巴西受教育程度较低的老年人认知能力下降的风险和保护因素:15年的随访研究,使用基于小组的轨迹建模
Fabiana Ribeiro1, Anouk Geraets1, Yeda Aparecida de Oliveira Duarte2
1Department of Social Sciences, University of Luxembourg. Belval Campus,11, Porte des Sciences, L-4366, Esch-sur-Alzette, Luxembourg.
Archives of gerontology and geriatrics
|July 12, 2024
概括
教育程度有限的老年人认知能力下降与社会经济因素和生活方式有关. 干预措施应解决不平等和可修改的风险,以支持认知健康.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 公共卫生 公共卫生
背景情况:
- 在受教育程度较低的老年人中,认知轨迹和可修改的风险因素尚未得到充分研究.
- 了解这些模式对于有针对性的干预至关重要.
研究的目的:
- 为了确定老年人的长期认知功能轨迹.
- 探索与这一群体认知衰退相关的因素.
主要方法:
- 利用了来自巴西的健康,福利和衰老研究 (SABE) 的60岁以上的1,042名成年人的数据.
- 采用基于小组的轨迹建模来识别四个波段 (2000-2015年) 的认知模式.
- 分析了与社会经济,童年,生活方式和心血管风险因素的关联,使用加权的多项物流回归.
主要成果:
- 确定了三个认知轨迹:稳定 (68.6%),轻度下降 (20.8%),强度下降 (10.7%).
- 强烈下降与基线时的年龄较大有关.
- 轻度和强度下降与没有上学,离婚/分居,低收入和体重不足 (BMI < 18.5) 有关.
- 轻微的衰退也与农村儿童背景有关.
结论:
- 低学历的老年人认知能力下降与社会经济差异和可修改的风险因素有关.
- 干预措施应侧重于减少不平等,解决可修改的风险因素,以促进认知健康.
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