Comparing relationships between health-related behaviour clustering and episodic memory trajectories in the United States of America and England: a longitudinal study.
Comparing relationships between health-related behaviour clustering and episodic memory trajectories in the United States of America and England: a longitudinal study.
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DOI：
10.1186/s12889-022-13785-7
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发表时间：
2022-07-16
影响因子：
4.5
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中科院分区：
文献类型：
--
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健康相关行为（HRB）在个体内聚集。HRB聚类和认知功能之间的关联的证据是有限的。我们的目的是检查和比较三个HRB集群之间的关联：“多HRB集群”，“不活跃集群”和“（前）吸烟集群”（在以前的工作中确定的基础上，包括吸烟，饮酒，体力活动和社会活动的HRB）和情节记忆轨迹的男性和女性，分别在美国（美国）和英国。数据来自美国健康与退休研究的第10-14波（2010-2018）和英国老龄化纵向研究的第5-9波（2010-2018）。我们纳入了17，750名美国和8，491名英国参与者，年龄在50岁及以上。在2010年的基线波中确定了性别特异性HRB聚类，包括美国和英国女性中的多HRB（多种积极行为）、非活动和戒烟聚类，美国男性中的多HRB、非活动和吸烟聚类，以及英国男性中的仅多HRB和非活动聚类。情景记忆是通过即时和延迟的单词回忆测试的总分数来测量的。对于国家内的关联，二次增长曲线模型（年龄队列模型，允许随机截距和斜率）被应用于评估HRB聚类和情景记忆轨迹之间的性别分层关联，考虑了一系列混杂因素。对于国家间比较，我们将特定国家的数据合并到一个汇总数据集中，并生成一个国家变量（0 =美国，1 =英格兰），这使我们能够量化HRB集群中随着年龄增长的情景记忆轨迹的国家间不平等。这一假设是正式检验二次增长曲线模型，包括一个三向交互作用项（年龄× HRB聚类×国家）。我们发现，在国家内，美国和英国的参与者在多HRB集群有较高的分数比他们的同行在不活跃和（前）吸烟集群的情景记忆。在国家之间，在每个HRB集群内的男性和女性中，在英国观察到情景记忆的下降速度比在美国更快（例如，B英国与美国男性：多HR B聚类=-0.05，95% CI：-0.06，-0.03，B英国与美国女性：戒烟聚类=-0.06，95% CI：-0.07，-0.04）。此外，当比较两个聚类组之间的平均值时，平均记忆分数的范围在英国比在美国大，包括男性不活跃和多HRB聚类之间的平均值范围（B）英国与美国=-0.56，95% CI：-0.85，-0.27），以及女性的戒烟和多HR B聚类之间（B英国与美国=-1.73，95% CI：-1.97，-1.49）。在美国和英国，HRB聚类与情景记忆的轨迹相关。HRB聚类对情景记忆的影响似乎在英国比在美国更大。我们的研究强调了意识到健康行为之间相互联系的重要性，以便更好地了解这些行为如何影响认知健康。政府，特别是英格兰政府，可以更加关注健康行为对老龄人口认知健康的不利影响。在线版本包含补充材料，可通过10.1186/s12889-022-13785-7获得。
Health-related behaviours (HRBs) cluster within individuals. Evidence for the association between HRB clustering and cognitive functioning is limited. We aimed to examine and compare the associations between three HRB clusters: “multi-HRB cluster”, “inactive cluster” and “(ex-)smoking cluster” (identified in previous work based on HRBs including smoking, alcohol consumption, physical activity and social activity) and episodic memory trajectories among men and women, separately, in the United States of America (USA) and England. Data were from the waves 10–14 (2010–2018) of the Health and Retirement Study in the USA and the waves 5–9 (2010–2018) of the English Longitudinal Study of Ageing in England. We included 17,750 US and 8,491 English participants aged 50 years and over. The gender-specific HRB clustering was identified at the baseline wave in 2010, including the multi-HRB (multiple positive behaviours), inactive and ex-smoking clusters in both US and English women, the multi-HRB, inactive and smoking clusters in US men, and only the multi-HRB and inactive clusters in English men. Episodic memory was measured by a sum score of immediate and delayed word recall tests across waves. For within country associations, a quadratic growth curve model (age-cohort model, allowing for random intercepts and slopes) was applied to assess the gender-stratified associations between HRB clustering and episodic memory trajectories, considering a range of confounding factors. For between country comparisons, we combined country-specific data into one pooled dataset and generated a country variable (0 = USA and 1 = England), which allowed us to quantify between-country inequalities in the trajectories of episodic memory over age across the HRB clusters. This hypothesis was formally tested by examining a quadratic growth curve model with the inclusion of a three-way interaction term (age × HRB clustering × country). We found that within countries, US and English participants within the multi-HRB cluster had higher scores of episodic memory than their counterparts within the inactive and (ex-)smoking clusters. Between countries, among both men and women within each HRB cluster, faster declines in episodic memory were observed in England than in the USA (e.g., b England versus the USA for men: multi-HRB cluster = -0.05, 95%CI: -0.06, -0.03, b England versus the USA for women: ex-smoking cluster = -0.06, 95%CI: -0.07, -0.04). Additionally, the range of mean memory scores was larger in England than in the USA when comparing means between two cluster groups, including the range of means between inactive and multi-HRB cluster for men (b England versus the USA = -0.56, 95%CI: -0.85, -0.27), and between ex-smoking and multi-HRB cluster for women (b England versus the USA = -1.73, 95%CI: -1.97, -1.49). HRB clustering was associated with trajectories of episodic memory in both the USA and England. The effect of HRB clustering on episodic memory seemed larger in England than in the USA. Our study highlighted the importance of being aware of the interconnections between health behaviours for a better understanding of how these behaviours affect cognitive health. Governments, particularly in England, could pay more attention to the adverse effects of health behaviours on cognitive health in the ageing population. The online version contains supplementary material available at 10.1186/s12889-022-13785-7.
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影响因子：
4.1
作者：
Langa KM;Llewellyn DJ;Lang IA;Weir DR;Wallace RB;Kabeto MU;Huppert FA
通讯作者：
Huppert FA
影响因子：
7.7
作者：
Steptoe, Andrew;Breeze, Elizabeth;Nazroo, James
通讯作者：
Nazroo, James
影响因子：
1.8
作者：
Nocon, Marc;Keil, Thomas;Willich, Stefan N.
通讯作者：
Willich, Stefan N.
影响因子：
3.2
作者：
RAUDENBUSH, SW;CHAN, WS
通讯作者：
CHAN, WS
影响因子：
5
作者：
Sabia, Severine;Nabi, Hermann;Singh-Manoux, Archana
通讯作者：
Singh-Manoux, Archana