在认知障碍的老年人中,认知活动与全因死亡率之间的关联:前性队列研究
Linjia Duan1,2, Liming Zhao3, Ziqiong Wang1
1Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
PloS one
|February 20, 2025
概括
参与更频繁的认知活动,如阅读或玩游戏,显著降低了认知障碍的老年人死亡风险. 基线认知功能在这种长寿益处中起到很小的作用.
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:
- 关于认知活动与认知障碍的老年人死亡率之间的联系的证据有限.
- 这项研究调查了这种关联以及基线认知功能的调解作用.
研究的目的:
- 评估认知活动与认知障碍老年人全因死亡率之间的关联.
- 检查基线认知功能是否调解认知活动和死亡率之间的关系.
主要方法:
- 利用来自中国长度健康长寿调查 (1998-2014) 的10,477名认知障碍老年人的数据 (迷你精神状态检查得分≤24).
- 评估了阅读,打牌/麻将和看电视/听广播的参与.
- 在10年的随访期间使用了考克斯回归模型和调解分析.
主要成果:
- 增加认知活动的频率和数量与显著降低全因死亡风险有关.
- 死亡率的调整后危险比率随着活动增加而下降:0.83 (1项活动),0.76 (2项活动),0.67 (3项活动).
- 基线认知功能部分调解了这种关联,占益处的9.3%-15.2%.
结论:
- 对认知活动的更高参与与认知障碍的老年人死亡率的降低有关.
- 认知活动提供了显著的长寿益处,基线认知功能只介导了这一效应的一小部分.
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