Leisure activities and cognitive function in middle age: evidence from the Whitehall II study
Leisure activities and cognitive function in middle age: evidence from the Whitehall II study
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DOI：
10.1136/jech.57.11.907
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发表时间：
2003-11-01
影响因子：
6.3
通讯作者：
Marmot, M
中科院分区：
文献类型：
--
作者：
Singh-Manoux, A;Richards, M;Marmot, M
目的：检验中年人参与休闲活动与认知功能之间存在独立于社会地位的正相关的假设。这种关系的本质是通过首先将休闲活动分为高认知努力和低认知努力，然后将其分为个人活动和社会活动来探索的。（白厅II研究）在20个公务员部门的基线。数据来自前瞻性队列研究的第五波数据收集（第5期），通过临床检查和自填问卷收集。本研究首先以阶层式多元回归探讨年龄与社经地位调整后各休闲活动对认知的影响。然后，结构方程模型被用来检验两类休闲活动的影响-活动需要高或低的认知努力和社会或个人活动。所有的分析是横截面。结果：有一个年龄和SES调整参与休闲活动和认知功能之间的关联。更具体地说，休闲活动需要高认知努力或社会互动与更好的认知能力。结论：参与认知复杂或社会休闲活动与成人认知有独立的关联，这表明寻求精神刺激可能对中年认知有有益的影响。
Objectives: To test the hypothesis of a positive association, independent of social position, between participation in leisure activities and cognitive function in middle age. The nature of this relation is explored by first classifying leisure activities as entailing high or low cognitive effort, and then classifying them as entailing individual or social activities.Setting: London based office staff (Whitehall II study) in 20 civil service departments at baseline.Methods: Data are from the fifth wave of data collection (phase 5) of a prospective cohort study, collected through clinical examination and a self administered questionnaire. Firstly, hierarchical multiple regression was used to examine age and socioeconomic status (SES) adjusted effect of each leisure activity on cognition. Then structural equation models were used to examine the effects of two categories of leisure activities - activities entailing high or low cognitive effort and social or individual activities. All analyses are cross sectional.Results: There was an age and SES adjusted association between participation in leisure activities and cognitive function. More specifically, leisure activity entailing high cognitive effort or social interaction was associated with better cognitive ability.Conclusions: Participation in cognitively complex or social leisure activities has an independent association with adult cognition, suggesting that seeking mental stimulation may have a beneficial effect on cognition in middle age.