个体和环境因素与老年人认知功能的关系：一项纵向多层次分析。
Individual and environmental factors associated with cognitive function in older people: a longitudinal multilevel analysis.
机构信息
School of Public Health, Taipei Medical University, Taipei, Taiwan (R.O.C.).
Research Center of Health Equity, College of Public Health, Taipei Medical University, Taipei, Taiwan (R.O.C.).
出版信息
BMC Geriatr. 2022 Mar 23;22(1):243. doi: 10.1186/s12877-022-02940-9.
Abstract
BACKGROUND
Individual and environmental factors have been found to be related to cognitive function. However, few studies have examined the longitudinal effects of both individual and environmental factors over time. The purpose of this study was to examine the effects of individual and environmental factors over time on older people's cognitive function.
METHODS
Nationally representative panel data from the Taiwan Longitudinal Survey on Aging 1999-2015 (n = 6349 persons, observations = 12,042) were used. City-level indicator data were sourced from the government. A multilevel mixed linear model analysis was conducted.
RESULTS
Better cognitive function was significantly related to individuals' work, ethnicity, younger age, higher education level, better self-rated health, higher level of emotional support received, being more religious, higher economic satisfaction, and living in the cities with higher population densities. Education and social connectedness were protective factors over time.
CONCLUSION
Socioeconomics and social connectedness are related to cognitive function. A more social integrated lifestyle and financially secure living is suggested in the policy.
摘要
背景
个体因素和环境因素被发现与认知功能有关。然而，很少有研究同时考察个体和环境因素随时间的纵向影响。本研究旨在探讨个体和环境因素随时间对老年人认知功能的影响。
方法
使用了来自台湾 1999-2015 年老龄化纵向调查的全国代表性面板数据（n=6349 人，观察数=12042）。城市层面的指标数据来自政府。采用多层次混合线性模型分析。
结果
更好的认知功能与个体的工作、种族、年龄较小、教育程度较高、自我评估健康状况较好、获得更高水平的情感支持、更宗教信仰、经济满意度更高以及生活在人口密度更高的城市显著相关。教育和社会联系是随着时间推移的保护因素。
结论
社会经济学和社会联系与认知功能有关。建议在政策中倡导更具社会融合性的生活方式和经济保障的生活。
相似文献
1
Individual and environmental factors associated with cognitive function in older people: a longitudinal multilevel analysis.个体和环境因素与老年人认知功能的关系：一项纵向多层次分析。
BMC Geriatr. 2022 Mar 23;22(1):243. doi: 10.1186/s12877-022-02940-9.
2
Social and Built Environments Related to Cognitive Function of Older Adults: A Multi-Level Analysis Study in Taiwan.社会和建筑环境与老年人认知功能的关系：台湾的多层次分析研究。
Int J Environ Res Public Health. 2021 Mar 10;18(6):2820. doi: 10.3390/ijerph18062820.
3
Cognitive function and associated factors among older people in Taiwan: age and sex differences.台湾老年人的认知功能及相关因素：年龄与性别差异
Arch Gerontol Geriatr. 2015 Jan-Feb;60(1):196-200. doi: 10.1016/j.archger.2014.10.007. Epub 2014 Oct 17.
4
Reductions in cognitive functioning are associated with decreases in satisfaction with aging. Longitudinal findings based on a nationally representative sample.认知功能的下降与对衰老的满意度下降有关。基于全国代表性样本的纵向研究结果。
Arch Gerontol Geriatr. 2020 Jul-Aug;89:104072. doi: 10.1016/j.archger.2020.104072. Epub 2020 Apr 14.
5
Quality of life and related factors: a questionnaire survey of older people living alone in Mainland China.生活质量及相关因素：对中国大陆独居老年人的问卷调查
Qual Life Res. 2014 Jun;23(5):1593-602. doi: 10.1007/s11136-013-0587-2. Epub 2013 Dec 1.
