Evidence map›Paper›PMID 40555039›Full record

ArticlePublic health2025

Early identification of cognitive impairment in older adults from Advanced Activities of Daily Living (AADL): A scoping review.

H Gao, J Harris, D Maupin, S Schneider, R Hernandez, H Jin

Abstract readScoping Review
In one paragraph

Article in Public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

H GaoSchool of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, 30 Priestley Rd, Guildford, GU2 7YH, UK. Electronic address: h.gao@surrey.ac.uk.
J HarrisSchool of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, 30 Priestley Rd, Guildford, GU2 7YH, UK. Electronic address: jen.harris@surrey.ac.uk.
D MaupinSchool of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, 30 Priestley Rd, Guildford, GU2 7YH, UK. Electronic address: d.maupin@surrey.ac.uk.
S SchneiderCenter for Self-Report Science & Center for Economic and Social Research, University of Southern California, 645 Exposition Blvd, Los Angeles, CA, 90089, USA; Department of Psychology, University of Southern California, 3620 McClintock Ave, Los Angeles, CA, 90089, USA. Electronic address: schneids@usc.edu.
R HernandezCenter for Self-Report Science & Center for Economic and Social Research, University of Southern California, 645 Exposition Blvd, Los Angeles, CA, 90089, USA. Electronic address: hern939@usc.edu.
H JinSchool of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, 30 Priestley Rd, Guildford, GU2 7YH, UK. Electronic address: h.jin@surrey.ac.uk.

Funding

Enhancing engagement and participation of marginalized community residents in the UASU01AG077280 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Arie Kapteyn · 2023 to 2026
$50.9M
Toward Next Generation Data on Health and Life Changes at Older Ages: Administrative Supplement to track the effects of the COVID-19 pandemic on American familiesU01AG054580 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KAPTEYN, ARIE · 2017 to 2022
$27.3M
Testing early markers of cognitive decline and dementia derived from survey response behaviorsR01AG068190 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Doerte Ulrike Junghaenel, Stefan Schneider · 2020 to 2026
$4.8M
NIA NIH HHS R01 AG068190NIA NIH HHS U01 AG054580NIA NIH HHS U01 AG077280
6 · The paper itself

Abstract

objectivesRapid technological advancements and societal shifts have reshaped older adults' daily lives. Emerging evidence suggests that Advanced Activities of Daily Living (AADL)-complex tasks beyond basic Activities of Daily Living (ADL) and Instrumental ADL (IADL)-may signal cognitive impairment earlier than traditional measures. This scoping review aims to identify AADL that could serve as early indicators of cognitive impairment. STUDY

designScoping review.

methodsThis review followed Arksey and O'Malley's framework and adhered to the PRISMA-ScR guideline. We systematically searched Web of Science, PubMed, and PsycINFO for relevant studies published between 2013 and 2023.

resultsFrom 16,185 initially identified articles, 45 studies conducted across 11 countries were included after thorough screening and eligibility assessment. These studies examined eight domains of AADL (e.g., digital technology use, social engagement, cultural activities, naturalistic driving), across cognitive impairment stages from mild cognitive impairment (MCI) to dementia. Findings highlighted that frequent engagement in certain leisure, social, and intellectually stimulating activities (e.g., reading, playing board games, volunteering) was consistently associated with a reduced risk of cognitive decline. Digital behavioural indicators (e.g., computer usage patterns, naturalistic driving metrics, survey response times) showed promising predictive potential for early cognitive impairment identification, with several studies reporting good predictive accuracy (e.g., AUC >0.80).

conclusionsAADL indicators hold promise for early detection and potential prevention of cognitive impairment among older adults. Future research should explore the feasibility, acceptability, and clinical integration of AADL assessments into routine geriatric care and public health practice, particularly in low- and middle-income countries.

Indexed as

Activities of Daily LivingCognitive DysfunctionEarly DiagnosisAgedAged, 80 and overGeriatric AssessmentHumansAdvanced activities of daily livingAgeingCognitive impairmentDementiaEarly detectionMild cognitive impairmentPredictive modellingPublic health

Identifiers

PMID40555039
PMCPMC12276926

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.