Relationships between cognitive leisure activities and cognitive function in older adults with depressive symptoms: a cross-sectional study
Relationships between cognitive leisure activities and cognitive function in older adults with depressive symptoms: a cross-sectional study
复制标题
DOI：
10.1136/bmjopen-2019-032679
复制
发表时间：
2020-02-01
期刊：
影响因子：
2.9
通讯作者：
Shimada, Hiroyuki
中科院分区：
文献类型：
--
作者：
Kim, Min Ji;Tsutsumimoto, Kota;Shimada, Hiroyuki
目的本研究旨在阐明认知休闲活动和认知功能之间的联系，在老年人群分层有或没有抑郁症状。设计一个回顾性横断面研究的基础上，自我报告问卷。设置每年健康检查在日本的农村社区。参与者共11 010名社区居住的老年人年龄≥ 65岁。（平均年龄：74.0 ± 5.4岁）。结果测量认知障碍被定义为在国家老年医学中心和老年学功能评估工具中的两项或多项测试中低于参考阈值（年龄调整和教育调整得分）至少1.5SD。抑郁症状的定义是15项老年抑郁量表评分≥ 6分。我们使用经过验证的量表（评分：0-42）评估了参与认知休闲活动的频率。结果1186名被调查者中有12.6%（n=1186）的人有抑郁症状。认知休闲活动与老年人认知功能障碍之间存在显著相关性（调整后OR=0.77，95%CI =0.65 - 0.94）。在有抑郁症状的老年人中，更高频率的认知休闲活动与认知障碍呈负相关（调整OR=0.45，95%CI =0.28至0.70）。与此相反，没有抑郁症状的老年人没有显着的关联（调整OR=0.85，95%CI =0.70至1.02）。结论从事认知休闲活动，在晚年与更好的认知功能，老年人抑郁症状。
Objectives The current study aimed to elucidate the associations between cognitive leisure activities and cognitive function in an older population stratified by having or not having depressive symptoms.Design A retrospective cross-sectional study based on a self-report questionnaire.Setting Annual health check-ups in a rural community in Japan.Participants A total of 11 010 community-dwelling older adults aged >= 65 years (mean age: 74.0 +/- 5.4 years) was examined. Participants with missing data for the main outcome (n=1630) were excluded.Outcome measures Cognitive impairment was defined as at least 1.5 SD below the reference threshold (age-adjusted and education-adjusted score) on two of more of the tests in the National Center for Geriatrics and Gerontology-Functional Assessment Tool. Depressive symptoms were defined by a 15-item Geriatric Depression Scale score >= 6. We assessed the frequency of participation in cognitive leisure activities using the validated scale (score: 0-42). A score of >= 8 points was defined as frequent participation in cognitive leisure activities.Results A total of 12.6% (n=1186) of the participants had depressive symptoms. There was a significant association between cognitive leisure activities and cognitive impairment in older adults (adjusted OR=0.77, 95% CI=0.65 to 0.94). In older adults with depressive symptoms, a higher frequency of cognitive leisure activities was negatively associated with cognitive impairment (adjusted OR=0.45, 95% CI=0.28 to 0.70). In contrast, there was no significant association in older adults without depressive symptoms (adjusted OR=0.85, 95% CI=0.70 to 1.02).Conclusions Engaging in cognitive leisure activities in late life is associated with better cognitive function in older adults with depressive symptoms.