Kim Jae-Hyun
Department of Health Administration, College of Health Science, Dankook University.
Institute of Health Promotion and Policy, Dankook University, Cheonan, Republic of Korea.
Medicine (Baltimore). 2020 May;99(18):e19203. doi: 10.1097/MD.0000000000019203.
This study estimates the association between the fall experience in the last 2 years and cognitive function and further evaluate the differences in this association between men and women and across different age groups. Data from the Korean Longitudinal Study of Ageing from 2006 to 2016 was used and 9279 research samples were included at baseline in 2006. To analyze the association between fall experience for the last 2 years and cognitive function, generalized estimating equation model and chi-square test were used. After adjusting for all confounders, those with fall experience were significantly associated with cognitive decline. With non-fall experience as reference: fall experience, B = -0.013 (P = .017). In the 64 years or less group, fall experience was significantly associated with cognitive decline (P-value: 0.006) to those with non-fall experience. In male group, with non-fall experience as reference: fall experience, B = -0.017 (P = .041). Fall experience in the last 2 years is associated with cognitive decline, especially in those 64 years or less and male group. Therefore, self-reported screening for fall experience might aid population-based prevention strategies for cognitive decline, especially in 64 years or less and male.
本研究估计过去2年跌倒经历与认知功能之间的关联，并进一步评估男性与女性以及不同年龄组之间在这种关联上的差异。使用了2006年至2016年韩国老龄化纵向研究的数据，2006年基线时纳入了9279个研究样本。为分析过去2年跌倒经历与认知功能之间的关联，使用了广义估计方程模型和卡方检验。在对所有混杂因素进行调整后，有跌倒经历者与认知功能下降显著相关。以无跌倒经历为参照：跌倒经历，B = -0.013（P = 0.017）。在64岁及以下组中，有跌倒经历者与无跌倒经历者相比，与认知功能下降显著相关（P值：0.006）。在男性组中，以无跌倒经历为参照：跌倒经历，B = -0.017（P = 0.041）。过去2年的跌倒经历与认知功能下降相关，尤其是在64岁及以下人群和男性组中。因此，自我报告的跌倒经历筛查可能有助于基于人群的认知功能下降预防策略，尤其是在64岁及以下人群和男性中。
