影响中老年个体主观健康知觉的因素

T. Hatta, Taketoshi Hatta, J. Hatta, A. Iwahara, Kazumi Fujiwara, Kimiko Kato, Y. Hasegawa
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引用次数: 0

摘要

在本研究中,我们在660名(298名男性和362名女性)中老年社区居民中使用SRH问卷,确定了认知和身体表现预测自评健康感知(SRH)的因素。此外,还进行了神经心理测试组和体能测试。采用强迫进入法进行多元回归分析;数字消除测试(D-CAT1)、逻辑记忆测试、语言流利性测试、背部力量、定时出发(TUG)、平衡测试、年龄和性别为自变量,SRH为因变量。结果显示,D-CAT1(β=0.175,p<0.001)、TUG(β=-0.095,p<0.026)和体重指数(BMI;β=0.095,p>0.018)变量显著预测了参与者的SRH,而其他变量,包括性别,则没有显著影响。D-CAT1对SRH的作用最强。这些发现表明,中老年人利用他们与前额叶皮层功能密切相关的认知和身体表现来形成SRH。基于这些发现,我们讨论了地方政府的健康促进人员可以实施的有效策略,以维持或增加社区居民的SRH。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Determining Subjective Health Perception Among Middle-and Upper-Middle Aged Individuals
In the present study, we identified the factors of cognitive and physical performances predicting self-rated health perception (SRH) using an SRH questionnaire in 660 (298 men and 362 women) upper-middle-aged community dwellers. In addition, neuropsychological test battery and physical ability tests were applied. A multiple regression analysis was conducted using the forced entry method; digit cancellation test (D-CAT1), logical memory test, verbal fluency test, back strength, timed-up and-go (TUG), balancing test, age, and sex were independent variables, and SRH was used as the dependent variable. The results showed that variables of D-CAT1(β = 0.175, p < 0.001), TUG(β = −0.095, p < 0.026) and body mass index (BMI; β = 0.095, p < 0.018) significantly predicted participants’ SRH, whereas other variables, including sex, did not contribute significantly. D-CAT1 exerted the strongest effect on SRH. These findings indicate that upper-middle-aged individuals use their cognitive and physical performances that strongly relate to the prefrontal cortex functions to form SRH. Based on these findings, we discussed the possible effective strategies that the health-promoting staff of the local government can implement to sustain or increase the SRH of community dwellers.
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