Research Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, UK.
Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, UK.
J Gerontol B Psychol Sci Soc Sci. 2020 Feb 14;75(3):571-576. doi: 10.1093/geronb/gbz004.
Given that frailty is a multifaceted health condition of increasing importance to policy-makers and care providers, it is relevant to consider whether multimodal interventions could provide combined psychophysiological support. As studies have demonstrated the beneficial effects of cultural engagement (including visiting museums/theatre/cinema) for many of the components of frailty, this study sought to explore whether community cultural engagement is associated both with a reduced risk of becoming frail and a slower trajectory of frailty progression in older adults.
We used data from the English Longitudinal Study of Ageing to measure frequency of cultural engagement and both incident frailty and frailty progression over the following 10 years in 4,575 adults.
Our analyses used competing risks regression models and multilevel growth curve models adjusting for socioeconomic, health behaviors, social confounders, and subthreshold symptoms of frailty. There was a dose-response relationship between increasing frequency of cultural engagement and both incidence and progression of frailty (attendance every few months or more: incidence subhazard ratio = 0.79, 95% confidence interval [CI] = 0.63 to 0.996; trajectory coefficient = -0.0039, 95% CI = -0.0059 to -0.0019).
Older adults who engaged in cultural activities every few months or more had a reduced risk of becoming frail and a slower progression of frailty over time. Findings are in line with current calls for multimodal, multifactor, community approaches to support health in older age.
鉴于衰弱是一种多方面的健康状况，对政策制定者和护理提供者越来越重要，因此有必要考虑多模式干预是否可以提供综合的心理生理支持。由于研究已经证明文化参与（包括参观博物馆/剧院/电影院）对衰弱的许多组成部分都有有益的影响，因此本研究旨在探讨社区文化参与是否与老年人衰弱的风险降低和衰弱进展速度减慢有关。
我们使用英国老龄化纵向研究的数据，在接下来的 10 年中，测量了 4575 名成年人的文化参与频率以及衰弱的发生率和进展情况。
我们的分析使用了竞争风险回归模型和多层次增长曲线模型，调整了社会经济、健康行为、社会混杂因素和衰弱的亚阈值症状。文化参与频率的增加与衰弱的发生率和进展呈剂量反应关系（每几个月或更多次参加：发生率亚危险比=0.79，95%置信区间[CI]为 0.63 至 0.996；轨迹系数=-0.0039，95%CI 为-0.0059 至-0.0019）。
每几个月或更多次参加文化活动的老年人，衰弱的风险降低，衰弱的进展速度随时间减慢。这些发现与当前对多模式、多因素、社区方法的呼吁是一致的，这些方法旨在支持老年人的健康。
