An additive effect of leading role in the organization between social participation and dementia onset among Japanese older adults: the AGES cohort study.
An additive effect of leading role in the organization between social participation and dementia onset among Japanese older adults: the AGES cohort study.
复制标题
DOI：
10.1186/s12877-017-0688-9
复制
发表时间：
2017-12-29
期刊：
影响因子：
4.1
通讯作者：
Kondo K
中科院分区：
文献类型：
--
作者：
Nemoto Y;Saito T;Kanamori S;Tsuji T;Shirai K;Kikuchi H;Maruo K;Arao T;Kondo K
之前的几项研究报告称，社会参与可能会减少痴呆症的发生；因此，在组织中担任的职位类型可能与痴呆症的发病有关。然而，这一假设仍然鲜为人知。根据日本老年人队列研究的数据，本研究的目的是检查组织中的领导地位对当地社区老年人痴呆症发病和社会参与的附加影响。在 29,374 名社区居民中，共有 15,313 名受试者对基线调查做出了回应，并从 2003 年 11 月至 2013 年 3 月进行了随访。为了评估痴呆症发病与社会参与以及在组织中的作用之间的关联，我们进行了 Cox 比例风险回归分析，并按年龄组（75 岁以上或以下）进行多重插补。因变量是痴呆症发病率，这是从日本长期护理保险数据中获得的；自变量是社会参与和他们所属组织中的角色（领导、经理或财务主管）。协变量包括性别、年龄、教育水平、婚姻状况、工作状况、居住状况、饮酒情况、吸烟状况、步行时间、日常生活工具性活动、抑郁症和病史。随访期间，708名年轻老人（7.7%）和1289名高龄老人（27.9%）出现痴呆。在年轻老年人中，相对于社会非参与者，参与者（正式成员+领导职位）痴呆发作的调整后风险比（HR）为0.75（95%置信区间（CI），0.64-0.88）。相对于正式成员，非参与者的痴呆发病调整后 HR 为 1.22（95% CI，1.02–1.46），领导职位为 0.81（95% CI，0.65–0.99）。针对老年参与者的结果并未显示痴呆症发病与社会参与、组织中的角色之间的 HR 存在任何显着调整。对于年轻的老年人来说，社会参与可能对痴呆症的发病有积极的影响，在组织中担任领导职务可能会导致痴呆症发病的风险比普通成员降低近 20%。本文的在线版本 (10.1186/s12877-017-0688-9) 包含补充材料，可供授权用户使用。
Several previous studies reported social participation may reduce the incident of dementia; therefore, the type of positions held in the organization may relate to dementia onset. However, this hypothesis remains largely unknown. The purpose of the present study was to examine the additive effect of a leadership position in the organization on dementia onset and social participation among elderly people in a local community, according to data from a Japanese older adults cohort study. Of 29,374 community-dwelling elderly, a total of 15,313 subjects responded to the baseline survey and were followed-up from November 2003 to March 2013. To evaluate the association between dementia onset and social participation as well as the role in the organization, we conducted Cox proportional hazard regression analysis with multiple imputation by age group (aged 75 years older or younger). The dependent variable was dementia onset, which was obtained from long-term care insurance data in Japan; independent variables were social participation and the role in the organization to which they belonged (head, manager, or treasurer). Covariates were sex, age, educational level, marriage status, job status, residence status, alcohol consumption, smoking status, and walking time, instrumental activities of daily living, depression, and medical history. During the follow-up period, 708 young-old elderly people (7.7%) and 1289 old-old elderly people (27.9%) developed dementia. In young-old elderly, relative to social non-participants, adjusted Hazard Ratio (HR) for dementia onset for participants (regular members + leadership positions) was 0.75 (95% confidence interval (CI), 0.64–0.88). Relative to regular members, adjusted HR for dementia onset for non-participants was 1.22 (95% CI, 1.02–1.46), for leadership positions 0.81 (95% CI, 0.65–0.99). The results for old-old elderly participants did not show that any significantly adjusted HR between dementia onset and social participation, the role in the organization. In young-old elderly people, social participation might have a positive effect on dementia onset, and holding leadership positions in organization could lead to a decrease in risk of dementia onset by almost 20% than regular members. The online version of this article (10.1186/s12877-017-0688-9) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
3.3
作者：
Yamamoto, Tatsuo;Kondo, Katsunori;Hirata, Yukio
通讯作者：
Hirata, Yukio
影响因子：
6.3
作者：
Gureje O;Ogunniyi A;Kola L;Abiona T
通讯作者：
Abiona T
影响因子：
4.5
作者：
Takagi, Daisuke;Kondo, Katsunori;Kawachi, Ichiro
通讯作者：
Kawachi, Ichiro
影响因子：
--
作者：
Wilson, Robert S.;Krueger, Kristin R.;Bennett, David A.
通讯作者：
Bennett, David A.
影响因子：
3.4
作者：
Nyunt, Ma Shwe Zin;Fones, Calvin;Ng, Tze-Pin
通讯作者：
Ng, Tze-Pin