Physical Activity Patterns and Cognitive Health among Older Adults in the United States.

Physical Activity Patterns and Cognitive Health among Older Adults in the United States.
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DOI:
10.1177/07334648221139480
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发表时间:
2023-03
影响因子:
3
通讯作者:
Liu, Bian
Liu, Bian
中科院分区:
医学3区
文献类型:
--
作者:
Li, Weixin;Li, Yan;Wen, Ming;Liu, Bian

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我们评估了体力活动 (PA) 模式与认知健康之间的关联。使用 2011-2014 年老年人(≥60 岁)国家健康和营养检查调查数据,我们将 3 项认知测试的平均 z 得分低于第 25 个百分位的得分定义为认知能力较低。我们使用潜在类别分析对 PA 模式进行分类,并使用逻辑回归检查其与认知表现的关联,同时调整相关协变量。我们确定了三个 PA 组:不活动(50.2%)、中等强度休闲(34.5%)和高强度多种活动(15.3%)。与不活动组相比,中等强度休闲组和高强度多种活动组认知表现较低的可能性较小(调整比例比0.85;95% CI:0.75,0.94;和0.76;95% CI:0.57,0.96)。研究结果强调,需要通过促进多种类型的 PA 来改善大部分缺乏运动的老年人的认知健康。
We assessed the association between physical activity (PA) patterns and cognitive health. Using the 2011–2014 National Health and Nutrition Examination Survey data among older adults (≥60 years), we define scoring below the 25th percentile in the average z-scores from 3 cognitive tests as having low cognitive performance. We used latent class analysis to categorize PA patterns and examined their association with cognitive performance using logistic regressions while adjusting for relevant covariates. We identified three PA groups: inactive (50.2%), moderate intensity leisure (34.5%), and high intensity multiple activities (15.3%). Compared to the inactive group, the moderate intensity leisure and high intensity multiple activities groups were less likely to have low cognitive performance (adjusted proportion ratio 0.85; 95% CI: 0.75, 0.94; and 0.76; 95% CI: 0.57, 0.96). The results highlight the need for improving cognitive health of a large proportion of physically inactive older adults by promoting multiple types of PA.
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