6
The association between health-related factors, physical and mental diseases, social activities, and cognitive function in elderly Koreans: a population-based cross-sectional study.韩国老年人健康相关因素、身心疾病、社会活动与认知功能之间的关联：一项基于人群的横断面研究。
Psychogeriatrics. 2020 Sep;20(5):654-662. doi: 10.1111/psyg.12561. Epub 2020 Jun 21.
7
What matters for life satisfaction among the oldest-old? Evidence from China.对于高龄老人的生活满意度而言，什么才是重要的？来自中国的证据。
PLoS One. 2017 Feb 10;12(2):e0171799. doi: 10.1371/journal.pone.0171799. eCollection 2017.
8
Neighborhood age structure and cognitive function in a nationally-representative sample of older adults in the U.S.美国全国代表性老年人样本中的邻里年龄结构与认知功能
Soc Sci Med. 2017 Feb;174:149-158. doi: 10.1016/j.socscimed.2016.12.005. Epub 2016 Dec 5.
9
Childhood deprivation and later-life cognitive function in a population-based study of older rural South Africans.基于人群的南非农村老年人研究：儿童期剥夺与晚年认知功能。
Soc Sci Med. 2017 Oct;190:20-28. doi: 10.1016/j.socscimed.2017.08.009. Epub 2017 Aug 14.
10
Multiple trajectories of successful aging of older and younger cohorts.多个老年和年轻队列成功老龄化的轨迹。
Gerontologist. 2012 Dec;52(6):843-56. doi: 10.1093/geront/gns005. Epub 2012 Mar 8.
引用本文的文献
1
Cognitive Function in Patients With Complex Regional Pain Syndrome: No Clear Impairment Found in a Select Patient Sample.复杂性区域疼痛综合征患者的认知功能：在特定患者样本中未发现明显损害。
Eur J Pain. 2025 Jul;29(6):e70046. doi: 10.1002/ejp.70046.
2
Association of Perceived Acoustic Environment Exposure and Nonrestorative Sleep with Cognitive Functioning Among Chinese Adults: A Cross-Sectional Survey.中国成年人中感知声学环境暴露及非恢复性睡眠与认知功能的关联：一项横断面调查
Int J Environ Res Public Health. 2025 May 16;22(5):788. doi: 10.3390/ijerph22050788.
3
Impaired Neurovascular Coupling in Metabolic Syndrome: An fNIRS study.代谢综合征中神经血管耦合受损：一项功能近红外光谱研究。
J Appl Physiol (1985). 2025 May 19. doi: 10.1152/japplphysiol.00893.2024.
4
Association of Vegetable and Fruit Consumption Patterns with Cognitive Function in Older People with Different BMI Ranges: Findings from China.不同BMI范围的老年人蔬菜和水果消费模式与认知功能的关联：来自中国的研究结果
Clin Interv Aging. 2025 May 10;20:587-596. doi: 10.2147/CIA.S515094. eCollection 2025.
5
Factors associated with cognitive function outcomes among older adults in Kuwait: A cross-sectional study.科威特老年人认知功能结局的相关因素：一项横断面研究。
BMC Geriatr. 2025 Apr 14;25(1):249. doi: 10.1186/s12877-025-05882-0.
6
Trajectories of Cognitive Change and Their Association with All-Cause Mortality Among Chinese Older Adults: Results from the Chinese Longitudinal Healthy Longevity Survey.中国老年人认知变化轨迹及其与全因死亡率的关联：来自中国健康与养老追踪调查的结果
Behav Sci (Basel). 2025 Mar 14;15(3):365. doi: 10.3390/bs15030365.
7
Person-Environment Fit and Socioeconomic Status in Medical School.医学院校中的人-环境匹配与社会经济地位
Med Sci Educ. 2024 Oct 3;35(1):233-243. doi: 10.1007/s40670-024-02174-x. eCollection 2025 Feb.
8
Proteomic associations with cognitive variability as measured by the Wisconsin Card Sorting Test in a healthy Thai population: A machine learning approach.泰国健康人群中通过威斯康星卡片分类测验测量的蛋白质组学与认知变异性的关联：一种机器学习方法。
PLoS One. 2025 Feb 20;20(2):e0313365. doi: 10.1371/journal.pone.0313365. eCollection 2025.
