老年人参与休闲活动的变化及其与认知能力衰弱的关系：基于人群的纵向研究

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2024-10-01 DOI:10.1016/j.archger.2024.105651

Yanyan Li , Meijun Liu , Xiang Li , Yaru Jin , Qinqin Liu , Wendie Zhou , Jiaqi Yu , Tao Huang , Cuili Wang

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引用次数: 0

摘要

目的探讨老年人休闲活动参与度的变化及其与认知虚弱的关系。方法该研究利用了中国健康长寿纵向调查（2008-2018 年）的数据。三个不同的区间代表了休闲活动参与的短期（2008-2011 年）、中期（2008-2014 年）和长期（2008-2018 年）变化，并描述了基于梯度的休闲活动水平的变化规律。限制性三次样条（RCS）用于确定两个时间点上休闲活动参与绝对值的拐点。基于群体的轨迹建模确定了参与者从 2008 年到 2018 年的休闲活动参与轨迹。结果确定了休闲活动参与度的五种变化模式，包括持续低水平组、下降（中低、高低、中高）组、持续中等水平组、上升（中低、低高、中高）组和持续高水平组。研究发现，在三个不同的区间内，活动量持续中等、上升和持续高水平的三个组别出现认知功能衰弱的风险较低，在短期和长期区间内，活动量下降组别出现认知功能衰弱的风险较低，但在中期区间内，活动量下降组别出现认知功能衰弱的风险并不比持续低水平组别低。RCS 分析显示，休闲活动绝对值变化与认知虚弱之间的关联拐点分别为-2.11（短期）、-0.9（中期）和-3.94（长期）。休闲活动轨迹分为持续低度组、持续中度组和持续高度组，与持续低度组相比，持续中度组和持续高度组都表现出较低的认知功能衰弱风险。

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Change of leisure activity participation and associations with cognitive frailty in older adults: A population-based longitudinal study

Objectives

To examine changes in leisure activity participation and their associations with cognitive frailty among older adults.

Methods

The study utilized data from the Chinese Longitudinal Healthy Longevity Survey covering 2008–2018. Three distinct intervals represented short-term (2008–2011), medium-term (2008–2014) and long-term (2008–2018) changes in leisure activity participation, and the change patterns of levels of leisure activities based on the tertile were described. Restricted cubic splines (RCS) were used to determine the inflection point of the absolute value of leisure activity participation over two time points. Group-based trajectory modeling identified trajectories of leisure activity participation among participants from 2008 to 2018. Logistic regression analysis examined how changes in leisure activity participation impacted cognitive frailty.

Results

Five patterns of change in leisure activity participation were identified, including the persistently low group, the declining (medium-low, high-low, high-medium) group, persistently medium, rising (low-medium, low-high, medium-high), and persistently high levels of activity. A lower risk of cognitive frailty was found among three groups of persistently medium, rising, and persistently high levels of activity across three distinct intervals and among the declining group over the short-term and long-term intervals but not in the medium-term interval than among the persistently low group, respectively. RCS analysis showed that the inflection point of the association between absolute changes in leisure activity and cognitive frailty was -2.11 (short-term), -0.9 (medium-term), and -3.94 (long-term). Leisure activity trajectories were categorized into persistently low, persistently moderate, and persistently high groups, and both the persistently moderate and persistently high groups exhibited a lower risk of cognitive frailty compared to the persistently low group.

Conclusion

Persistently moderate to high levels and increasing levels of leisure activities can reduce the risk of cognitive frailty in the short, medium, and long term, and even the declining in leisure activity participation less than the threshold could protect against cognitive frailty, particularly in the short and long term.

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.