4年来脆弱性和认知之间的动态关联:对来自12个欧洲国家的50岁以上成年人的基于人口的研究
Marcelo de Maio Nascimento1, Andreas Ihle2, Élvio Rúbio Gouveia3
1Department of Physical Education, Federal University of Vale do São Francisco, Petrolina, Brazil.
Journal of affective disorders
|March 14, 2024
概括
在老年欧洲人中,脆弱和认知能力下降是相关的,特别是在女性和体力活动较低的人群中. 对脆弱性,认知和活动的早期监测对于有针对性的健康政策至关重要.
科学领域:
- 老年学是一门学科.
- 认知科学 认知科学
- 公共卫生 公共卫生
背景情况:
- 虚弱和认知障碍是老龄化人口的重大问题.
- 了解脆弱性和认知之间的双向关系对于健康的衰老至关重要.
- 身体活动水平可能会影响虚弱和认知健康的轨迹.
研究的目的:
- 在50岁及以上的欧洲成年人中,研究四年来脆弱性和认知之间的纵向关联.
- 检查这些四年时间关联中的基于性别和基于身体活动的差异.
- 探索2011年,2013年和2015年的认知表现和脆弱前/脆弱状态之间的关系.
主要方法:
- 来自12个欧洲国家的20857名个人 (年龄≥50岁) 的纵向分析 (SHARE项目波 4-6).
- 使用SHARE-Frailty指数 (SHARE-FI) 和从口头流利,即时和延迟回忆中获得的一般认知功能 (Cogindex) 来评估脆弱性.
- 统计分析包括自回归和交叉滞后模型来检查时间关联.
主要成果:
- 女性和脆弱前/脆弱的个体表现出更高的认知障碍倾向.
- 在四年的脆弱性和认知的自动回归效应中没有观察到任何显著的性别差异.
- 随着时间的推移,脆弱性和认知之间的交叉关系中,性别之间以及活跃/久坐个人之间出现了显著的差异.
结论:
- 卫生政策应优先考虑加强对欧洲老年人脆弱性,认知功能和身体活动的监测.
- 应特别注意女性,因为她们的认知障碍风险较高.
- 促进身体活动的干预措施可能在缓解虚弱和认知衰退方面发挥作用.
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