缓慢步行速度的老年人"认知"标准:对运动认知风险综合征的影响
Caroline O Nester1,2, Qi Gao3, Cuiling Wang3,4
1Department of Psychology, The Graduate Center, City University of New York, New York, New York, USA.
概括
缓慢步行速度的个体的主观认知问题 (SCC) 可以预测认知能力下降. 综合性SCC评估比单项记忆测试更有效,用于在运动认知风险综合征 (MCR) 中早期发现痴呆症.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 运动认知风险综合征 (MCR) 是一种先发性疾病,其特点是步行速度缓慢和主观认知问题 (SCC).
- 目前的SCC标准缺乏标准化,这可能会阻碍MCR和相关认知障碍的早期检测.
- 这项研究旨在描述MCR中SCC评估实践,并评估SCC在缓慢步行的个体中对认知衰退的预测能力.
研究的目的:
- 在运动认知风险综合征 (MCR) 文献中审查和描述当前的主观认知关注 (SCC) 评估实践.
- 调查全面的SCC评估对表现为慢步的老年人认知障碍的预测价值.
- 为改善早期痴呆症检测提供SCC标准标准化的信息.
主要方法:
- 对MCR研究进行了全面的文献审查,以提取有关SCC措施,项目,来源和认知领域的信息.
- 来自爱因斯坦衰老研究 (EAS) 的参与者 (N=278) 接受了基线和年度评估,包括步行速度,临床痴呆症评分表 (CDR) 和SCC.
- 用通用线性混合效应模型分析了基线SCC与随后认知障碍 (CDR) 之间的关联,平均随访时间为3.5年.
主要成果:
- 文献审查显示,SCC标准存在显著的模两可,使用单个与记忆相关的项目作为共同方法.
- 在EAS队列中,在全面的SCC屏幕上,缓慢步行和高认可的个体表现出显著更高的认知障碍 (CDR) 率.
- 一个相互作用效应 (β相互作用 = 0.039,p = 0.018) 表明,综合性SCC显著预测缓慢步行的个体的认知衰退.
结论:
- 多域SCC评估在预测缓慢步行个体的认知衰退方面比当前的MCR实践更有效,这些实践通常依赖于单个记忆项目.
- 标准化和验证SCC标准对于提高MCR综合征中的早期痴呆症检测至关重要.
- 这些发现强调了综合认知查在识别老年人痴呆风险方面的重要性.
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