Longitudinal bidirectional association between hand grip strength and cognitive function in Chinese older adults: Evidence from the China Health and Retirement Longitudinal Study.

IF 1.3 4区 医学 Q4 PSYCHIATRY
Jiyu Chen, Xieting Zhou, Hang Li, Qing Zhang, Juan-Juan Qin
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引用次数: 0

Abstract

ObjectiveThis study examined the longitudinal association between handgrip strength and cognitive function and the temporal sequence of changes in both factors in a national longitudinal cohort of Chinese older adults.MethodData were derived from 3 waves (2011 baseline, 2013 follow-up, 2015 follow-up) of the China Health and Retirement Longitudinal Study (CHARLS). Participants were those with no memory-related disorders at baseline and follow-up, and those who had complete handgrip strength and cognitive data. Handgrip strength in at least one hand was measured in all 3 waves. The highest recorded value during the handgrip test was used as the outcome of the strength measurement. Mental intactness and episodic memory were used to assess the overall cognitive function at each wave of data collection. Cross-lagged panel models were used to examine the relationship between handgrip strength and cognition over time.ResultsA total of 2550 participants were included in the data analysis. Age of participants at baseline was 60-83 years, and 43.9% were female (n = 1120). The 5.7% of participants with weak muscle strength (n = 145) had slightly lower cognitive function than those in the normal group. Cross-lagged panel analysis showed that baseline overall cognitive scores predicted subsequent handgrip strength. At the same time, handgrip strength at baseline predicted subsequent overall cognitive scores. The results remained robust after accounting for confounding factors.ConclusionThere was a longitudinal bidirectional correlation between handgrip strength and cognitive function in elderly Chinese individuals. Future studies should determine whether interventions to improve one (e.g., handgrip strength) might slow the development of the other (e.g., cognitive impairment).

中国老年人握力与认知功能的纵向双向关联:来自中国健康与退休纵向研究的证据
目的研究中国老年人握力与认知功能之间的纵向相互关系,以及两者变化的时间序列。方法数据来源于中国健康与退休纵向研究(CHARLS)的3波(2011年基线和2013年、2015年随访)。参与者是那些在基线和随访时没有记忆相关障碍的人,以及那些有完整的握力和认知数据的人。在所有三组中,至少有一只手的握力都被测量。在握力测试期间的最高记录值被用作强度测量的结果。在每一波数据收集时,使用精神完整性和情景记忆来评估整体认知功能。交叉滞后面板模型被用来检验握力与认知之间的关系。结果共纳入2550名受试者。参与者基线年龄为60-83岁,43.9%为女性(n = 1120)。5.7%肌肉力量弱的参与者(n = 145)的认知功能略低于正常组。交叉滞后面板分析显示,基线总体认知得分预测随后的握力。同时,基线的握力预测了随后的整体认知得分。在考虑了混杂因素后,结果仍然是可靠的。结论中国老年人握力与认知功能存在纵向双向相关。未来的研究应该确定改善其中一项(如握力)的干预措施是否会减缓另一项(如认知功能)的发展。
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
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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