's disease, ADL impairment in
PD can be compromised by various factors, including motor
and non-motor aspects. This narrative review summarizes the
current state of knowledge on the association of cognition
and ADL function in people with PD and introduces the
concept of 'cognitive ADL' impairment for those problems in
everyday life that are associated with cognitive
deterioration as their primary cause. Assessment of
cognitive ADL impairment is challenging because
self-ratings, informant-ratings, and performance-based
assessments seldomly differentiate between 'cognitive' and
'motor' aspects of ADL. ADL function in PD is related to
multiple cognitive domains, with attention, executive
function, and memory being particularly relevant. Cognitive
ADL impairment is characterized by behavioral anomalies such
as trial-and-error behavior or task step omissions, and is
associated with lower engagement in everyday behaviors, as
suggested by physical activity levels and prolonged
sedentary behavior. First evidence shows that physical and
multi-domain interventions may improve ADL function, in
general, but the evidence is confounded by motor aspects.
Large multicenter randomized controlled trials with
cognitive ADL function as primary outcome are needed to
investigate which pharmacological and non-pharmacological
interventions can effectively prevent or delay deterioration
of cognitive ADL function, and ultimately the progression
and conversion to PDD.},
subtyp = {Review Article},
keywords = {Humans / Parkinson Disease: physiopathology / Parkinson
Disease: complications / Parkinson Disease: psychology /
Activities of Daily Living / Cognitive Dysfunction:
physiopathology / Cognitive Dysfunction: etiology /
Activities of daily living (Other) / Cognition (Other) /
Neuropsychology (Other) / Parkinson’s disease (Other) /
Physical activity (Other) / Sedentary behavior (Other)},
cin = {AG Gasser},
ddc = {610},
cid = {I:(DE-2719)1210000},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:38976044},
pmc = {pmc:PMC11489248},
doi = {10.1007/s00702-024-02796-w},
url = {https://pub.dzne.de/record/272838},
}