Li Shixin, Zhang Jiayi, Yang Yonghong
Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.
Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, China.
Front Public Health. 2024 Nov 20;12:1462570. doi: 10.3389/fpubh.2024.1462570. eCollection 2024.
Currently, due to the progress of the aging population in China and the government's attention to healthy aging, there is an increasing emphasis on the cognitive function and psychological function of older adult people. Therefore, the aim of our study was to investigate the relationships between physical activity and cognitive and psychological function in order to provide recommendations for exercise guidance.
The Center for Epidemiologic Studies Depression Scale (CESD-10) was used to assess mental capacity, and cognitive function was evaluated across three domains: orientation, memory and calculation. Total physical activity data were obtained via interviews. Ability of Daily Living (ADL) and Instrumental Ability of Daily Living (IADL) scores were used to determine the presence or absence of daily physical function impairment. Finally, we conducted correlation analysis and logistic regression on participants' physical activity volume (PAV) and their cognitive and psychological functions, respectively.
A total of 5,871 participants who met the inclusion criteria were selected from the China Health and Retirement Longitudinal Study (CHARLS). The prevalence of depression was 8.1, and 31.6% of the older adult participants reported experienced depressive symptoms. Additionally, 15.6% of the older adult individuals had insufficient weekly physical activity, while 3.9% had daily physical function (DPF) impairment. Physical activity volume (PAV) was negatively correlated with the CESD-10 score, as well as with orientation, calculation, and memory.
Our study confirmed that inactive weekly physical activity was associated with an increased risk of depression, cognitive impairment, and DPF impairment among older adult individuals in China.
当前，由于中国人口老龄化进程的推进以及政府对健康老龄化的重视，老年人的认知功能和心理功能日益受到关注。因此，我们研究的目的是调查身体活动与认知和心理功能之间的关系，以便为运动指导提供建议。
采用流行病学研究中心抑郁量表（CESD-10）评估心理能力，并从定向、记忆和计算三个领域评估认知功能。通过访谈获取总体身体活动数据。使用日常生活能力（ADL）和工具性日常生活能力（IADL）评分来确定是否存在日常身体功能损害。最后，我们分别对参与者的身体活动量（PAV）及其认知和心理功能进行了相关性分析和逻辑回归分析。
从中国健康与养老追踪调查（CHARLS）中选取了5871名符合纳入标准的参与者。抑郁症患病率为8.1%，31.6%的老年参与者报告有抑郁症状。此外，15.6%的老年人每周身体活动不足，3.9%的人有日常身体功能（DPF）损害。身体活动量（PAV）与CESD-10评分以及定向、计算和记忆呈负相关。
我们的研究证实，在中国老年人中，每周缺乏身体活动与患抑郁症、认知障碍和DPF损害的风险增加有关。
