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久坐行为与认知功能的关联:来自英国生物银行的横断面和前瞻性研究结果。

Associations Between Sedentary Behaviors and Cognitive Function: Cross-Sectional and Prospective Findings From the UK Biobank.

机构信息

Department of Health Sciences, University of Leicester, Leicester General Hospital, Leicester, United Kingdom.

Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, United Kingdom.

出版信息

Am J Epidemiol. 2018 Mar 1;187(3):441-454. doi: 10.1093/aje/kwx273.

Abstract

We investigated the cross-sectional and prospective associations between different sedentary behaviors and cognitive function in a large sample of adults with data stored in the UK Biobank. Baseline data were available for 502,643 participants (2006-2010, United Kingdom). Cognitive tests included prospective memory (baseline only: n = 171,585), visual-spatial memory (round 1: n = 483,832; round 2: n = 482,762), fluid intelligence (n = 165,492), and short-term numeric memory (n = 50,370). After a mean period of 5.3 years, participants (numbering from 12,091 to 114,373, depending on the test) also provided follow-up cognitive data. Sedentary behaviors (television viewing, driving, and nonoccupational computer-use time) were measured at baseline. At baseline, both television viewing and driving time were inversely associated with cognitive function across all outcomes (e.g., for each additional hour spent watching television, the total number of correct answers in the fluid intelligence test was 0.15 (99% confidence interval: 0.14, 0.16) lower. Computer-use time was positively associated with cognitive function across all outcomes. Both television viewing and driving time at baseline were positively associated with the odds of having cognitive decline at follow-up across most outcomes. Conversely, computer-use time at baseline was inversely associated with the odds of having cognitive decline at follow-up across most outcomes. This study supports health policies designed to reduce television viewing and driving in adults.

摘要

我们调查了在英国生物银行储存的数据中,大量成年人中不同久坐行为与认知功能之间的横断面和前瞻性关联。基线数据可用于 502643 名参与者(2006-2010 年,英国)。认知测试包括前瞻性记忆(仅基线:n=171585)、视觉空间记忆(第 1 轮:n=483832;第 2 轮:n=482762)、流体智力(n=165492)和短期数字记忆(n=50370)。在平均 5.3 年的随访后,参与者(根据测试从 12091 到 114373 不等)还提供了随访认知数据。在基线时测量了久坐行为(看电视、开车和非职业性计算机使用时间)。在基线时,看电视和开车时间与所有结果的认知功能呈负相关(例如,看电视每增加 1 小时,流体智力测试中正确回答的总数会降低 0.15(99%置信区间:0.14,0.16)。计算机使用时间与所有结果的认知功能呈正相关。基线时看电视和开车时间与大多数结果的随访时认知下降的几率呈正相关。相反,基线时的计算机使用时间与大多数结果的随访时认知下降的几率呈负相关。本研究支持旨在减少成年人看电视和开车的健康政策。

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