# Daily Household Electricity Consumption in Community-Dwelling Older Individuals With Cognitive Impairment: Prospective Cohort Study

## TL;DR

This study shows that daily electricity use patterns in older adults living alone can help identify those with cognitive impairment, especially during hot weather.

## Contribution

The study introduces daily household electricity consumption as a novel, non-intrusive digital biomarker for cognitive impairment screening.

## Key findings

- Cognitively impaired individuals used less cooling equipment in high temperature ranges compared to those without impairment.
- Daily electricity consumption was lower in the cognitively impaired group during moderate temperatures, though not statistically significant.
- The study suggests that electricity use patterns could be a useful tool for screening cognitive impairment in older adults living alone.

## Abstract

Various digital biomarkers have been explored to detect cognitive impairment in community-dwelling older individuals, among which electricity consumption (EC) data obtained from smart meters are novel and promising because they pose no burden to the individuals.

The study aimed to explore the potential of EC as a digital biomarker to screen older individuals with cognitive impairment living alone.

We recruited 40 older individuals living alone and recorded their 1-year daily household EC data. We used the Japanese version of the Montreal Cognitive Assessment to categorize participants into 2 groups: those with and without cognitive impairment. As the pattern of daily household EC is different between lower and higher temperature ranges because of the use of heating and cooling equipment, we divided the daily household EC into 3 temperature ranges. Using a linear mixed model, we evaluated the association between daily household EC, daily outside temperature, and the groups.

After excluding 12 participants, they were categorized into 2 groups: those with (10/28, 36%) and without cognitive impairment (18/28, 64%). The daily household EC data consisting of 9391 points showed two characteristics: (1) daily household EC was significantly lower in the group with cognitive impairment than in the group without cognitive impairment in the high temperature range (2.158 kWh at 25 °C, P=.02; 3.712 kWh at 30 °C, P<.001). The increase in EC with rising temperature from 25 °C to 30 °C was less in the group with cognitive impairment (2.387 kWh, P<.001) than in the group without cognitive impairment (3.940 kWh, P<.001); and (2) a tendency for lower daily household EC in the group with cognitive impairment was observed in the moderate temperature range (1.795 kWh at 15 °C, P=.06; 1.582 kWh at 20 °C, P=.08).

The group with cognitive impairment may use less cooling equipment in the high temperature range and fewer home appliances in the moderate temperature range. Daily household EC might be useful in screening cognitive impairment in older individuals living alone.