Healthy Cognitive Aging and Leisure Activities Among the Oldest Old in Japan: Takashima Study
Healthy Cognitive Aging and Leisure Activities Among the Oldest Old in Japan: Takashima Study
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DOI：
10.1093/gerona/63.11.1193
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发表时间：
2008-11-01
影响因子：
5.1
通讯作者：
Ueshima, Hirotsugu
中科院分区：
文献类型：
--
作者：
Dodge, Hiroko H.;Kita, Yoshikuni;Ueshima, Hirotsugu
背景很少有人知道的规范水平的休闲活动之间的最古老的老人和因素，解释年龄相关的下降，在这些activities. Methods。样本包括303认知完整的社区居住的老年人，没有残疾的日常生活活动（ADL）和最低限度的依赖工具ADL（IADL）在滋贺，日本。我们研究了（i）休闲活动的性质和频率，比较最老的老年人与年轻的年龄组;（ii）解释参与这些活动的频率的年龄相关差异的因素;（iii）与这些活动相关的特定领域的认知功能，使用三个汇总指数得分：身体和非身体爱好指数和社会活动指数。年龄最大的老年人（95岁或以上）在所有活动指数中的频率得分明显低于年龄最小的老年人（65-74岁）。步态速度或整体流动性始终解释了年龄相关的活动水平下降的最古老的老年人，而视力或听力障碍和抑郁症状只解释了社会活动的下降。参与非物质爱好的频率与所有认知领域的检查显着相关。了解与年龄相关的休闲活动减少的原因有助于制定维持老年人活动水平的策略。
Background. Little is known regarding the normative levels of leisure activities among the oldest old and the factors that explain the age-associated decline in these activities.Methods. The sample included 303 cognitively intact community-dwelling elderly persons with no disability in Activities of Daily Living (ADL) and minimal dependency in Instrumental ADL (IADL) in Shiga prefecture, Japan. We examined (i) the nature and frequency of leisure activities, comparing the oldest old versus younger age groups; (ii) factors that explain the age-associated differences in frequencies of engagement in these activities: and (iii) domain-specific cognitive functions associated with these activities, using three summary index scores: physical and nonphysical hobby indexes and social activity index.Results. The oldest old (95 years old or older) showed significantly lower frequency scores in all activity indexes, compared with the youngest old (age 65-74 years). Gait speed or overall mobility consistently explained the age-associated reduction in levels of activities among the oldest old, whereas vision or hearing impairment and depressive symptoms explained only the decline in social activity. Frequency of engagement in nonphysical hobbies was significantly associated with all cognitive domains examined.Conclusions. Knowing the factors that explain age-associated decline in leisure activities can help in planning strategies for maintaining activity levels among elderly persons.