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老年人的身体和认知功能是否受驾驶执照影响?——对郊区居民的初步研究。

Are the Physical and Cognitive Functions of Older Adults Affected by Having a Driver's License?-A Pilot Study of Suburban Dwellers.

机构信息

Department of General Rehabilitation, Faculty of Allied Health Sciences, Yamato University, 2-5-1 Katayama-cho, Suita 564-0082, Osaka, Japan.

Department of Occupational Therapy, Faculty of Health Sciences, Kyoto Tachibana University, 34 Oyakeyamada-cho, Yamashina-ku, Kyoto 607-8175, Japan.

出版信息

Int J Environ Res Public Health. 2022 Apr 11;19(8):4573. doi: 10.3390/ijerph19084573.

Abstract

Previous studies have frequently reported that those with a driver's license have better physical and cognitive functions than those without. However, there are many people in the world who do not need or who cannot have a driver's license. We hypothesized that if the non-driver's license group had the same or better physical and cognitive functioning as the driver's license group, they could lead healthy lives without the risk of functional decline or loss of functioning due to surrendering their licenses or giving up driving. The subjects were 47 community-dwelling older adults. We measured their physical function and cognitive function and performed psychological assessment via the following tests: grip strength, Timed Up and Go test, walking speed, Five Times Sit to Stand test, Functional Reach test, Two-Step Test, Mini-Mental State Examination, Trail Making Test, Modified Falls Efficacy Scale, Geriatric Depression Scale, and University of California Los Angeles Loneliness Scale. In previous studies, it has been said that having a driver's license provides good physical, cognitive, and psychological functions. However, in this study, loneliness and executive function were strongly influenced by age and sex, and no direct relationship to a driver's license was suggested. Rather, non-driver license holders may be relieved because there is no risk of accidents due to driving, and there is no possibility of a suddenly decline in physical or cognitive function due to revocation of a driver's license.

摘要

先前的研究经常报告称,有驾照的人比没有驾照的人具有更好的身体和认知功能。然而,世界上有许多人不需要或不能拥有驾照。我们假设,如果非驾照持有者的身体和认知功能与驾照持有者相同或更好,那么他们可以在没有因放弃驾照或放弃驾驶而导致功能下降或丧失功能的风险的情况下过上健康的生活。研究对象为 47 名居住在社区的老年人。我们通过以下测试测量他们的身体功能和认知功能,并进行心理评估:握力、计时起立行走测试、步行速度、五次坐下站起测试、功能性伸展测试、两步测试、简易精神状态检查、连线测试、修改后的跌倒效能量表、老年抑郁量表和加州大学洛杉矶分校孤独量表。在先前的研究中,有驾照被认为可以提供良好的身体、认知和心理功能。然而,在这项研究中,孤独感和执行力强烈受到年龄和性别的影响,与驾照之间没有直接关系。相反,非驾照持有者可能会感到安心,因为没有因驾驶而发生事故的风险,也没有因吊销驾照而导致身体或认知功能突然下降的可能性。

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