探究老年人对自身衰老的态度在体重指数与执行功能之间关联中的调节作用。
Investigating the Moderating Effect of Attitudes Toward One's Own Aging on the Association Between Body Mass Index and Executive Function in Older Adults.
作者信息
Iwahara Akihiko, Hatta Taketoshi, Nakayama Reiko, Miyawaki Takashi, Sakate Seiji, Hatta Junko, Hatta Takeshi
机构信息
Faculty of Psychology and Collaboration, Kyoto Women's University, Kyoto 6058501, Japan.
Faculty of Home Economics, Kyoto Women's University, Kyoto 6058501, Japan.
出版信息
Geriatrics (Basel). 2025 Aug 6;10(4):105. doi: 10.3390/geriatrics10040105.
This cross-sectional study examined the association between body mass index (BMI) and executive function (EF) in older adults, with a focus on the moderating role of attitudes toward own aging (ATOA). A total of 431 community-dwelling elderly individuals from Yakumo Town and Kyoto City, Japan, participated between 2023 and 2024. EF was assessed using the Digit Cancellation Test (D-CAT), and ATOA was measured via a validated subscale of the Philadelphia Geriatric Center Morale Scale. Multiple linear regression analyses adjusted for demographic and health covariates revealed a significant interaction between BMI and ATOA in the younger-old cohort. Specifically, higher BMI was associated with lower executive function only in individuals with lower ATOA scores. No such association was observed in those with more positive views on aging. These results indicate that positive psychological constructs, particularly favorable self-perceptions of aging, may serve as protective factors against the detrimental cognitive consequences of increased body mass index in younger-old populations.
这项横断面研究调查了老年人身体质量指数(BMI)与执行功能(EF)之间的关联,重点关注对自身衰老的态度(ATOA)的调节作用。2023年至2024年期间,共有431名来自日本八云镇和京都市的社区老年人参与。使用数字划消测试(D-CAT)评估执行功能,并通过费城老年中心士气量表的有效子量表测量对自身衰老的态度。对人口统计学和健康协变量进行调整的多元线性回归分析显示,在年轻老年人队列中,BMI与ATOA之间存在显著交互作用。具体而言,仅在ATOA得分较低的个体中,较高的BMI与较低的执行功能相关。在对衰老持更积极看法的个体中未观察到这种关联。这些结果表明,积极的心理结构,特别是对衰老的有利自我认知,可能作为保护因素,防止年轻老年人群中体重指数增加对认知产生的有害影响。
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