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下肢肌肉力量在中国老年人活动能力与认知功能关系中的中介作用:一项横断面研究。

Mediating effect of lower extremity muscle strength on the relationship between mobility and cognitive function in Chinese older adults: A cross-sectional study.

作者信息

Chen Yaoxin, Zhan Yijun, Wang Hong, Zhang Hui, Cai Yiwen, Wang Liaoyao, Zhu Wenyan, Shen Haiyue, Pei Jian

机构信息

Department of Acupuncture, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China.

出版信息

Front Aging Neurosci. 2022 Nov 3;14:984075. doi: 10.3389/fnagi.2022.984075. eCollection 2022.


DOI:10.3389/fnagi.2022.984075
PMID:36408099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9669366/
Abstract

Aging is a multifactorial process associated with irreversible decline in mobility and cognitive function. However, the mechanisms underlying the relationship between mobility and cognitive function remain elusive. In specific, the mediating effect of muscle strength, which is essential to maintain mobility, on this relationship has yet to be clarified. Accordingly, we performed a cross-sectional study involving Chinese older adults to understand the role of muscle strength in the relationship between mobility and cognitive function. The cognitive function and physical performance of 657 community-dwelling participants aged over 65 years old were observed. Cognitive function was assessed using the Mini-Mental State Examination, whereas physical performance, including mobility and muscle strength, was measured Timed Up-and-Go Test and knee extension strength measurement. Data were statistically analyzed using PROCESS Model 4 developed by Hayes, and 595 complete data were finally included. Physical performance (mobility and muscle strength) was significantly correlated with cognitive function ( < 0.01). Muscle strength was negatively correlated with mobility ( = -0.273, < 0.001) and positively correlated with cognitive function ( = 0.145, < 0.001). Muscle strength accounted for 20.1% of the total mediating effects on the relationship between mobility and cognitive function, which revealed the partial mediating role of lower extremity muscle strength in this relationship.

摘要

衰老过程是多因素的,与运动能力和认知功能的不可逆下降相关。然而,运动能力和认知功能之间关系的潜在机制仍不清楚。具体而言,对维持运动能力至关重要的肌肉力量在这种关系中的中介作用尚未阐明。因此,我们开展了一项针对中国老年人的横断面研究,以了解肌肉力量在运动能力和认知功能关系中的作用。观察了657名65岁以上社区居住参与者的认知功能和身体表现。认知功能采用简易精神状态检查表进行评估,而身体表现,包括运动能力和肌肉力量,则通过计时起立行走测试和膝关节伸展力量测量来测定。使用海斯开发的PROCESS模型4对数据进行统计分析,最终纳入595份完整数据。身体表现(运动能力和肌肉力量)与认知功能显著相关(<0.01)。肌肉力量与运动能力呈负相关(=-0.273,<0.001),与认知功能呈正相关(=0.145,<0.001)。肌肉力量占运动能力和认知功能关系总中介效应的20.1%,这揭示了下肢肌肉力量在这种关系中的部分中介作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b6/9669366/ab026129a699/fnagi-14-984075-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b6/9669366/9342021b2800/fnagi-14-984075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b6/9669366/3c27036b9999/fnagi-14-984075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b6/9669366/ab026129a699/fnagi-14-984075-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b6/9669366/9342021b2800/fnagi-14-984075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b6/9669366/3c27036b9999/fnagi-14-984075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b6/9669366/ab026129a699/fnagi-14-984075-g003.jpg

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[1]
Mediating effect of lower extremity muscle strength on the relationship between mobility and cognitive function in Chinese older adults: A cross-sectional study.

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[3]
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[4]
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[6]
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[7]
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[8]
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[2]
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本文引用的文献

[1]
Motoric Cognitive Risk Syndrome, Subtypes and 8-Year All-Cause Mortality in Aging Phenotypes: The Salus in Apulia Study.

Brain Sci. 2022-6-29

[2]
The Relationship Between Muscle Strength and Cognitive Performance Across Alzheimer's Disease Clinical Continuum.

Front Neurol. 2022-5-12

[3]
Exercise-mediated reinnervation of skeletal muscle in elderly people: An update.

Eur J Transl Myol. 2022-2-28

[4]
Exploring bi-directional temporal associations between timed-up-and-go and cognitive domains in the Irish longitudinal study on ageing (TILDA).

Arch Gerontol Geriatr. 2022

[5]
Association between change in handgrip strength and cognitive function in Korean adults: a longitudinal panel study.

BMC Geriatr. 2021-12-1

[6]
Blood-based biomarkers for Alzheimer's disease: towards clinical implementation.

Lancet Neurol. 2022-1

[7]
Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression.

Clin Interv Aging. 2021

[8]
Muscle Strength and Physical Performance Are Associated with Reaction Time Performance in Older People.

Int J Environ Res Public Health. 2021-5-31

[9]
Physical and cognitive profiles in motoric cognitive risk syndrome in an older population from Southern Italy.

Eur J Neurol. 2021-8

[10]
Profiling age-related muscle weakness and wasting: neuromuscular junction transmission as a driver of age-related physical decline.

Geroscience. 2021-6

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