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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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障碍与老年人认知障碍有关:基于人口的队列研究
Gustavo G Nascimento1,2, Huihua Li1,2, Rahul Malhotra3,4
1National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore.
概括
障碍增加了老年人认知障碍的风险. 虽然抑郁症可能起到作用,但需要进一步的研究才能充分理解这种联系.
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:
- 障碍与老年人的生活质量下降,抑郁症和认知障碍有关.
- 抑郁症在能力与认知关系中的调解作用尚不清楚.
- 这项研究调查了障碍和发生的认知障碍之间的关联,探索抑郁症作为潜在的调解者.
研究的目的:
- 检查障碍与老年人认知障碍发展之间的关联.
- 调查抑郁症在这种关系中的潜在调解作用.
主要方法:
- 从新加坡老年人的健康和衰老小组从基线上对973名没有认知障碍的老年人的纵向研究.
- 障碍是暴露,事件认知障碍是6年期间的结果.
- 边缘结构建模用于分析障碍对认知障碍的时间变化的影响,抑郁症作为调解者,控制各种混因素.
主要成果:
- 6年后,11%的参与者发展了认知障碍,33%的人报告了障碍.
- 障碍与43%增加发展认知障碍的几率显著相关 (OR1.43,95% CI:1.09,1.87).
- 虽然障碍直接解释了85.3%的风险,但如果没有抑郁症,这一关联的14.7%可能会被消除.
结论:
- 在老年人中,障碍和认知障碍之间存在关联.
- 抑郁症的精确调解作用需要进一步阐明.
- 口腔健康评估应纳入老年护理,以确定系统性疾病的风险.
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