Which type of social activities may reduce cognitive decline in the elderly?: a longitudinal population-based study.

Which type of social activities may reduce cognitive decline in the elderly?: a longitudinal population-based study.
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DOI:
10.1186/s12877-016-0343-x
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发表时间:
2016-09-27
期刊:
影响因子:
4.1
通讯作者:
Kim YB
Kim YB
中科院分区:
医学2区
文献类型:
--
作者:
Lee SH;Kim YB

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此前的研究发现,社交活动有利于减少老年人认知能力下降(CD)。然而,关于减少晚年 CD 的社交活动类型的知识有限。本研究的目的是探讨哪种类型的社交活动可以减少 4 年后年轻老年人 (Y-O) 和老年 (O-O) 成年人的 CD。我们使用参与韩国老龄化纵向研究 (KLoSA) 的 65 岁或以上认知完整成年人的数据进行了二次分析。使用韩国版简易精神状态检查(MMSE)评估认知功能。我们通过从第 2 波 MMSE 分数减去第 4 波 MMSE 分数来计算 2008 年至 2012 年之间的 CD。在调整了年龄、性别、教育、收入、婚姻状况、日常生活活动(ADL)、工具性日常生活活动(IADL)、慢性疾病、生活质量、抑郁症状、抑郁症状变化和基线认知功能后,对社会活动对 CD 的影响进行了多元线性回归分析。在 Y-O 成年人中,基线时参加老年人俱乐部或老年人中心的受试者 4 年后患 CD 的风险低于未参加的受试者。频繁通过电话或信件与后代联系与 O-O 成年人的 CD 减少有关。与后代频繁面对面接触与 O-O 成年人的 CD 呈正相关。与不参加 O-O 成年人相比,参加两项或以上正式社交活动与 CD 减少相关。鼓励老年人参加老年人俱乐部或通过电话或信件与成年子女经常联系可能有助于减少老年人晚年的 CD。参加各种正式的社交活动也可能对预防老年人患 CD 产生有益的影响。本文的在线版本 (doi:10.1186/s12877-016-0343-x) 包含补充材料,可供授权用户使用。
Previous studies have found that social activities are beneficial for the reduction of cognitive decline (CD) in the elderly. However, knowledge regarding the types of social activities that reduce CD in later life is limited. The aim of this study is to examine which type of social activities reduce CD 4 years later among young-old (Y-O) and old-old (O-O) adults. We conducted a secondary analysis using data from cognitively intact adults 65 years of age or older who participated in the Korean Longitudinal Study of Aging (KLoSA). Cognitive function was assessed using the Korean version of the Mini-Mental State Examination (MMSE). We computed CD between 2008 and 2012 by subtracting the Wave 4 MMSE score from the Wave 2 MMSE score. Multivariate linear regression analysis was conducted regarding the effects of social activities on CD after adjusting for age, sex, education, income, marital status, activities of daily living (ADL), instrumental activities of daily living (IADL), chronic diseases, quality of life, depressive symptom, change in depressive symptom, and cognitive functioning at baseline. Subjects who participated in senior citizen clubs or senior centers at baseline had a lower risk of CD 4 years later than those who did not in Y-O adults. Frequent contact with offspring by phone or letters was associated with reduced CD in O-O adults. Frequent face-to-face contact with offspring was positively associated with CD in O-O adults. Participating in two or more formal social activities was associated with reduced CD compared with nonparticipation in O-O adults. Encouraging older adults to participate in senior citizen clubs or to have frequent contacts with adult children by phone or letters may help reduce CD in later life among older adults. Participation in a variety of formal social activities may also have a beneficial effect on preventing CD in older adults. The online version of this article (doi:10.1186/s12877-016-0343-x) contains supplementary material, which is available to authorized users.
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