Inomoto Atsushi, Deguchi Junko, Fukuda Rika, Yotsumoto Takamichi, Toyonaga Toshihiro
Faculty of Rehabilitation, Kyushu Nutrition Welfare University: 1-5-1 Kuzuharatakamatsu, Kokuraminami-ku, Kitakyushu, Fukuoka 800-0298, Japan.
Kyushu Rosai Hospital Research Center for the Promotion of Health and Employment Support, Japan.
J Phys Ther Sci. 2023 Jul;35(7):547-552. doi: 10.1589/jpts.35.547. Epub 2023 Jul 1.
[Purpose] The Trail Making Test is a valuable tool for predicting the transition from mild cognitive impairment to dementia. This cross-sectional study aimed to investigate gender-specific factors associated with the Trail Making Test using body composition and motor function among Japanese workers. [Participants and Methods] Demographic data, body composition, motor function, and cognitive and attentional functions (Trail Making Test, Part B) were analyzed among 627 workers who underwent health assessments during the 2019 fiscal year. After conducting univariate analysis, multiple regression analysis was performed. [Results] The presence of metabolic syndrome risk factors was found to significantly prolonged the performance time of the Trail Making Test-B in male workers. In addition, low fat-free mass and the 30-second chair stand test also significantly prolonged the performance time of the Trail Making Test-B in male workers. Among female workers, the presence of metabolic syndrome risk factors affected the performance time of the Trail Making Test-B. Therefore, MetS risk factors affect the performance times of the Trail Making Test-B in both male and female workers. [Conclusion] As male and female workers exhibit different body composition and motor function items in the Trail Making Test-B, gender differences should be considered when formulating measures to prevent cognitive and attentional decline.
[目的] 连线测验是预测从轻度认知障碍转变为痴呆症的一项重要工具。这项横断面研究旨在调查日本工人中与连线测验相关的性别特异性因素，这些因素涉及身体成分和运动功能。[参与者与方法] 对2019财年接受健康评估的627名工人的人口统计学数据、身体成分、运动功能以及认知和注意力功能（连线测验B部分）进行了分析。在进行单因素分析后，进行了多元回归分析。[结果] 发现代谢综合征风险因素的存在显著延长了男性工人完成连线测验B部分的时间。此外，低去脂体重和30秒椅子站立测试也显著延长了男性工人完成连线测验B部分的时间。在女性工人中，代谢综合征风险因素的存在影响了连线测验B部分的完成时间。因此，代谢综合征风险因素影响男性和女性工人完成连线测验B部分的时间。[结论] 由于男性和女性工人在连线测验B部分表现出不同的身体成分和运动功能项目，在制定预防认知和注意力下降的措施时应考虑性别差异。
