Occupational gaps and mild cognitive impairment among older workers.

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

European Geriatric Medicine Pub Date : 2025-06-18 DOI:10.1007/s41999-025-01253-5

Shoma Akaida, Osamu Katayama, Ryo Yamaguchi, Daiki Yamagiwa, Hiroyuki Shimada

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引用次数: 0

Abstract

Purpose: This study aimed to investigate the association between currently employed but unwilling to remain employed (occupational gaps) and mild cognitive impairment (MCI) in older workers.

Methods: A cross-sectional analysis was conducted on 2272 workers aged 65 years and older (mean age: 71.2 years, 52.2% male) who participated in a large community-based cohort study from 2017 to 2018. MCI was assessed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool, which measures four cognitive domains: memory, attention, executive function, and processing speed. Participants with a decline ≥ 1.5 standard deviations below the age- and education-adjusted norms in one or more domains were classified as having MCI. Occupational gaps were categorized into two groups based on self-reported willingness to work. Logistic regression analysis was performed with MCI as the dependent variable and occupational gaps as the independent variable, and adjusted for covariates.

Results: Among older workers, 18.0% experienced MCI and 46.1% experienced occupational gaps. The proportion of individuals with occupational gaps was 44.2% in the non-MCI group and 54.6% in the MCI group, with a significantly higher proportion in the MCI group (p < 0.001). Logistic regression analysis revealed a significant association between occupational gaps and MCI (odds ratio 1.44, 95% confidence interval 1.15-1.80).

Conclusion: The findings suggest that occupational gaps may be associated with MCI in older workers.

查看原文本刊更多论文

老年工人的职业差距和轻度认知障碍。

目的：本研究旨在探讨在职但不愿继续就业（职业间隔）与老年工人轻度认知障碍（MCI）之间的关系。方法：对2017 - 2018年参加大型社区队列研究的2272名65岁及以上的工人（平均年龄：71.2岁，男性52.2%）进行横断面分析。MCI是用国家老年病学和老年学功能评估工具进行评估的，该工具测量四个认知领域：记忆、注意力、执行功能和处理速度。在一个或多个领域中，低于年龄和教育程度调整后的标准≥1.5个标准差的受试者被归类为轻度认知障碍。根据自我报告的工作意愿，职业差距被分为两组。以MCI为因变量，职业差距为自变量进行Logistic回归分析，并对协变量进行调整。结果：在老年员工中，18.0%的人经历过轻度认知障碍，46.1%的人经历过职业差距。在非MCI组和MCI组中，存在职业差距的个体比例分别为44.2%和54.6%，其中MCI组的比例显著高于MCI组(p)。结论：研究结果表明，职业差距可能与老年员工的MCI有关。

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

European Geriatric Medicine GERIATRICS & GERONTOLOGY-

CiteScore

6.70

自引率

2.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine. The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.