Guerrero Barragán Alejandra, Lucumí Diego, Lawlor Brian
Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland.
Global Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States.
Front Neurol. 2021 Mar 1;12:629251. doi: 10.3389/fneur.2021.629251. eCollection 2021.
Observational and interventional studies suggest that participation in leisure activities may help protect against cognitive decline in older people. This study aimed to examine the association between participation in leisure activities and cognitive impairment in older adults in Colombia. Data for this study were derived from the Colombian National Survey of Aging (SABE 2015), a cross-sectional survey with a sample size of 23,694 older adults representing the total population (mean age, 70.8 years; 57.3% females). Cognitive impairment was classified as cognitive impairment without dementia (CIWD) and dementia, according to the revised version of the Folstein Mini-Mental State Examination and the Lawton and Brody functional scale. Leisure activities were evaluated using six items of a questionnaire. Sex-stratified multinomial regression models were used to analyze the association of leisure activities with CIWD and dementia after adjusting for educational attainment, literacy, and other potential confounders. In adjusted models for men, leisure activities in later life were associated with a decreased risk of CIWD (odds ratio [OR], 0.73; 95% confidence interval [CI], 0.68-0.78) and dementia (OR, 0,52; 95% CI, 0.48-0.58). For women, leisure activities in later life were associated with a decreased risk of CIWD (OR, 0.72; 95% CI, 0.66-0.78) and dementia (OR, 0.48; 95% CI, 0.43-0.53). The findings suggest that greater participation in leisure activities in later life may act as a protective factor against CIWD and dementia among older adults in Colombia, independent of educational attainment and literacy.
观察性研究和干预性研究表明，参与休闲活动可能有助于预防老年人认知能力下降。本研究旨在探讨哥伦比亚老年人参与休闲活动与认知障碍之间的关联。本研究的数据来自哥伦比亚全国老龄化调查（2015年成人健康与老龄化调查），这是一项横断面调查，样本量为23694名老年人，代表了总人口（平均年龄70.8岁；女性占57.3%）。根据福尔斯坦简易精神状态检查表修订版和劳顿与布罗迪功能量表，认知障碍分为无痴呆的认知障碍（CIWD）和痴呆。休闲活动通过一份问卷的六个项目进行评估。在调整了教育程度、识字率和其他潜在混杂因素后，使用性别分层多项回归模型分析休闲活动与CIWD和痴呆之间的关联。在男性的调整模型中，晚年的休闲活动与CIWD风险降低（优势比[OR]，0.73；95%置信区间[CI]，0.68 - 0.78）和痴呆风险降低（OR，0.52；95% CI，0.48 - 0.58）相关。对于女性，晚年的休闲活动与CIWD风险降低（OR，0.72；95% CI，0.66 - 0.78）和痴呆风险降低（OR，0.48；95% CI，0.43 - 0.53）相关。研究结果表明，晚年更多地参与休闲活动可能是哥伦比亚老年人预防CIWD和痴呆的保护因素，与教育程度和识字率无关。
