Education, neighborhood environment, and cognitive decline: Findings from two prospective cohort studies of older adults in China

Education, neighborhood environment, and cognitive decline: Findings from two prospective cohort studies of older adults in China
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教育、邻里环境和认知能力下降:两项针对中国老年人的前瞻性队列研究的结果

DOI:
10.1002/alz.12679
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发表时间:
2022-05
期刊:
Alzheimer's & Dementia
影响因子:
--
通讯作者:
Mei Cui
Mei Cui
中科院分区:
其他
文献类型:
--
作者:
Yingzhe Wang;Yanfeng Jiang;Wanqing Wu;Kelin Xu;Qianhua Zhao;Ziyi Tan;Xiaoniu Liang;Min Fan;Zhenxu Xiao;Li Zheng;Saineng Ding;Qiang Dong;Zhen Hong;Li Jin;Xingdong Chen;Ding Ding;Mei Cui

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前言:教育对不同邻里环境下认知衰退的影响很少被研究。方法:我们利用泰州成像研究(TIS)和上海老龄化研究(SAS)的1286名参与者的数据,对教育程度和认知衰退之间的关系进行了调查和比较。结果:与低教育程度的参与者相比,在具有弱势社区环境的TIS中,高教育程度的参与者在整体认知(0.062 Z分/年,P<.001)、记忆力(0.054 Z分/年,P<;.05)和注意力(0.065 Z分/年,P<.01),而在患有高级NE的SAS中,受教育程度高的个体只有注意力下降较慢(0.028 Z分/年,P<.05)。在不利的环境中,教育对于保持认知健康尤为重要。
INTRODUCTION.The impacts of education on cognitive decline across different neighborhood environments (NEs) have rarely been studied..METHODS.We investigated and compared the associations between educational attainment and cognitive decline using data of 1286 participants from the Taizhou Imaging Study (TIS) and the Shanghai Aging Study (SAS)..RESULTS.Compared with low-educated participants, in TIS with disadvantaged NE, high-educated participants manifested a significantly slower decline in global cognition (.062 Z score per year, P < .001), memory (.054 Z score per year, P < .05), and attention (.065 Z score per year, P < .01), whereas in SAS with advanced NE, highly educated individuals exhibited a slower decline only in attention (.028 Z score per year, P < .05)..DISCUSSION.We observed the additive effect of educational attainment and NE on cognitive decline in older adults. Education is especially important for maintaining cognitive health in a disadvantaged environment.
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