认知活动水平与社会脆弱的老年人痴呆风险相关:一项纵向研究
Fumio Sakimoto1, Takehiko Doi1, Kouki Tomida1
1Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Aichi 474-8511, Japan.
参与认知活动可能会降低痴呆风险,即使是社会脆弱的老年人. 孤独的认知活动为那些社交互动有限的人提供了好处.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 社会脆弱性是老龄化人口日益关注的问题.
- 认知参与是对抗认知衰退的潜在保护因素.
- 了解社会脆弱性和认知活动之间的相互作用对于预防痴呆症至关重要.
研究的目的:
- 调查认知活动水平与社区居住的社会脆弱的老年人的痴呆风险之间的关联.
- 为了确定认知参与是否在存在社会脆弱的情况下减轻痴呆症风险.
主要方法:
- 对2725名60岁以上在基线没有痴呆症的成年人进行前性队列研究.
- 社会脆弱性根据五个标准定义 (独自生活,减少外出,不经常访问,缺乏感知到的有用性,有限的日常交谈).
- 考克斯的比例危险模型分析了基于社会脆弱性和认知活动水平的60个月的痴呆症发病率.
主要成果:
- 具有社会脆弱性和低认知活动参与度的组显示出患痴呆症的风险明显更高.
- 高度的认知活动参与与痴呆症风险降低有关,即使在那些有社会脆弱的人群中也是如此.
结论:
- 参与认知活动的高度参与与痴呆症风险较低有关,无论社会脆弱性状况如何.
- 可以单独进行的认知活动对于面临社会参与挑战的老年人来说是有益的.
- 促进单独的认知参与可能是支持弱势老年人群认知健康的可行策略.
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