Zhang Yuanyuan, Yang Xinxin, Guo Linlin, Xu Xinyi, Chen Bingyu, Ma Xiaowei, Li Yan
College of Nursing, Hebei Medical University, Shijiazhuang, Hebei, China.
Neuroscience Research Center, Hebei Medical University, Shijiazhuang, Hebei, China.
Front Psychol. 2023 Jan 13;13:1080566. doi: 10.3389/fpsyg.2022.1080566. eCollection 2022.
The study aimed to identify leisure activity patterns among older adults and explore the differences in the prevalence of mild cognitive impairment (MCI) of these patterns.
A total of 352 older adults aged ≥ 65 years in Shijiazhuang were enrolled in this study from June to September 2021. Their leisure activities and cognition were evaluated. Latent class analysis and logistic regression models were used for analysis. The manuscript was organized according to the STROBE guidelines.
We identified three latent classes of leisure activities: multidomain activities (MDA) class (55%), self-improvement activities (SIA) class (21%), and family-centered activities (FCA) class (24%). Three latent classes significantly differed in general characteristics (gender, education, and body mass index) and the prevalence of MCI. The prevalence of MCI was 3.694 times higher in older adults in the FCA class than in older adults in the MDA class (OR = 3.694, < 0.001) and 2.573 times higher in older adults in the SIA class (OR = 2.573, = 0.036).
Patterns of low participation in intellectual activities were associated with MCI. Identifying the heterogeneity in leisure activity engagement in later life was critical for tailoring interventions and designing programs that can improve the cognitive function of older adults.
本研究旨在确定老年人的休闲活动模式，并探讨这些模式在轻度认知障碍（MCI）患病率方面的差异。
2021年6月至9月，共有352名年龄≥65岁的石家庄老年人参与了本研究。对他们的休闲活动和认知情况进行了评估。采用潜在类别分析和逻辑回归模型进行分析。本手稿按照STROBE指南编写。
我们确定了三类潜在的休闲活动：多领域活动（MDA）类（55%）、自我提升活动（SIA）类（21%）和以家庭为中心的活动（FCA）类（24%）。这三类潜在活动在一般特征（性别、教育程度和体重指数）以及MCI患病率方面存在显著差异。FCA类老年人的MCI患病率比MDA类老年人高3.694倍（OR = 3.694，<0.001），SIA类老年人的MCI患病率比MDA类老年人高2.573倍（OR = 2.573，= 0.036）。
智力活动参与度低的模式与MCI相关。识别晚年休闲活动参与的异质性对于制定干预措施和设计能够改善老年人认知功能的项目至关重要。
