中国无痴呆老年人腹部肥胖、咀嚼困难与认知障碍的关系。

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

American Journal of Alzheimers Disease and Other Dementias Pub Date : 2023-01-01 DOI:10.1177/15333175231167118

Ziyue Sheng, Binte Xia, Jing Wu, Xuhao Zhao, Xindi He, Xu Wen, Changzheng Yuan, Ting Pang, Xin Xu

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引用次数: 0

摘要

目的：探讨腹部肥胖与肥胖的相关性，方法：在572名来自当地社区的参与者中，通过5分钟蒙特利尔认知评估（5分钟MoCA）测量认知功能，并通过体型指数（ABSI）测量腹部肥胖。咀嚼困难通过自我报告问卷进行评估。采用线性回归和一般逻辑回归研究咀嚼困难和腹部肥胖与认知的关系。结果：咀嚼困难评分[β（95%CI）=-0.30（-.49，-.11）]和ABSI[β（95%CI）=-.30（-.55，-.05）]与5分钟MoCA的较差表现独立相关。虽然ABSI与认知障碍无关，但咀嚼困难和腹部肥胖的共存[OR（95%CI）=2.22（1.18，4.17）]与认知障碍的存在有关。结论：咀嚼困难和腹部肥胖与认知能力独立相关。腹部肥胖和咀嚼可能对认知功能产生附加影响。

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Associations Between Abdominal Obesity, Chewing Difficulty and Cognitive Impairment in Dementia-Free Chinese Elderly.

Objective: To investigate the independent and synergistic associations between abdominal obesity, chewing difficulty and cognitive impairment in a community-dwelling older adults sample in China.

Methods: Cognitive function was measured by the 5 min- Montreal Cognitive Assessment (5 min-MoCA) and abdominal obesity was measured by A Body Shape Index (ABSI) in 572 participants recruited from local communities. Chewing difficulty was assessed via a self-report questionnaire. Linear regression and general logistic regression were performed to investigate the association of chewing difficulty and abdominal obesity with cognition.

Results: Chewing difficulty score [β (95% CI) = -.30 (-.49, -.11)] and ABSI [β (95%CI) = -.30 (-.55, -.05)] were independently associated with worse performance on the 5 min-MoCA. Whilst ABSI was not associated with cognitive impairment, the co-existence of chewing difficulty and abdominal obesity [OR (95% CI) = 2.22 (1.18, 4.17)] was found associated with the presence of cognitive impairment.

Conclusion: Chewing difficulty and abdominal obesity were independently associated with cognition. Abdominal obesity and chewing may have an additive effect on cognitive function.

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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).