Cognitive Function of Elderly Persons in Japanese Neighborhoods: The Role of Street Layout.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

American Journal of Alzheimers Disease and Other Dementias Pub Date : 2019-09-01 Epub Date: 2019-04-21 DOI:10.1177/1533317519844046

Mohammad Javad Koohsari, Tomoki Nakaya, Gavin R McCormack, Ai Shibata, Kaori Ishii, Akitomo Yasunaga, Koichiro Oka

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引用次数: 18

Abstract

Objectives: The aims of this study were to examine (a) associations of two metric and space syntax measures of street layout with the cognitive function of Japanese older adults and (b) the extent to which objectively assessed physical activity mediated such associations.

Methods: Cross-sectional data from 277 older adults who lived in Japan were used. Street layout attributes were objectively calculated for each participant's geocoded home location. The Mini-Mental State Examination was used to evaluate cognitive function. Physical activity was objectively assessed with accelerometers.

Results: There was a statistically significant negative association between street integration and the odds of having cognitive impairment. Objectively assessed physical activity did not attenuate this relationship.

Conclusions: Our findings provide unique evidence regarding the importance of the topological aspects of street layouts in (re)designing neighborhoods to support mental illness.

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日本社区老年人的认知功能:街道布局的作用

目的:本研究的目的是检验(a)街道布局的两个度量和空间句法测量与日本老年人认知功能的关联，以及(b)客观评估的身体活动介导这种关联的程度。方法:采用来自277名日本老年人的横断面数据。客观地计算每个参与者地理编码的家庭位置的街道布局属性。使用简易精神状态检查评估认知功能。用加速度计客观地评估身体活动。结果:街头融合与认知障碍之间存在统计学上显著的负相关。客观评估的体力活动并没有减弱这种关系。结论:我们的研究结果提供了独特的证据，说明街道布局的拓扑方面在(重新)设计社区以支持精神疾病方面的重要性。

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

American Journal of Alzheimers Disease and Other Dementias GERIATRICS & GERONTOLOGY-CLINICAL NEUROLOGY

CiteScore

5.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： American Journal of Alzheimer''s Disease and other Dementias® (AJADD) is for professionals on the frontlines of Alzheimer''s care, dementia, and clinical depression--especially physicians, nurses, psychiatrists, administrators, and other healthcare specialists who manage patients with dementias and their families. This journal is a member of the Committee on Publication Ethics (COPE).