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[职业对萨拉戈萨55岁以上样本人群非痴呆性认知障碍的影响]

[Influence of occupation on cognitive impairment with no dementia in a sample population over 55 years from Zaragoza].

作者信息

Gracia-Rebled Ana Cristina, Santabárbara Javier, Lopez-Anton Raul, Tomas Concepción, Lobo Elena, Marcos Guillermo, Lobo Antonio

机构信息

Departamento de Fisiatría y Enfermería, Universidad de Zaragoza, Zaragoza, España.

Departamento de Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Zaragoza, España; Instituto Universitario de Investigación Sanitaria de Aragón (IIS).

出版信息

Rev Esp Geriatr Gerontol. 2018 May-Jun;53(3):134-140. doi: 10.1016/j.regg.2017.07.001. Epub 2017 Dec 6.

Abstract

INTRODUCTION

The prevalence of cognitive impairment with no dementia (CIND) varies between 5.1% and 35.9%, increasing between 65 and 85 years. The CIND increases the risk of dementia. Factors such as education, occupation, and social activities are associated with the risk of cognitive impairment. The main objective of this study was to analyse the association between the main occupation developed throughout life and CIND in a general population sample of over 55 years.

METHODS

In wave I of the ZARADEMP Project, a sample (n=4803) of people over 55 years was interviewed. CIND measurement was obtained through the Mini Mental State Examination. Occupational activity data were recoded into white collar, blue collar, homemakers, and farmers. The association between the occupation variables and CIND was estimated using the odds ratio, and 95% confidence intervals using logistic regression equations.

RESULTS

The prevalence of CIND in the sample was 28.2%. As regards white collar workers, the CIND diagnosis odds was 53% higher for blue collar workers, 77% higher for women who were homemakers and almost twice for farmers, after controlling for socio-demographic, behavioural and clinical variables. All results were statistically significant.

CONCLUSIONS

CIND frequency is influenced by the previous occupation of the subjects. An occupation with higher intellectual requirements can help keep cognitive functions intact for longer.

摘要

引言

无痴呆的认知障碍(CIND)患病率在5.1%至35.9%之间,在65至85岁之间呈上升趋势。CIND会增加患痴呆症的风险。教育、职业和社会活动等因素与认知障碍风险相关。本研究的主要目的是分析55岁以上普通人群样本中一生从事的主要职业与CIND之间的关联。

方法

在ZARADEMP项目的第一阶段,对55岁以上的人群样本(n = 4803)进行了访谈。通过简易精神状态检查表获得CIND测量值。职业活动数据被重新编码为白领、蓝领、家庭主妇和农民。使用比值比估计职业变量与CIND之间的关联,并使用逻辑回归方程计算95%置信区间。

结果

样本中CIND的患病率为28.2%。在控制了社会人口统计学、行为和临床变量后,对于白领工人而言,蓝领工人的CIND诊断几率高53%,家庭主妇高77%,农民则几乎高出一倍。所有结果均具有统计学意义。

结论

CIND的发生频率受受试者以前职业的影响。对智力要求较高的职业有助于使认知功能在更长时间内保持完好。

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