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DISCREPANCIES IN OBJECTIVE AND SUBJECTIVE FINE MOTOR ABILITIES IN OCTOGENARIANS
Utah State Univ, Logan, UT 84322 USA..
Arizona State Univ, Tempe, AZ USA..
Arizona State Univ, Tempe, AZ USA..
Utah State Univ, Logan, UT 84322 USA..
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2021 (English)In: Innovation in Aging, E-ISSN 2399-5300, Vol. 5, no Supplement 1, p. 839-840Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Older individuals may have discrepancies between self-reported and performance-based abilities on activities of daily living (ADL). We examined objective and self-reported fine motor abilities (FMA). FMA are required for many ADLs, but are examined less frequently than gross-motor tasks in this population. We used two waves of the population-based OCTO-Twin study including mono-/dizygotic Swedish twins, aged 80+. One twin was randomly selected for analyses (baseline N=262; wave 2 N=198; Meanage =83.27; SDage=2.90; 66.4% female). Participants self-reported their ability to manipulate things with hands (cannot do, some problem, no problem) and completed a timed FMA assessment including five everyday tasks (e.g. inserting a key in a lock). Slow performance was coded as 1+ SD from the mean (=80+ seconds). At baseline, 65.8% of slow performers reported ‘no problems’ with hand manipulation. Over two waves (two years), a two-factor ANOVA (including slowness-by-perception interaction) supported a significant difference in total motor task performance between slow performers reporting ‘no problems’ and fast performers reporting ‘no problems’, for both rate of change (diff = -26 seconds, p<.0001) and wave 2 level (diff = 50 seconds, p < .0001). 82% of slow performers at wave 2 reported ‘no problems’, which is surprising given that they had become even slower over the past two years. Findings suggest that objective FMA measures are needed, as self-report is inaccurate and not prognostic. Future work will examine if discrepancies in performance/perceived FMA predict poorer outcomes, and/or if reporting ‘no problems’ despite slower performance is protective against cognitive adaptation to slowing.

Place, publisher, year, edition, pages
Oxford University Press, 2021. Vol. 5, no Supplement 1, p. 839-840
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Geriatrics
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URN: urn:nbn:se:hj:diva-58518ISI: 000842009904121OAI: oai:DiVA.org:hj-58518DiVA, id: diva2:1697097
Available from: 2022-09-20 Created: 2022-09-20 Last updated: 2022-09-20Bibliographically approved

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Ernsth-Bravell, Marie

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