社区老年人休闲活动与轻度认知障碍患病风险的关系

doi:10.3969/j.issn.1674-490X.2024.03.009

摘要/Abstract

摘要： 目的探索休闲活动各维度(认知活动、身体活动、社会活动)与老年人轻度认知功能障碍(mild cognitive impairment, MCI)患病风险的关系。方法以352名社区老年人为研究对象,使用休闲活动问卷和神经心理学量表对他们的休闲活动与认知功能进行评估。采用一般线性模型以及二元Logistic回归模型进行分析。结果年龄、性别、是否患有糖尿病及认知活动是影响老年人患MCI的因素。随年龄增加,患MCI的风险增大(OR=1.114,P=0.001),老年女性患MCI风险是男性的3.173倍( OR=3.173,P<0.001),而且糖尿病患者MCI风险是非糖尿病患者的2.211倍(OR=2.211,P=0.022)。认知活动指数越高的老年人患MCI风险越低(OR=0.912,P<0.001)。结论休闲活动中认知活动的低频参与与高MCI风险有关。

关键词: 休闲活动, 轻度认知障碍, 认知功能, 老年人

Abstract: Objective To explore the association between leisure activity dimensions(physical activity, social activity, cognitive activity)and the risk of mild cognitive impairment(MCI)more accurately. Methods 352 older people in the community were enrolled. Their leisure activities and cognitive function using the Leisure Activity Questionnaire and Neuropsychological Scale. A general linear model and a binary logistic regression were used for data analyses. Results Age, gender, diabetes prevalence, and cognitive activities have been identified as influencing factors for MCI in the elderly. The likelihood of developing MCI increases with older age( OR=1.114,P=0.001). Elderly women have a 3.173 times higher risk of MCI compared to men( OR=3.173,P<0.001). Individuals with diabetes face a 2.211 times greater risk of MCI than those without diabetes(OR=2.211,P=0.022). Elderly people with higher cognitive activity index have lower risk of MCI(OR=0.912,P<0.000 1). Conclusion Infrequent participation in cognitive activities in leisure activities is associated with a higher risk of MCI.

Key words: leisure activities, mild cognitive impairment, cognition, aged

中图分类号:

R473.74

张圆圆,李秀莉,孙克娟,王子函,程琴柳,李妍. 社区老年人休闲活动与轻度认知障碍患病风险的关系[J]. 医学研究与教育, 2024, 41(3): 62-70.

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