Association of Dual Sensory Impairment with Cognitive Decline in Older Adults
Association of Dual Sensory Impairment with Cognitive Decline in Older Adults
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双重感觉障碍与老年人认知能力下降的关联
DOI：
10.1159/000525820
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Shimada H
中科院分区：
文献类型：
--
作者：
Tomida K;Lee S;Bae S;Harada K;Katayama O;Makino K;Chiba I;Morikawa M;Shimada H
引言：听力和视力障碍（HI和VI）以及双重感觉障碍（DSI）的患病率随着人口老龄化而增加，双重感觉障碍是听力和视力障碍的组合。这些感觉障碍预计会增加来自听觉和视觉的信息处理的认知负荷，并损害适当的认知处理。虽然DSI和认知能力下降之间的关联已经被报道，但需要对每个认知领域的影响进行更详细的研究。本研究旨在调查社区居住的老年人自我报告的感觉障碍的患病率，并检查DSI对轻度认知障碍（MCI）的严重程度和对每个认知域（记忆，注意力，执行功能和处理速度）的影响。方法：参与者被招募从一个子队列的国家老年医学中心老年Syndrome研究（NCGG-SGS）进行的国家老年医学和老年学中心。我们纳入了4，471名符合入选标准的社区居住老年人（年龄：75.9 ± 4.3岁;女性：52.3%）。使用自我报告问卷确定HI和VI。认知和其他参数也由经过培训的工作人员进行了评估。Logistic回归分析被用来评估HI和VI的存在和MCI的严重程度之间的关系，和功能下降，在每个cognitive domain.Results：DSI被确定在11.4%的社区居住的老年人。关于感觉障碍和MCI严重程度，VI组单域MCI的比值比（OR）显著较高（OR：1.31; 95%CI：1.06-1.61），DSI组多域MCI的OR显著较高（OR：1.58; 95%CI：1.10-2.29）。关于四个认知领域，VI和DSI的执行功能受损的OR较高（VI，OR：1.37; 95% CI：1.09-1.72）。DSI，OR：1.39; 95% CI：1.06-1.81）。DSI也表现出更高的优势比降低处理速度（OR：2.03; 95%CI：1.42-2.91）。讨论/结论：DSI预计将增加人口老龄化，并与各种健康问题。此外，据报道，DSI会降低生活质量，这需要制定适当的治疗和预防措施。
Introduction:The prevalence of hearing and visual impairment (HI and VI) and dual sensory impairment (DSI), which is a combination of both, is increasing as the population ages. These sensory impairments are expected to increase the cognitive load of information processing from hearing and vision and impair appropriate cognitive processing. Although an association between DSI and cognitive decline has been reported, a more detailed study of the effects on each cognitive domain is required. This study aimed to investigate the prevalence of self-reported sensory impairment in community-dwelling older adults and to examine the impact of DSI on the severity of mild cognitive impairment (MCI) and on each cognitive domain (memory, attention, executive function, and processing speed).Methods:The participants were recruited from a sub-cohort of the National Center for Geriatric Gerontology-Study on Geriatric Syndromes (NCGG-SGS) conducted by the National Center for Geriatrics and Gerontology. We included 4,471 community-dwelling older adults (age: 75.9 ± 4.3 years; females: 52.3%) who fulfilled the inclusion criteria. The HI and VI were identified using a self-report questionnaire. Cognitive and other parameters were also assessed by trained staff. Logistic regression analysis was used to evaluate the relationship between the presence of HI and VI and the severity of MCI, and functional decline in each cognitive domain.Results:DSI was identified in 11.4% of community-dwelling older adults. Regarding sensory impairment and MCI severity, the odds ratio (OR) for single-domain MCI was significantly higher in VI (OR: 1.31; 95% CI: 1.06–1.61), and the OR for multiple-domain MCI was significantly higher in DSI (OR: 1.58; 95% CI: 1.10–2.29). In relation to the four cognitive domains, ORs for impaired executive function were higher for VI and DSI (VI, OR: 1.37; 95% CI: 1.09–1.72. DSI, OR: 1.39; 95% CI: 1.06–1.81). DSI also exhibited a higher odds ratio for reduced processing speed (OR: 2.03; 95% CI: 1.42–2.91).Discussion/Conclusion:DSI is predicted to increase as the population ages and is associated with various health problems. Further, DSI has been reported to decrease quality of life, which needed to establish appropriate treatment and prevention measures.
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影响因子：
2.4
作者：
Lin FR;Ferrucci L;Metter EJ;An Y;Zonderman AB;Resnick SM
通讯作者：
Resnick SM
影响因子：
4.9
作者：
Bae, Seongryu;Lee, Sangyoon;Shimada, Hiroyuki
通讯作者：
Shimada, Hiroyuki
慢步速和抑郁症状对老年人意外残疾的综合影响。
影响因子：
7.6
作者：
Tsutsumimoto K;Doi T;Shimada H;Makizako H;Hotta R;Nakakubo S;Suzuki T
通讯作者：
Suzuki T
影响因子：
39.2
作者：
MULROW, CD;AGUILAR, C;DENINO, LA
通讯作者：
DENINO, LA
DOI：
10.1176/appi.ajp.2017.17040423
发表时间：
2018-03-01
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Rutherford BR;Brewster K;Golub JS;Kim AH;Roose SP
通讯作者：
Roose SP