中国康复理论与实践2024,Vol.30Issue(2):195-201,7.DOI:10.3969/j.issn.1006-9771.2024.02.009
北京社区55~75岁高、低痴呆风险人群身体素质及其认知功能特点
Physical fitness and characteristics of cognitive function among people aged 55 to 75 years with high and low risk of dementia in communities in Beijing
摘要
Abstract
Objective To analyze the risk factors of dementia among healthy elderly individuals in the middle of their lives. Methods A total of 175 participants aged 55 to 75 from two communities in Beijing were included from July,2021 to April,2023.Cardiovascular Risk Factors,Aging,and Incidence of Dementia(CAIDE)related risk factors and other demographic data were collected.According to the CAIDE assessment,participants with scores≥9 were as high-risk group,and those with scores<9 were as low-risk group.They were evaluated with Stroop Color Word Test(SCWT),two elements 1-back task paradigm and the revised Trail Making Test(TMT);measured the grip strength,30 s forearm flexion tests and five sit-to-stand tests;the average step speed and step length of a 10-me-ter walk were recorded. Results The average total score of CAIDE was 9.86 in the high-risk group,and was 4.95 in the low-risk group.There was no difference in age between two groups(P = 0.188).There were differences in the proportion of participants of male,less than seven years'education,systolic blood pressure>140 mmHg,cholesterol>6.5 mmol/L,body mass index>30 kg/m2,and lack of physical activity between two groups(χ2>3.116,P<0.05).The grip strength(t =-4.174),walking speed(t =-2.414),SCWT accuracy(Z =-2.684)were all worse in the high-risk group than in the low-risk group(P<0.05).Logistic regression analysis showed that walking speed(OR = 25.483),grip strength(OR = 1.133)and SCWT accuracy(OR = 37.430)were independent influencing factors of dementia(P<0.05). Conclusion Weaker grip strength,slower gait speed and worse inhibitory control might be independent influencing fac-tors of dementia.关键词
痴呆/危险因素/执行功能/肌肉力量/步速/握力Key words
dementia/risk factors/executive function/muscle strength/gait speed/grip strength分类
医药卫生引用本文复制引用
刘华,贾明月,杜晓霞,杨亚茹,李静,吕继辉..北京社区55~75岁高、低痴呆风险人群身体素质及其认知功能特点[J].中国康复理论与实践,2024,30(2):195-201,7.基金项目
1.国家重点研发计划项目(No.2017YFE0118800) (No.2017YFE0118800)
2.北京高校优质本科课程(No.145122005/004) (No.145122005/004)
3.北京高等教育"本科教学改革创新项目"(No.145122002/007) (No.145122002/007)
4.2023 内涵发展-科研-科技强校支持计划项目(No.155223021) National Key Research and Development Programme of China(No.2017YFE0118800),Quality Undergraduate Curriculum of Beijing Higher Education Institutions(No.145122005/004),Beijing Higher Education"Undergraduate Teaching Reform and Innovation Project"(No.145122002/007),and 2023 Inner Connotation Development-Research-Science and Technology Stronger Schools Supporting Programme(No.155223021) (No.155223021)