老年人认知功能轨迹识别及生活方式的影响研究
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The trajectories of cognitive function and its influence on lifestyle in the elderly
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    目的 探究老年人认知功能随时间的变化轨迹,分析生活方式对认知功能的影响。 方法 采用中国老年健康影响因素跟踪调查(CLHLS)2008~2018年4次纵向随访数据。对具有完整信息的1 473名65岁及以上老年人,使用潜类别增长模型识别认知功能的异质化发展轨迹,通过广义相加混合效应模型分析不同生活方式对老年人认知功能的影响。 结果 4次纵向随访老年人认知功能得分逐渐下降;老年人认知功能的异质化发展轨迹可划分为3个类别,分别是认知良好组(80.4%)、认知改善组(10.3%)和认知恶化组(9.2%)。广义相加混合效应模型分析结果显示性别、年龄、教育水平、经济状况、蔬菜摄入、水果摄入、坚果类摄入、做家务、读书看报、看电视或听广播对老年人认知功能影响显著(均P<0.05)。 结论 老年人认知功能水平随着时间推移整体呈现下降趋势,其认知功能变化存在3类发展轨迹,应重点关注低教育程度、经济状况较差以及生活方式存在问题的老年人,积极开展娱乐项目和体育活动,进行健康饮食指导,以延缓老年人认知功能受损的恶化速度。

    Abstract:

    Objective To explore the trajectores of cognitive function of the elderly over time, and analyze the impact of lifestyle on cognitive function. Methods Four set of longitudinal follow-up data from 2008 to 2018 in the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were used.In the sample of 1 473 elderly people aged 65 and above with complete information, latent class growth modeling was used to identify the heterogeneous development trajectories of cognitive function, and generalized additive mixed modeling (GAMM) was used to analyze the impact of different lifestyles on cognitive function of the elderly. Results The scores of cognitive function of the elderly in 4 longitudinal follow-ups decreased gradually.The heterogeneous development track of cognitive function of the elderly can be divided into 3 trajectories, namely, good cognitive group (80.4%), cognitive improvement group (10.3%) and cognitive deterioration group (9.2%).GAMM results showed that gender, age, education level, economic status, vegetable intake, fruit intake, nut intake, housework, reading books and reading newspapers, watching TV or listening to the radio had significant impact on cognitive function of the elderly (P<0.05 for all). Conclusion Cognitive function of the elderly shows a downward trend as time goes by.There are three kinds of development trajectories of their cognitive function changes.We should focus on the elderly with low education, poor economic conditions and lifestyle problems, actively carry out entertainment and sports activities, and provide healthy diet guidance to delay the deterioration of cognitive function in the elderly.

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郝晓燕,李承圣,王晓晖,战同霞.老年人认知功能轨迹识别及生活方式的影响研究[J].护理学杂志,2023,38(3):103-108

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  • 收稿日期:2022-09-15
  • 最后修改日期:2022-11-19
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  • 在线发布日期: 2023-12-29