在主观认知衰退的老年人中,跌倒恐惧与视觉空间和执行功能之间的关联:一项跨部门研究
Seok-Yoon Son1, Chae Yoon Kim1, Baek-Yong Choi1
1Department of Preventive Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Journal of the American Medical Directors Association
|February 16, 2025
概括
老年人对跌倒的恐惧 (FOF) 与视觉空间和执行功能较差有关. 这些认知下降可能有助于FOF的发展,突出了针对性干预的需要.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
背景情况:
- 对跌倒的恐惧 (FOF) 是老年人普遍关注的一个问题.
- 认知障碍 (CI) 是FOF的已知风险因素,但具体的认知领域尚未确定.
研究的目的:
- 调查FOF与老年人特定领域认知功能之间的关联.
- 为了确定这种关联是否因CI状态,最近的跌倒史或身体活动水平而受到缓解.
主要方法:
- 一项涉及591名轻度认知障碍 (CI) 的老年人的横截面研究.
- 在注意力,语言,视觉空间,记忆和执行领域使用首尔神经心理查电池核心评估认知表现.
- 使用特定活动的余额信任度表来衡量FOF,并对共变量进行调整.
主要成果:
- 较高的FOF与视觉空间和正面/执行认知领域的表现差显著相关.
- 这种关联在CI的老年人和体力活动较低的老年人中更为明显.
- FOF和认知功能之间的关系独立于跌倒史.
结论:
- 老年人对跌倒的恐惧与视觉空间和执行认知功能的缺陷有关.
- 这些发现表明,特定认知领域的障碍可能在FOF的发展中发挥作用.
- 针对视觉空间和执行功能的干预措施可能会在老年人群中减轻FOF.
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