Multi-trajectories in different domains of social supports and subjective motoric cognitive risk syndrome: a 16-year group-based multi-trajectory analysis

Hui-Min Chuang ¹, Lin-Chieh Meng ¹, Chih-Kuang Liang ²

⁰Graduate Institute of Clinical Pharmacy, College of Medicine, National Taiwan University, Taipei, Taiwan.

The Journal of Nutrition, Health & Aging +

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August 24, 2024

View abstract on PubMed

Summary

Lower social support is linked to a higher risk of subjective motoric cognitive risk (MCR) syndrome. Maintaining strong social connections and employment can significantly reduce this risk.

Area Of Science

Gerontology
Cognitive Science
Public Health

Background

Subjective motoric cognitive risk (MCR) syndrome is a growing concern in aging populations.
Understanding factors influencing MCR risk is crucial for developing effective interventions.
Social support is a recognized factor in overall health and well-being.

Purpose Of The Study

To investigate the longitudinal associations between different trajectories of social support and the risk of developing subjective MCR syndrome.
To identify specific patterns of social support that may be protective against MCR.

Main Methods

A longitudinal cohort study involving 2,279 participants from the Taiwan Longitudinal Study on Aging (TLSA) from 1999 to 2011.
Group-based multi-trajectory modeling (GBMTM) was used to define distinct social support subtypes.
Logistic regression models analyzed the relationship between social support trajectories and subjective MCR risk.

Main Results

Four social support trajectory subtypes were identified: "low social support" (9.4% MCR risk), "medium social support" (9.0% MCR risk), "high social support" (4.1% MCR risk), and "high social support with employment" (0.8% MCR risk).
Participants in the "low social support" and "medium social support" groups had significantly higher odds of developing subjective MCR compared to the "high social support with employment" group.
Adjusted odds ratios indicated a substantial increase in MCR risk for lower social support levels.

Conclusions

Social support plays a significant role in mitigating the risk of subjective MCR.
Lower levels of social support are associated with a progressively higher risk of subjective MCR.
Further research and intervention studies are warranted to confirm and leverage the protective effects of social support against MCR.

Keywords:

Community-dwelling adults Group-based multi-trajectory modeling (GBMTM) Motoric cognitive risk (MCR) syndrome Social supports

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