Association Between Cognitive Function and Emotion, Sleep, Frailty, and Nutrition in Hospitalized Patients

IF 2.6 3区心理学 Q2 BEHAVIORAL SCIENCES

Brain and Behavior Pub Date : 2024-11-28 DOI:10.1002/brb3.70170

Nan Wang, Qunying Zhang, Peng Li, Lilan Guo, Xiaoman Wu, Qiuyun Tu

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引用次数: 0

Abstract

Background

With the rapid increase in China's aging population, cognitive impairment in the elderly has become a significant public health issue.

Aims

In this study we performed a cross-sectional analysis to comprehensively investigate the relationship between cognitive function and emotion, sleep, frailty, nutrition, and clinical variables in hospitalized geriatric patients according to age group and sex. We determined the most important risk factors for cognitive impairment.

Method

A total of 1121 inpatients were recruited from the Department of Gerontology at the Fifth Affiliated Hospital of Sun Yat-sen University, China, from August 2023 to April 2024. Cognitive assessment was performed using the Mini-Mental State Examination scale and Montreal Cognitive Assessment. The sleep quality was evaluated based on the Pittsburgh Sleep Quality Index, and anxiety and depression were evaluated based on the Hamilton Anxiety Scale and Hamilton Depression Scale.

Results

Sex and age differences existed with respect to cognition, emotion, and sleep quality. After full adjustment, age, education level, working status, hemoglobin level, activities of daily living, Hamilton Depression Scale, and Pittsburgh Sleep Quality Index scores were significantly and independently associated with cognitive impairment.

Discussion

Geriatric patients with a better mood, sleep and nutrition status, higher education level, and more social engagement performance had superior cognitive function. Interventions, such as valuing education, improving sleep, relaxing emotions, preventing anemia, and adjusting lifestyle, may help prevent the development of cognitive deficits. Elderly and female patients required special attention.

Conclusions

Various factors were shown to contribute to maintenance of cognitive function.

Abstract Image

查看原文本刊更多论文

住院病人的认知功能与情绪、睡眠、虚弱和营养之间的关系。

研究背景目的：本研究通过横断面分析，根据年龄组和性别，全面探讨住院老年患者认知功能与情绪、睡眠、虚弱、营养和临床变量之间的关系。我们确定了认知功能障碍最重要的风险因素：方法：2023 年 8 月至 2024 年 4 月，中山大学附属第五医院老年病科共招募了 1121 名住院患者。认知评估采用迷你精神状态检查量表和蒙特利尔认知评估。根据匹兹堡睡眠质量指数评估睡眠质量，根据汉密尔顿焦虑量表和汉密尔顿抑郁量表评估焦虑和抑郁：结果：在认知、情绪和睡眠质量方面存在性别和年龄差异。经全面调整后，年龄、教育程度、工作状况、血红蛋白水平、日常生活活动能力、汉密尔顿抑郁量表和匹兹堡睡眠质量指数得分与认知障碍有显著的独立相关性：讨论：情绪、睡眠和营养状况较好、受教育程度较高、社会参与度较高的老年患者具有较好的认知功能。重视教育、改善睡眠、放松情绪、预防贫血、调整生活方式等干预措施有助于预防认知障碍的发生。老年人和女性患者需要特别注意：结论：各种因素都有助于维持认知功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain and Behavior BEHAVIORAL SCIENCES-NEUROSCIENCES

CiteScore

5.30

自引率

0.00%

发文量

352

审稿时长

14 weeks

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