个人社交网络可增强主观认知衰退个体对生活方式改变的依从性。
Personal social network strengthens adherence to lifestyle changes in individuals with subjective cognitive decline.
作者信息
Calandri Ismael L, Ardohain Carolina A, Elgani Sofia A, Seminara Emiliana, Hernandez Micaela A, Ossenkoppele Rik, Allegri Ricardo F
机构信息
Department of Cognitive Neurology Fleni Buenos Aires Argentina.
Department of Neurology Amsterdam Neuroscience Alzheimer Center Amsterdam Vrije Universiteit Amsterdam Amsterdam the Netherlands.
出版信息
Alzheimers Dement (Amst). 2024 Nov 19;16(4):e12538. doi: 10.1002/dad2.12538. eCollection 2024 Oct-Dec.
INTRODUCTION
Providing medical advice regarding lifestyle changes is currently the most effective intervention for delaying dementia onset among individuals with subjective cognitive decline (SCD). Adherence to such advice can be influenced by individual's social environment. We measured that impact within a Latinamerican population.
METHODS
We recruited 183 SCD individuals from a Memory Clinic, analyzed their health-related, and provided them with medical advice. We assessed personal network composition and its healthy habits. We evaluated adherence to medical advice 6 months later.
RESULTS
The proportion of heavy drinkers in the network is a risk factor to reduce alcohol consumption (odds ratio [OR] = 31.2, 95% confidence interval [CI] [3.73,301], = 0.002), poor diets in the network hinders improving diet ( < 0.001 OR = 74.1, 95% CI [14.7,471]), and sedentary people in the network make it difficult to start exercising (OR = 4.92 95% CI [1.39,18.8], = 0.016).
DISCUSSION
Personal networks have an inertial effect, as relationships engaged in an unhealthy habit lower the probability of individuals to quit that habit.
引言
就生活方式改变提供医学建议目前是延缓主观认知下降（SCD）个体痴呆症发病的最有效干预措施。对这类建议的依从性会受到个体社会环境的影响。我们在拉丁美洲人群中测量了这种影响。
方法
我们从一家记忆诊所招募了183名SCD个体，分析他们的健康相关情况，并为他们提供医学建议。我们评估了个人社交网络构成及其健康习惯。6个月后，我们评估了对医学建议的依从性。
结果
社交网络中重度饮酒者的比例是减少酒精消费的一个风险因素（优势比[OR]=31.2，95%置信区间[CI][3.73,301]，P=0.002），社交网络中不良饮食会阻碍改善饮食（P<0.001，OR=74.1，95%CI[14.7,471]），社交网络中久坐不动的人会使开始锻炼变得困难（OR=4.92，95%CI[1.39,18.8]，P=0.016）。
讨论
个人社交网络具有惯性效应，因为有不健康习惯的人际关系会降低个体戒除该习惯的概率。
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