晚年生活中的生活方式丰富及其与痴呆风险的关联
Zimu Wu1, Danushika H Pandigama1,2, Jo Wrigglesworth1
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
JAMA network open
|July 14, 2023
概括
参与成人识字,创意艺术和精神活动可能会降低老年人的痴呆风险. 在这项研究中,仅仅社会参与并没有显示出与降低痴呆风险的显著关联.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 通过精神和社会刺激活动建立的认知储备可以减轻老年人群中痴呆风险.
- 了解影响痴呆风险的特定类型的休活动和社交网络对于有针对性的干预至关重要.
研究的目的:
- 研究各种休活动,社交网络和70岁及以上人群痴呆风险之间的关联.
- 确定特定的生活方式因素,有助于认知储备和晚年痴呆症预防.
主要方法:
- 一项纵向前性队列研究,利用来自2010年至2020年的老年人ASPREE纵向研究 (ALSOP) 的基于人口的数据.
- 探索性因子分析被用来分类19个在基线评估的休活动和社交网络的措施.
- 考克斯的比例危险回归模型被用来检查10年内痴呆风险,并对共变量进行调整.
主要成果:
- 更频繁地参与成人识字活动 (如日记,计算机使用,教育课程) 与11%更低的痴呆风险相关 (AHR,0.89).
- 积极的心理活动 (如游戏,拼图) 显示,痴呆风险降低了9% (AHR,0.91).
- 创造性艺术和被动精神活动也表明痴呆的风险降低,而社交网络和外出没有显示出明显的关联.
结论:
- 参与成人识字,创意艺术和积极/被动的精神活动可能有助于预防老年人的痴呆症.
- 这些发现支持制定 geriatric 护理政策和干预措施,重点是用于预防痴呆症的认知刺激.
- 该研究强调了特定类型的精神和创造性参与对广泛的社会互动的重要性,以减少痴呆风险.
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