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老年人认知障碍与活动参与模式之间的关联

The Association Between Cognitive Impairment and Patterns of Activity Engagement Among Older Adults.

作者信息

Amano Takashi, Park Sojung, Morrow-Howell Nancy

机构信息

1 Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA.

出版信息

Res Aging. 2018 Aug;40(7):645-667. doi: 10.1177/0164027517728553. Epub 2017 Sep 5.

DOI:10.1177/0164027517728553
PMID:28870115
Abstract

This study aims to assess the association between cognitive impairment and activity engagement patterns. Data from the 2012 Health and Retirement Study were used. A total of 3,943 participants aged 65 or older were included in analyses. Latent class analysis and multinomial logistic regression analysis were used. Four activity engagement profiles were identified: high activity (31.2%), active leisure (18.9%), passive leisure (28.2%), and low activity (21.7%). People in the high activity group engaged in all activities more than people in any other group, whereas people in the low activity group did not actively engage in most activities. Multinomial logistic regression analysis showed that cognitive impairment had an independent effect on the probability of being assigned to the low activity group compared to other groups. Cognitive impairment was associated with inactivity in a variety of activities. Future studies should examine supportive factors, which facilitate active patterns among people with cognitive impairment.

摘要

本研究旨在评估认知障碍与活动参与模式之间的关联。使用了来自2012年健康与退休研究的数据。分析纳入了总共3943名65岁及以上的参与者。采用了潜在类别分析和多项逻辑回归分析。识别出四种活动参与概况:高活动量(31.2%)、积极休闲(18.9%)、消极休闲(28.2%)和低活动量(21.7%)。高活动量组的人参与所有活动的程度都高于其他任何组的人,而低活动量组的人没有积极参与大多数活动。多项逻辑回归分析表明,与其他组相比,认知障碍对被分配到低活动量组的概率有独立影响。认知障碍与多种活动中的不活动有关。未来的研究应考察有助于认知障碍者形成积极模式的支持因素。

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