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高血压患者认知功能的身体预测因素:来自中国健康与养老追踪调查基线调查的证据

Physical Predictors of Cognitive Function in Individuals With Hypertension: Evidence from the CHARLS Basline Survey.

作者信息

Zuo Manhua, Gan Changping, Liu Tingting, Tang Jun, Dai Jianping, Hu Xiuying

机构信息

1 Hubei University for Nationalities Medical College, Enshi, Hubei Province, China.

2 Sichuan University, Chengdu, Sichuan Province, China.

出版信息

West J Nurs Res. 2019 Apr;41(4):592-614. doi: 10.1177/0193945918770794. Epub 2018 May 10.

Abstract

The purpose of the study was to examine the independent associations of each individual physical performance measure (i.e., grip strength, walking speed, repeated chair stands, and balance test) with subdomains of cognitive function and to determine predictors for each subdomain of cognitive function. A secondary data analysis was performed using a nationally representative middle-aged and older sample of hypertensive population. The findings showed that after adding all four physical performance measures, stronger grip strength was significantly associated with better visuospatial abilities, episodic memory, orientation/attention, and overall cognitive function. In addition, faster walking speed and faster repeated chair stands were strongly associated with better episodic memory and overall cognitive function, respectively. Because grip strength was significantly associated with several subdomains of cognitive functioning, it seems conceivable that increasing physical activity would improve both grip strength and cognitive function in patients with hypertension.

摘要

该研究的目的是检验每项个体身体机能指标(即握力、步行速度、重复起坐试验和平衡测试)与认知功能子领域之间的独立关联,并确定认知功能各子领域的预测因素。使用具有全国代表性的中年及老年高血压人群样本进行了二次数据分析。研究结果显示,在纳入所有四项身体机能指标后,较强的握力与更好的视觉空间能力、情景记忆、定向/注意力及整体认知功能显著相关。此外,较快的步行速度和较快的重复起坐次数分别与较好的情景记忆和整体认知功能密切相关。由于握力与认知功能的多个子领域显著相关,因此增加身体活动可能会改善高血压患者的握力和认知功能,这似乎是可以想象的。

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