Cardiovascular health and cognitive function among Mexican older adults: cross-sectional results from the WHO Study on Global Ageing and Adult Health
Cardiovascular health and cognitive function among Mexican older adults: cross-sectional results from the WHO Study on Global Ageing and Adult Health
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DOI：
10.1017/s1041610218000297
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发表时间：
2018-12-01
影响因子：
7
通讯作者：
Vidoni, Eric D.
中科院分区：
文献类型：
--
作者：
Perales, Jaime;Hinton, Ladson;Vidoni, Eric D.
目的：评估墨西哥老年人心血管健康与认知功能之间的关系。设计：全国代表性横断面调查。设置：墨西哥家庭。参与者：50岁及以上的个人（n = 1，492）来自墨西哥-SAGE项目Wave 1。心血管健康的连续和分类指数是根据运动、吸烟、体重指数和0至4的血压计算的。认知功能是通过平均五个心理测量测试的标准化分数（z分数）获得的。结果：心血管健康的连续指数与认知功能无关。使用分类指数，具有最佳心血管健康水平（评分为4）的参与者在整体认知功能方面的表现优于心血管健康水平较低的组（评分为0，0.41 SD; 1，0.39 SD;和2，0.56 SD）。该协会是温和的年龄，只有在那些50-64岁之间达到显着性。结论：如果纵向研究证实了这些发现，结果表明，痴呆症相关的政策在墨西哥需要集中精力实现最佳水平的心血管健康，特别是在中年。
Objectives: To assess the association between cardiovascular health and cognitive function among Mexican older adults.Design: Nationally representative cross-sectional survey.Setting: Households in Mexico.Participants: Individuals aged 50 years and older (n = 1,492) from the Mexico-SAGE project Wave 1.Measurements: A continuous and a categorical index of cardiovascular health was calculated based on exercise, smoking, body mass index, and blood pressure ranging from 0 to 4. Cognitive function was obtained by averaging the standardized scores (z scores) of five psychometric tests. Associations were conducted using linear regression.Results: The continuous index of cardiovascular health was not associated with cognitive function. Using the categorical index, participants with the best levels of cardiovascular (score of 4) health performed better on global cognitive function than groups with lower cardiovascular health (scores of 0, 0.41 SD; 1, 0.39 SD; and 2, 0.56 SD). The association was moderated by age, reaching significance only among those 50-64 years old.Conclusions: If longitudinal research confirms these findings, results would suggest that dementia-related policies in Mexico need to focus on achieving optimal levels of cardiovascular health, especially in midlife.