身体虚弱与认知衰退之间的8年关系:在社区居住的中国老年移民中进行的一项纵向研究
Fengyan Tang1, Qingqing Yin1, Wendi Da2
1School of Social Work, University of Pittsburgh. 2318 Cathedral of Learning, Pittsburgh, PA 15260, United States.
The journal of nutrition, health & aging
|February 15, 2025
概括
身体虚弱与中国老年移民的认知能力下降有关. 那些经常脆弱或随着时间的推移变得更加脆弱的人经历了更快的认知衰退.
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:
- 身体虚弱是全球人口老龄化的一个重大问题.
- 了解脆弱性轨迹及其对认知的影响对于有针对性的干预至关重要.
- 年长的中国移民代表了一个独特的人口统计学,具有特定的社会文化和健康考虑.
研究的目的:
- 在社区居住的中国老年移民中,在八年内调查身体脆弱性变化的模式.
- 确定与这些脆弱模式相关的社会文化因素.
- 检查脆弱轨迹与认知功能 (包括认知衰退) 之间的关系.
主要方法:
- 一项为期8年的纵向随访研究,涉及2835名60岁以上的芝加哥华裔成年人.
- 使用五个指标评估脆弱性;通过重复测量隐性类分析 (RMLCA) 识别的模式.
- 通过中国迷你心理状态检查 (C-MMSE) 测量认知功能;使用潜增长曲线建模 (LGCM) 分析协会.
主要成果:
- 出现了四种脆弱模式:最不脆弱 (53%),减少脆弱 (21%),增加脆弱 (15%) 和持续脆弱 (11%).
- 与最不脆弱的群体相比,增加和持续脆弱的群体表现出较差的初始认知能力和更快的认知衰退.
- 汉语发言者表现出认知衰退的速度比广东语发言者慢.
结论:
- 身体虚弱与中国老年移民的认知能力下降有很大关系.
- 持久或日益脆弱的个体有较高的认知障碍风险.
- 干预措施应应对身体虚弱和认知衰退,重点关注弱势子组.
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