Trevisan Caterina, Pamio Maria Valentina, Curreri Chiara, Maggi Stefania, Baggio Giovannella, Zambon Sabina, Sartori Leonardo, Perissinotto Egle, Crepaldi Gaetano, Manzato Enzo, Sergi Giuseppe
Department of Medicine (DIMED), Geriatrics Division, University of Padova, Padua, Italy.
Aging Branch, National Research Council, Institute of Neuroscience, Padua, Italy.
Int J Geriatr Psychiatry. 2018 Feb;33(2):348-357. doi: 10.1002/gps.4750. Epub 2017 Jun 22.
Although involvement in childcare activities seems to promote better physical and mental health in older adults, its impact on cognitive status and depression has not yet been fully elucidated. We aimed to analyze the association between engagement in childcare activities and cognitive and psychological status over a 4.4-year period in community-dwelling older adults.
Two thousand one hundred four subjects older than 65 years without severe cognitive impairment at baseline were categorized according to the frequency of their involvement in childcare activities (everyday, occasionally, never). The participants' cognitive status and depressive symptoms were evaluated at baseline and after 4.4 years.
During the follow-up, 269 (12.8%) new cases of cognitive impairment and 229 (10.9%) new cases of depression were registered. Men engaged in childcare showed an almost 20% lower risk of cognitive impairment and cognitive decline. Women demonstrated similar results, except for those occasionally involved in childcare, who had a higher risk of cognitive decline compared with women who never engaged in it. The risk of developing depression was reduced in men involved daily (OR = 0.44, 95% CI: 0.30-0.62, p < 0.0001) and occasionally in childcare, who also demonstrated a lower risk of exacerbating depressive symptoms compared with subjects who never involved in it. The onset of depression was reduced in women occasionally engaged in childcare (OR = 0.68, 95% CI: 0.56-0.82, p < 0.0001), but not significantly in those daily involved in it.
Involvement of older adults in childcare activities seems to lower the risk of cognitive impairment in both genders and to prevent onset or worsening of depression particularly in older men. Copyright © 2017 John Wiley & Sons, Ltd.
尽管参与儿童保育活动似乎能促进老年人的身心健康，但其对认知状态和抑郁的影响尚未完全阐明。我们旨在分析社区居住的老年人在4.4年期间参与儿童保育活动与认知和心理状态之间的关联。
2104名65岁以上且基线时无严重认知障碍的受试者，根据其参与儿童保育活动的频率（每天、偶尔、从不）进行分类。在基线时和4.4年后对参与者的认知状态和抑郁症状进行评估。
在随访期间，登记了269例（12.8%）新的认知障碍病例和229例（10.9%）新的抑郁病例。参与儿童保育的男性出现认知障碍和认知衰退的风险降低了近20%。女性也有类似结果，但偶尔参与儿童保育的女性与从不参与儿童保育的女性相比，认知衰退风险更高。每天参与儿童保育的男性患抑郁症的风险降低（OR = 0.44，95% CI：0.30 - 0.62，p < 0.0001），偶尔参与儿童保育的男性与从不参与儿童保育的受试者相比，抑郁症状加重的风险也较低。偶尔参与儿童保育的女性抑郁症发病率降低（OR = 0.68，95% CI：0.56 - 0.82，p < 0.0001），但每天参与儿童保育的女性则无显著降低。
老年人参与儿童保育活动似乎能降低两性认知障碍的风险，尤其能预防老年男性抑郁症的发作或恶化。版权所有© 2017约翰·威利父子有限公司。
