Social, behavioural, and functional characteristics of community-dwelling South Korean adults with moderate and severe cognitive impairment.

Social, behavioural, and functional characteristics of community-dwelling South Korean adults with moderate and severe cognitive impairment.
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DOI:
10.1002/mpr.1908
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发表时间:
2022-06
影响因子:
3.1
通讯作者:
Hong, Ickpyo
Hong, Ickpyo
中科院分区:
医学3区
文献类型:
--
作者:
Nam, Sanghun;Downer, Brian;Bae, Suyeong;Hong, Ickpyo

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本研究利用 2016 年韩国老龄化纵向研究来调查居住在社区的患有认知障碍的韩国成年人的社会、行为和功能特征。根据结合韩国简易精神状态检查分数和进行日常生活工具性活动的困难数量的算法,将参与者分为正常、中度障碍和重度障碍。选定的特征包括握力、抑郁、参与锻炼和社交活动以及生活在农村、城市或郊区社区。大多数(72.7%)参与者被归类为认知正常,20.1%被归类为中度障碍,7.2%被归类为严重障碍。无论性别如何,除了男性中度和重度认知障碍之间的差异外,认知状态分类中握力的差异具有统计学意义(p = 0.8477)。抑郁症状越多以及居住在农村地区与严重认知障碍的几率显着增加相关。与认知正常的参与者相比,中度(OR = 0.51)和重度(OR = 0.33)认知障碍的参与者参与社交活动的可能性较小。研究结果表明,韩国社区居住成年人的社会、行为和功能特征与认知状态密切相关。
This study used the 2016 Korean Longitudinal Study on Aging to investigate the social, behavioural, and functional characteristics of community‐dwelling South Korean adults with cognitive impairment. Participants were classified as normal, moderate impairment, and severe impairment according to an algorithm that combined the Korean Mini‐Mental State Examination score and the number of difficulties in performing instrumental activities of daily living. Selected characteristics included grip strength, depression, participation in exercise and social activities, and living in a rural, urban, or suburban community. Most (72.7%) participants were classified as having normal cognition, 20.1% were classified as moderate impairment, and 7.2% were classified as severe impairment. Regardless of sex, the differences in grip strength across the cognitive status classifications were statistically significant, except for the difference between moderate and severe cognitive impairment in males (p = 0.8477). Greater number of depressive symptoms and living in rural areas were associated with significantly higher odds for severe cognitive impairment. Participants with moderate (OR = 0.51) and severe (OR = 0.33) cognitive impairment were less likely to participate in social activities than those with normal cognition. The study findings revealed that social, behavioural, and functional characteristics are closely related to the cognitive status of community‐dwelling adults in South Korea.
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