Cognitive activity in a sitting position is protectively associated with cognitive impairment among older adults.
Cognitive activity in a sitting position is protectively associated with cognitive impairment among older adults.
复制标题
DOI：
10.1111/ggi.13532
复制
发表时间：
2019-03
影响因子：
3.3
通讯作者：
Shimada H
中科院分区：
文献类型：
--
作者：
Kurita S;Doi T;Tsutsumimoto K;Hotta R;Nakakubo S;Kim M;Shimada H
先前的研究对久坐行为和认知障碍之间的关系得出了不一致的结果。本研究旨在研究老年人坐姿认知活动（CAS）与认知障碍之间的关系。2013年，来自日本奥布或名古屋社区居住的老年人参与了一项调查。共有5300名参与者（平均年龄75.0±5.1岁，女性52.9%）符合本研究的标准。我们评估了由六项活动组成的CAS的频率和种类，包括阅读书籍或报纸，写日记或信件，解决填字游戏，玩棋盘游戏，使用电脑和维护家务记录。参与CAS的频率为每周一次或多次。通过CAS业务的数量来评估CAS的多样性。认知障碍的定义是两次或两次以上的测试，在四次神经心理学测试中低于参考阈值至少1.5个标准差。进行逻辑回归分析，以检查CAS的频率和种类与认知障碍之间的关系，并调整协变量。参与每种CAS活动的参与者比例从12.3%（玩棋盘游戏）到93.6%（阅读书籍或报纸）不等。校正后，5例CAS与认知功能障碍显著相关（OR 0.33 ~ 0.65，均P < 0.001）。CAS的种类与认知障碍的OR降低显著相关（OR 0.61, 95%可信区间0.55-0.68）。几乎所有的CAS和更多种类的CAS都与老年人的认知障碍有关。Geriatr Gerontol Int 2019；19日:98 - 102。
Previous studies have obtained inconsistent results regarding the association between sedentary behavior and cognitive impairment. The present study aimed to examine the association between cognitive activity in a sitting position (CAS) and cognitive impairment among older adults. Community‐dwelling older adults, from Obu or Nagoya in Japan, participated in a survey in 2013. A total of 5300 participants (mean age 75.0 ± 5.1 years; women 52.9%) met the criteria for the present study. We assessed the frequency and variety of CAS composed of six activities, including reading books or newspapers, writing a diary or letters, solving crossword puzzles, playing board games, using a computer and maintaining housekeeping records. The frequency of engagement in CAS was one or more time(s)/week. The variety of CAS was assessed by the number of engagements in CAS. Cognitive impairment was defined by two or more tests at least 1.5 standard deviations below the reference threshold in four neuropsychological tests. Logistic regression analysis was carried out to examine the associations between the frequency and variety of CAS and cognitive impairment, adjusted for covariates. The proportion of participants engaging in each CAS varied from 12.3% (playing board games) to 93.6% (reading books or newspaper). After adjustment, five CAS were significantly associated with cognitive impairment (OR 0.33–0.65, all P < 0.001). The variety of CAS was significantly associated with the reduced OR of cognitive impairment (OR 0.61, 95% confidence interval 0.55–0.68). Almost every CAS and a greater variety of CAS are associated with cognitive impairment among older people. Geriatr Gerontol Int 2019; 19: 98–102.
登录
查看更多内容
影响因子：
29
作者：
Krell-Roesch J;Vemuri P;Pink A;Roberts RO;Stokin GB;Mielke MM;Christianson TJ;Knopman DS;Petersen RC;Kremers WK;Geda YE
通讯作者：
Geda YE
影响因子：
158.5
作者：
Verghese, J;Lipton, RB;Buschke, H
通讯作者：
Buschke, H
影响因子：
14
作者：
Hughes, Tiffany F.;Becker, James T.;Ganguli, Mary
通讯作者：
Ganguli, Mary
影响因子：
4.1
作者：
Hamer M;Stamatakis E
通讯作者：
Stamatakis E
影响因子：
48
作者：
Barnes, Deborah E.;Yaffe, Kristine
通讯作者：
Yaffe, Kristine