认知储备和老年人认知功能的其他决定因素:基于社区的横截面研究的见解
Amandeep Kaur1, Akanksha Sonal2, Tandra Ghosh3
1Department of Community Medicine and Family Medicine, AIIMS, Kalyani, West Bengal, India.
Journal of family medicine and primary care
|November 29, 2023
概括
从教育和职业中建立的认知储备,显著缓冲了老年人与年龄相关的认知衰退. 保持认知储备是保持老年人认知功能的关键.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 到2050年,印度将面临老年人口的显著增加,与年龄相关的认知能力下降构成了重大公共卫生挑战.
- 生活过程因素,包括认知储备和各种决定因素,越来越多地被认为有潜力调节晚年认知功能.
研究的目的:
- 调查认知储备 (教育和职业) 和身体,心理和社会因素对印度社区老年人的认知功能的影响.
- 探索认知储备在年龄和认知功能之间的关系中的调解作用.
主要方法:
- 一项基于社区的横截面研究在印度城市西孟加拉邦进行,涉及370名老年人 (≥60岁).
- 认知功能使用孟加拉语适应迷你精神状态检查 (BAMSE) 进行评估.
- 认知储备是使用教育水平和职业复杂度来操作的.
主要成果:
- 13.5%的参与者表现出异常的认知功能. 认知功能与抑郁,孤独,高血压,贫血和日常活动的限制相反相关.
- 与功能异常 (平均26.8) 相比,具有正常认知功能的老年人具有显著更高的认知储备 (平均33.7).
- 认知储备显著调解了年龄对认知功能的影响,即使考虑到睡眠质量,抑郁症,高血压和血红蛋白水平等共变量.
结论:
- 认知储备在衰老和认知功能之间的关系中发挥着关键的调解作用.
- 较高的认知储备减轻了年龄对认知能力的负面影响,突出了其保护作用.
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