身体活动,认知功能和医疗保健使用之间的关系:调解分析
Sabrina Lenzen1, Brenda Gannon2, Christiern Rose3
1Centre for the Business and Economics of Health, Sir Llew Edwards Building (Building 14), Level 5, Room 513a, The University of Queensland, Faculty of Business, Economics and Law, QLD, St Lucia 4072, Australia.
Social science & medicine (1982)
|September 15, 2023
概括
身体活动通过改善认知功能而有益于老年人,这反过来减少了医疗保健的使用. 这项研究量化了认知途径.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 认知科学 认知科学
背景情况:
- 身体活动为老年人提供了显著的健康益处,可能减少医疗保健利用率.
- 认知功能改善对这种效果的具体贡献仍然不清楚.
研究的目的:
- 研究体育活动对老年人医疗保健使用的直接和间接影响.
- 量化认知功能在身体活动和医疗保健使用之间的关系中扮演的调解角色.
主要方法:
- 利用了美国65岁以上健康和退休研究 (HRS) 的八个浪潮 (2004-2018) 对65岁以上个人的数据.
- 采用一个同时使用的三方程模型,用于认知功能 (遗传变异),医疗保健使用 (本地供应) 和身体活动 (社区层面) 的工具变量 (IV).
- 使用单词回忆任务评估认知功能.
主要成果:
- 发现体育活动对医疗保健使用的直接和间接小,负面影响 (GP访问,住院,住院时间).
- 改善的认知功能占身体活动对减少医疗保健利用的总影响的5%至17%.
- 身体活动和认知功能都独立地影响医疗保健使用.
结论:
- 身体活动减少了老年人对医疗保健的使用,其中很大一部分是由于增强了认知功能.
- 认知改善在调解体育活动的健康益处方面发挥着重要,但不是唯一的作用.
- 研究结果强调了促进身体活动对于认知健康和医疗保健资源优化在老龄化人口中的重要性.
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