Lin Yuting, Wang Huali, Tian Yu, Gong Litong, Chang Chun
Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
Peking University Sixth Hospital Dementia Care and Research Center/National Clinical Research Center for Psychiatric Diseases, Beijing 100191, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2024 Jun 18;56(3):456-461. doi: 10.19723/j.issn.1671-167X.2024.03.012.
To explore the current status of cognitive function of the older adults in Beijing, and to analyze the factors affecting their cognitive function.
It was a cross-sectional study. A questionnaire survy was conducted in 2023 among the older adults in Beijing. The cognitive function of the older adults was assessed with the Hong Kong brief cognitive test (HKBC) scale, a simple cognitive assessment tool. Using SPSS 27.0 to perform the descriptive analysis and multiple linear regression analysis of factors, which affect cognitive function among the older adults.
Totally 349 older adults were recruited, with the highest percentage of respondents aged 60-69 years (41.3%), of whom 58.7% were female, 88.0% of the respondents had a junior high school or above education level. Most of the older adults (68.8%) worked 35-48 h/week before they retired, and 14.0% of the older adults had a family history of dementia. After controlling age and gender, the linear regression analysis showed that marital status married (=0.501, 95%: 0.144-0.859) and 3-4 times physical activity per week (=0.617, 95%: 0.087-1.148) were protective factors of cognitive function in the older adults, and depressive symptoms were a risk factor (= -0.723, 95%: -1.198 to -0.247) of cognitive function for the older adults.
In this study, the factors influencing cognitive function among the older adults was analyzed based on a life-cycle perspective. Lack of physical activity and depressive symptoms were risk factors for cognitive function among the older adults. It was suggested that strengthening physical activity, improving mental health of the older adults, as well as conducting preventive intervention in early stages of the life-cycle will be benefit for preventing and slowing cognitive decline in the older adults.
探讨北京市老年人认知功能的现状,并分析影响其认知功能的因素。
这是一项横断面研究。2023年对北京市老年人进行问卷调查。使用香港简易认知测试(HKBC)量表对老年人的认知功能进行评估,这是一种简单的认知评估工具。运用SPSS 27.0对影响老年人认知功能的因素进行描述性分析和多元线性回归分析。
共招募了349名老年人,其中60 - 69岁的受访者比例最高(41.3%),女性占58.7%,88.0%的受访者教育水平为初中及以上。大多数老年人(68.8%)退休前每周工作35 - 48小时,14.0%的老年人有痴呆家族史。在控制年龄和性别后,线性回归分析显示婚姻状况为已婚(=0.501,95%:0.144 - 0.859)和每周进行3 - 4次体育活动(=0.617,95%:0.087 - 1.148)是老年人认知功能的保护因素,而抑郁症状是老年人认知功能的危险因素(= -0.723,95%:-1.198至-0.247)。
本研究从生命周期角度分析了影响老年人认知功能的因素。缺乏体育活动和抑郁症状是老年人认知功能的危险因素。建议加强体育活动,改善老年人心理健康,并在生命周期早期进行预防性干预,这将有助于预防和减缓老年人认知功能下降。