Development of a Questionnaire to Evaluate Older Adults' Total Sedentary Time and Sedentary Time With Cognitive Activity.

Development of a Questionnaire to Evaluate Older Adults' Total Sedentary Time and Sedentary Time With Cognitive Activity.
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DOI:
10.1177/08919887211006468
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发表时间:
2022-05
影响因子:
2.6
通讯作者:
Shimada, Hiroyuki
Shimada, Hiroyuki
中科院分区:
医学4区
文献类型:
--
作者:
Kurita, Satoshi;Doi, Takehiko;Tsutsumimoto, Kota;Nakakubo, Sho;Ishii, Hideaki;Shimada, Hiroyuki

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本研究旨在开发一个问卷,用于评估总久坐时间(ST)和ST与认知活动,并检查ST和日本老年人的认知功能之间的关联。评估ST的问卷包括12个关于特定环境中的行为的项目,其中包括8个关于平时一周内ST与认知活动的项目。参与评估认知功能的健康检查的≥75岁的老年人完成了开发的问卷,随后佩戴了加速计并记录了一周的ST日记和认知活动作为有效性指标。认知功能的评估与神经心理学测试涵盖4个领域:记忆,注意力,执行功能,和处理速度。有效性分析包括52名参与者。斯皮尔曼相关系数表明,心电图测量的ST与日记测量的ST与认知活动之间的一致性良好(r = 0.59,p < 0.001),但总ST的情况并非如此。Bland-Altman图显示,心电图测量的总ST包含比例偏倚(r = 0.51,p < 0.001)。多元回归分析(n = 49)显示,较长的心电图测量ST与认知活动与较好的神经心理学测试分数显著相关(注意力:β =-0.38,p = 0.025;执行功能:β =-0.46,p = 0.003;处理速度:β = 0.31,p = 0.041),而总ST与更好的认知表现无关。开发的问卷显示出可接受的有效性,以衡量ST与认知活动,这被认为是保护性的认知功能。
This study aimed to develop a questionnaire for evaluating total sedentary time (ST) and ST with cognitive activity, and to examine the association between ST and cognitive function among Japanese older adults. The questionnaire to evaluate ST comprised 12 items regarding behavior in specific settings, including 8 items on ST with cognitive activity, in a usual week. Older adults aged ≥75 years who participated in a health check-up assessing cognitive function completed the developed questionnaire and subsequently wore an accelerometer and recorded a diary of ST with cognitive activity for a week as validity measures. Cognitive function was assessed with neuropsychological tests covering 4 domains: memory, attention, executive function, and processing speed. Fifty-two participants were included in the validity analysis. Spearman’s correlation coefficient indicated fair-to-good agreement between the questionnaire-measured and the diary-measured time for ST with cognitive activity (r = 0.59, p < 0.001), but this was not the case for total ST. Bland-Altman plots showed that the questionnaire-measured total ST contained proportional bias (r = 0.51, p < 0.001). Multiple regression analysis (n = 49) showed longer questionnaire-measured ST with cognitive activity was significantly associated with better neuropsychological test scores (attention: β = -0.38, p = 0.025; executive function: β = -0.46, p = 0.003; and processing speed: β = 0.31, p = 0.041), while total ST was not associated with better cognitive performance. The developed questionnaire showed acceptable validity to measure ST with cognitive activity, which was found to be protectively associated with cognitive function.
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发表时间: 2012-02
影响因子: 3.1
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