Department of Geriatrics and Cognitive Disorders, School of Medicine, Fujita Health University, Toyoake, Japan.
Faculty of Rehabilitation, School of Health Science, Fujita Health University, Toyoake, Japan.
Geriatr Gerontol Int. 2020 Oct;20(10):867-872. doi: 10.1111/ggi.13992. Epub 2020 Jul 29.
Subjective memory complaints (SMC) have attracted attention in recent years in relation to the early stages of dementia. However, it is not clear whether SMC are related to social and leisure activities. The aim of this study was to evaluate SMC in relation to activities in community-dwelling older adults.
A questionnaire inquiring about SMC and social and leisure activities was sent to 14 850 people aged ≥65 years residing in Toyoake City, as part of the Toyoake Integrated Care Study. After a preliminary analysis, we targeted respondents aged ≥70 years. Therefore, 6685 people were included in the analysis. Three question items were used detecting SMC: the feeling of a memory problem (SMC-1), memory loss pointed out by others (SMC-2) and difficulty in recalling today's date (SMC-3). Logistic regression was carried out to determine the relationship between SMC and activities.
In response to SMC-1, 2 and 3, 45.3%, 13.3% and 23.5% participants, respectively, agreed with the statement. Social and leisure activities were negatively associated with SMC-2 and SMC-3, after controlling for confounding factors (SMC-2: odds ratio 0.76, 95% confidence interval 0.65-0.89; SMC-3: odds ratio 0.79, 95% confidence interval 0.70-0.90). However, a significant increase in participation in social and leisure activities was associated with a positive response to SMC-1 (SMC-1: odds ratio 1.24, 95% confidence interval 1.12-1.38). Conclusion A relationship was observed between SMC and social and leisure activities in community-dwelling older people, although differences in the impact of SMC were seen depending on the question asked. Geriatr Gerontol Int 2020; 20: 867-872.
近年来，主观记忆抱怨（SMC）在痴呆症早期受到关注。然而，SMC 是否与社会和休闲活动有关尚不清楚。本研究旨在评估社区居住的老年人的 SMC 与活动之间的关系。
在丰桥综合护理研究中，向居住在丰桥市的 14850 名年龄≥65 岁的人发送了一份关于 SMC 和社会及休闲活动的调查问卷。经过初步分析，我们将目标人群定为年龄≥70 岁的人。因此，共有 6685 人纳入分析。使用三个问题来检测 SMC：记忆问题的感觉（SMC-1）、他人指出的记忆力丧失（SMC-2）和难以回忆今天的日期（SMC-3）。使用逻辑回归来确定 SMC 与活动之间的关系。
在对 SMC-1、2 和 3 的回答中，分别有 45.3%、13.3%和 23.5%的参与者表示同意。在控制了混杂因素后，社会和休闲活动与 SMC-2 和 SMC-3 呈负相关（SMC-2：比值比 0.76，95%置信区间 0.65-0.89；SMC-3：比值比 0.79，95%置信区间 0.70-0.90）。然而，参与社会和休闲活动的显著增加与对 SMC-1 的积极反应有关（SMC-1：比值比 1.24，95%置信区间 1.12-1.38）。结论：在社区居住的老年人中，观察到 SMC 与社会和休闲活动之间存在关系，尽管根据问题的不同，SMC 的影响也存在差异。老年医学与老年病学杂志 2020；20：867-872。
