The Effects of COVID-19 and Quarantine Measures on the Lifestyles and Mental Health of People Over 60 at Increased Risk of Dementia.

The Effects of COVID-19 and Quarantine Measures on the Lifestyles and Mental Health of People Over 60 at Increased Risk of Dementia.
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DOI:
10.3389/fpsyt.2020.578628
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发表时间:
2020
影响因子:
4.7
通讯作者:
Sannino S
Sannino S
中科院分区:
医学3区
文献类型:
--
作者:
Di Santo SG;Franchini F;Filiputti B;Martone A;Sannino S

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背景:为限制 COVID-19 感染传播而采取的封锁策略可能会导致采取不健康的生活方式,从而影响心理健康和未来患痴呆症的风险。患有轻度认知障碍(MCI)或主观认知能力下降(SCD)的老年人可能会因隔离和限制措施而遭受严重的心理健康后果。目的:该研究旨在探讨 COVID-19 和隔离措施对痴呆症风险增加的老年人的生活方式和心理健康的影响。方法:对 126 名患有 MCI 或 SCD 的社区老年人进行了电话采访,并就与 COVID-19 大流行相关的变量、生活方式的改变以及用于评估抑郁、焦虑和冷漠的量表等问题进行了评估。结果:样本包括 55.6% 的 MCI 患者和 56 名 SCD 患者。超过 1/3 的样本减少了体力活动,近 70% 的样本表示空闲时间增加。近 1/3 的受访者对地中海饮食的坚持程度有所下降,超过 35% 的受访者称体重增加。社交活动被取消,1/6的参与者还减少了生产性和精神刺激性活动。 19.8% 感到抑郁,9.5% 感到焦虑,9.5% 感到冷漠。抑郁症与独居或与同居者关系不佳之间存在显着关联,焦虑与 SCD、感冒或流感症状以及生产性休闲活动减少之间存在显着关联。结论:患有 SCD 和 MCI 的老年人经历了生活方式的改变,这对他们未来的认知能力下降可能有害,即使除了休闲活动之外,他们似乎与精神症状没有横截面相关。
Background: The lockdown strategies adopted to limit the spread of COVID-19 infection may lead to adopt unhealthy lifestyles which may impact on the mental well-being and future risk of dementia. Older adults with mild cognitive impairment (MCI) or subjective cognitive decline (SCD) may suffer important mental health consequences from measures of quarantine and confinement. Aims: The study aimed to explore the effects of COVID-19 and quarantine measures on lifestyles and mental health of elderly at increased risk of dementia. Methods: One hundred and twenty six community-dwelling seniors with MCI or SCD were phone-interviewed and assessed with questions regarding variables related to COVID-19 pandemic, lifestyle changes and scales validated for the assessment of depression, anxiety, and apathy. Results: The sample included 55.6% patients with MCI and 56 people with SCD. Over 1/3 of the sample reduced their physical activity and nearly 70% reported an increase in idle time. Adherence to the Mediterranean diet decreased in almost 1/3 of respondents and over 35% reported weight gain. Social activities were abolished and 1/6 of participants also decreased productive and mental-stimulating activities. 19.8% were depressed, 9.5% anxious, and 9.5% apathetic. A significant association existed between depression and living alone or having a poor relation with cohabitants and between anxiety and SCD, cold or flu symptoms, and reduction in productive leisure activities. Conclusions: Seniors with SCD and MCI underwent lifestyle changes that are potentially harmful to their future cognitive decline, even if, with the exception of leisure activities, they do not appear to be cross-sectionally associated with psychiatric symptoms.
DOI: 10.1093/geronb/gbaa074
发表时间: 2021-02-01
影响因子: 6.2
作者:
de Bruin, Wandi Bruine
通讯作者: de Bruin, Wandi Bruine
DOI: 10.12659/msm.924609
发表时间: 2020-04-26
影响因子: 3.1
作者:
Lei, Lei;Huang, Xiaoming;Xu, Min
通讯作者: Xu, Min
DOI: 10.20960/nh.360
发表时间: 2017-04-01
期刊: Nutrición Hospitalaria
影响因子: --
作者:
Hernández-Galiot, Ana;Goñi, Isabel
通讯作者: Goñi, Isabel
DOI: 10.1111/j.1532-5415.1999.tb03848.x
发表时间: 1999-07-01
影响因子: 6.3
作者:
Hoyl, MT;Alessi, CA;Rubenstein, LZ
通讯作者: Rubenstein, LZ
DOI: 10.1111/j.1468-1331.1996.tb00423.x
发表时间: 1996-05-01
影响因子: 5.1
作者:
Magni, E;Binetti, G;Trabucchi, M
通讯作者: Trabucchi, M