한국 지역사회 노인의 사회적 활동과 인지기능의 연관성
Relationship between Social Activity and Cognitive Function in Korean Elderly
1
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
Objectives:Among non-pharmaceutical measures for preventing cognitive impairment, involving in social activities is known to be very effective. We tried to examine the correlation between social activity and cognitive function. Methods:This study was based on the Suwon Project, a cohort comprising of non-random convenience samples of ethnic Kore- ans aged 60 years and above. All the subjects completed the study questionnaire which included demographic characteristics, cur- rent and past history of illnesses, drug history, Korean version of Mini Mental State Examination (K-MMSE), Korean version of Short Form Geriatric Depression Scale, and Beck Anxiety Inventory. We checked the time consumed in each 9 social activities through the checklist. Results:On multiple logistic regression analysis, the total time spent in social activities wasinversely associated with the K- MMSE score after adjusting confounding variables like age, sex, education level, depression, anxiety and vascular risk factor (β= -0.041, p=0.024). On the other hand, correlation was found between K-MMSE score and time spent in participating in religious party (β=0.053, p=0.003) as well as time spent in elder’s university (β=0.040, p=0.025) after adjustingage, sex, education, depres- sion, anxiety and vascular risk factor. Conclusion:Our results suggest that involving in quality social activities might be more effective in improving cognitive func- tion than spending longer total time in any social activity.
Abstract
Objectives:Among non-pharmaceutical measures for preventing cognitive impairment, involving in social activities is known to be very effective. We tried to examine the correlation between social activity and cognitive function. Methods:This study was based on the Suwon Project, a cohort comprising of non-random convenience samples of ethnic Kore- ans aged 60 years and above. All the subjects completed the study questionnaire which included demographic characteristics, cur- rent and past history of illnesses, drug history, Korean version of Mini Mental State Examination (K-MMSE), Korean version of Short Form Geriatric Depression Scale, and Beck Anxiety Inventory. We checked the time consumed in each 9 social activities through the checklist. Results:On multiple logistic regression analysis, the total time spent in social activities wasinversely associated with the K- MMSE score after adjusting confounding variables like age, sex, education level, depression, anxiety and vascular risk factor (β= -0.041, p=0.024). On the other hand, correlation was found between K-MMSE score and time spent in participating in religious party (β=0.053, p=0.003) as well as time spent in elder’s university (β=0.040, p=0.025) after adjustingage, sex, education, depres- sion, anxiety and vascular risk factor. Conclusion:Our results suggest that involving in quality social activities might be more effective in improving cognitive func- tion than spending longer total time in any social activity.
참고문헌 (30)
- Graham JE, "Prevalence and severityof cognitive impairment with and without dementia inan elderlypopulation", Lancet, 349, pp.1793~1796 (1997)
- Luck T, "Mild cognitive impairmentin general practice: age-specific prevalence and correlateresults from the German study on ageing, cognition anddementia in primary care patients (Age- CoDe)", DementGeriatr Cogn Disord, 24, pp.307~316 (2007)
- Plassman BL, "Prevalence of cognitive impairment without dementia in the United States", Ann Intern Med, 148, pp.427~434 (2008)
- Research on prevalence rate of dementia inthe elderly, "Cho MJ", Seoul National University Hospital, ~ (2008)
- Research on effectiveness of cognitive health promotionin the elderly and development of management guidelines, "Lee Y", Ajou University, ~ (2009)
- Plassman BL, "Systematic review: factors associated withrisk for and possible prevention of cognitive decline inlater life", Ann Intern Med, 153, pp.182~193 (2010)
- Lee Y, "Lifestyle recommendations for dementia prevention: PASCAL", J Korean Geriatr Soc, 13, pp.61~68 (2009)
- Bassuk SS, "Social disengagement and incident cognitive decline in community-dwelling elderly persons", Ann Intern Med, 131, pp.165~173 (1999)
- Menec V, "The relation between everyday activities and successful aging: a 6-year longitudinal study", J Gerontol B Psychol Sci Soc Sci, 58, pp.74~82 (2003)
- Hultsch DF, "Use it or lose it: engaged lifestyle as a buffer of cognitive decline in aging", Psychol Aging, 14, pp.245~263 (1999)
- Aartsen MJ, "Activity in older adults: cause or consequence of cognitive functioning? A longitudinal study on everyday activities and cognitive performance in older adults", J Gerontol B Psychol Sci Soc Sci, 57, pp.153~162 (2002)
- Singh-Manoux A, "Leisure activities and cognitive function in middle age: evidence from the Whitehall II study", J Epidemiol Community Health, 57, pp.907~913 (2003)
- Karen A, "Effects of social integration on preserving memory function in a nationally representative US elderly population", Am J Public Health, 98, pp.1215~1220 (2008)
- Bielak AAM, "It’s never too late to engage in lifestyle activities: Significant concurrent but not change relationships between lifestyle activities and cognitive speed", Journal of Gerontology, 62, pp.331~339 (2007)
- Wang JY, "Leisure activity and risk of cognitive impairment: the Chongqing aging study", Neurology, 66, pp.911~913 (2006)
- Kang Y, "A validity study on the Koreanmini-mental state examination (K-MMSE) in dementiapatients", J Korean Neurol Assoc, 15, pp.300~308 (1997)
- Bae JN, "Development of the Korean versionof the Geriatric Depression Scale and its short form amongelderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
- Beck AT, "An inventoryfor measuring clinical anxiety: psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
- Yook SP, "A clinical study on the Korean versionof Beck Anxiety Inventory: comparative study of patientand non-patient", Korean J Clin Psychol, 16, pp.185~197 (1997)
- Fratiglioni L, "An active and socially integrated lifestyle in late life might protect against dementia", Lancet Neurol, 3, pp.343~353 (2004)
- Niti M, "Physical, social and productive leisure activities, cognitive decline and interaction with APOE-Є4 genotype in Chinese older adults", International Psychogeriatrics, 20(2), pp.237~251 (2008)
- Kareholt I, "Baseline leisure time activity and cognition more than two decades later", Int J Geriatr Psychiatry, 26, pp.65~74 (2011)
- 2008년도 노인실태조사: 전국 노인 생활실태 및 복지욕구조사, "한문식", 보건복지부,계명대학교산학협력단, ~ (2009)
- Belanoff JK, "Corticosteroids and cognition", J Psychiatr Res, 35, pp.127~145 (2001)
- Kivipelto M, "Midlife vascular risk factors and Alzheimer’s disease in later life: longitudinal, population based study", BMJ, 322, pp.1447~1451 (2001)
- Launer LJ, "Demonstrating the case that AD is a vascular disease: epidemiologic evidence", Ageing Res Rev, 1, pp.61~77 (2002)
- Launer LJ, "Midlife blood pressure and dementia: the Honolulu-Asia aging study", Neurobiol Aging, 21, pp.49~55 (2000)
- Churchill JD, "Exercise, experience and the aging brain", Neurobiol Aging, 23, pp.941~955 (2002)
- Sapolsky RM, "The neuroendocrinology of stress and aging: the glucocorticoid cascade hypothesis", Endocr Rev, 7, pp.284~301 (1986)
- Wilson RS, "Proneness to psychological distress is associated with risk of Alzheimer’s disease", Neurology, 61, pp.1479~1485 (2003)