9
Impact of physical fitness and lifelong education on mild cognitive impairment in older adults.身体素质和终身教育对老年人轻度认知障碍的影响。
Phys Act Nutr. 2024 Dec;28(4):75-82. doi: 10.20463/pan.2024.0035. Epub 2024 Dec 31.
10
Examining the Role of Neuroticism Polygenic Risk in Late Life Cognitive Change: A UK Biobank Study.探究神经质多基因风险在晚年认知变化中的作用：一项英国生物银行研究。
Behav Sci (Basel). 2024 Sep 29;14(10):876. doi: 10.3390/bs14100876.
本文引用的文献
1
The role of education and income for cognitive functioning in old age: A cross-country comparison.教育和收入对老年人认知功能的作用：跨国比较。
Int J Geriatr Psychiatry. 2021 Dec;36(12):1908-1921. doi: 10.1002/gps.5613. Epub 2021 Aug 19.
2
Effect of physical exercise on cognitive function in older adults' carriers versus noncarriers of apolipoprotein E4: systematic review and meta-analysis.体育锻炼对载脂蛋白E4老年携带者与非携带者认知功能的影响：系统评价与荟萃分析
J Exerc Rehabil. 2021 Apr 27;17(2):69-80. doi: 10.12965/jer.2142130.065. eCollection 2021 Apr.
3
Interaction between APOE ε4 and dietary protein intake on cognitive decline: A longitudinal cohort study.载脂蛋白 E ε4 与膳食蛋白质摄入对认知能力下降的交互作用：一项纵向队列研究。
Clin Nutr. 2021 May;40(5):2716-2725. doi: 10.1016/j.clnu.2021.03.004. Epub 2021 Mar 16.
4
Assessment of Leisure Time Physical Activity and Brain Health in a Multiethnic Cohort of Older Adults.评估多民族老年人群体的闲暇时间体力活动与大脑健康。
JAMA Netw Open. 2020 Nov 2;3(11):e2026506. doi: 10.1001/jamanetworkopen.2020.26506.
5
Physical Activity as Moderator of the Association Between APOE and Cognitive Decline in Older Adults: Results from Three Longitudinal Cohort Studies.体力活动对 APOE 与老年人认知能力下降相关性的调节作用：三项纵向队列研究的结果。
J Gerontol A Biol Sci Med Sci. 2020 Sep 25;75(10):1880-1886. doi: 10.1093/gerona/glaa054.
6
Effects of physical activity and exercise on the cognitive function of patients with Alzheimer disease: a meta-analysis.体力活动和运动对阿尔茨海默病患者认知功能的影响：一项荟萃分析。
BMC Geriatr. 2019 Jul 2;19(1):181. doi: 10.1186/s12877-019-1175-2.
7
Neighborhood environment and cognitive function in older adults: A multilevel analysis in Hong Kong.社区环境与老年人认知功能：来自中国香港的多层次分析。
Health Place. 2019 Jul;58:102146. doi: 10.1016/j.healthplace.2019.102146. Epub 2019 Jun 6.
8
Associations of serum microRNA-20a, -27a, and -103a with cognitive function in a Japanese population: The Yakumo study.血清 microRNA-20a、-27a 和 -103a 与日本人群认知功能的相关性：矢吹研究。
Arch Gerontol Geriatr. 2019 May-Jun;82:155-160. doi: 10.1016/j.archger.2019.01.007. Epub 2019 Feb 8.
9
Neighborhood Environments and Cognitive Decline Among Middle-Aged and Older People in China.中国中老年人群的邻里环境与认知能力下降。
J Gerontol B Psychol Sci Soc Sci. 2019 Sep 15;74(7):e60-e71. doi: 10.1093/geronb/gbz016.
10
The impact of rural-urban community settings on cognitive decline: results from a nationally-representative sample of seniors in China.城乡社区环境对认知能力下降的影响：来自中国全国代表性老年人样本的结果。
BMC Geriatr. 2018 Dec 29;18(1):323. doi: 10.1186/s12877-018-1003-0.
Zotero 插件