A HLM analysis on the influencing factors of cognitive performance among the old elderly_Chinese Journal of Evidence-Based Medicine

Authors：

LI Zhen ¹ ,  WANG Dewen ^1,2 , XU Haonan ¹

1. School of Public Affairs of Xiamen University, Xiamen, 361005, P.R.China;
2. Women/Gender Research and Training Base of Xiamen University, Xiamen, 361005, P.R.China;

Corresponding?author：

WANG Dewen, Email: dewen88@xmu.edu.cn

Keywords：

Old elderly; Cognitive performance; Longitudinal study

DOI：

10.7507/1672-2531.201902007

Video：

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Objectives To examine the cognitive performance among the elderly and associated influencing factors.Methods Using data from the six issues of Chinese Longitudinal Healthy Longevity Survey (CLHLS) conducted from 1998 to 2011, selecting adults aged 80 years or above, multilevel hierarchical model was utilized to estimate the trend of the elderly's cognitive performance and its influencing factors.Results A total of 128 cases were studied. The descent in MMSE was not significant with the growth of age (P=0.834). Female's MMSE scores were lower than male's (P=0.011) and descended quicker (P=0.015). Furthermore, ADL status and level of leisure activity were significantly related to the cognitive performance of both male and female (P<0.05).Conclusions Participation in leisure activities were the crucial protective factor for cognitive performance. It's recommended that measures be taken respectively for elderly males and females, and policies be stressed to enhance their cognitive performance, thus to guarantee their healthy aging.

Citation： LI Zhen, WANG Dewen, XU Haonan. A HLM analysis on the influencing factors of cognitive performance among the old elderly. Chinese Journal of Evidence-Based Medicine, 2019, 19(8): 894-898. doi: 10.7507/1672-2531.201902007 Copy

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11.	王萍, 連亞偉, 李樹茁. 居住安排對農村老人認知功能的影響—12 年跟蹤研究. 人口學刊, 2016, 38(5): 92-101.
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14.	蕭振禹. 中國高齡人口現狀、問題及對策建議. 中國人口科學, 2001, (S1): 4-7.
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16.	湯海艷, 王軍, 魏其林, 等. MoCA 和 MMSE 評估老年帕金森病患者認知障礙的分析. 中風與神經疾病雜志, 2013, 30(8): 719-723.
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19.	魏小利, 王鎖良. 益智活動對退休后老年人認知功能的影響. 中國醫藥導報, 2017, 14(18): 177-180.
20.	張莉, 崔臻暉. 休閑活動對我國老年人認知功能的影響. 心理科學, 2017, (2): 380-387.
21.	傅朝暉, 陳登容, 吳娟, 等. 益智活動對老年人認知功能的影響. 重慶醫學, 2014, (16): 1983-1984, 1987.
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1. Podewils LJ, Guallar E, Kuller LH, et al. Physical activity, APOE genotype, and dementia risk: findings from the Cardiovascular Health Cognition Study. Am J Epidemiol, 2005, 161(7): 639-651.
2. 曾毅. 健康長壽影響因素分析. 北京: 北京大學出版社, 2004.
3. Jia J, Wang F, Wei C, et al. The prevalence of dementia in urban and rural areas of China. Alzheimers Dement, 2014, 10(1): 1-9.
4. Gifford KA, Liu D, Lu Z, et al. The source of cognitive complaints predicts diagnostic conversion differentially among nondemented older adults. Alzheimers Dement, 2014, 10(3): 319-327.
5. NCFH. Health, United States, 2015: With special feature on racial and ethnic health disparities. Hyattsville: MD, 2016.
6. Chan R, Chan D, Woo J. A cross sectional study to examine the association between dietary patterns and cognitive impairment in older Chinese people in HongKong. J Nutr Health Aging, 2013, 17(9): 757-765.
7. Satizabal CL, Beiser AS, Chouraki V, et al. Incidence of dementia over three decades in the framingham heart study. N Engl J Med, 2016, 374(6): 523-532.
8. Yang L, Martikainen P, Silventoinen K, et al. Association of socioeconomic status and cognitive functioning change among elderly Chinese people. Age Ageing, 2016, 45(5): 674-680.
9. Samieri C, Jutand MA, Féart C, et al. Dietary patterns derived by hybrid clustering method in older people: association with cognition, mood, and self-rated health. J Am Diet Assoc, 2008, 108(9): 1461-1471.
10. 周利, 陳長香, 李建民, 等. 婚姻對老年人認知功能的影響. 護理研究, 2008, 22(34): 3120-3121.
11. 王萍, 連亞偉, 李樹茁. 居住安排對農村老人認知功能的影響—12 年跟蹤研究. 人口學刊, 2016, 38(5): 92-101.
12. 宋泰霞, 馬超群, 付廣建, 等. 吸煙對老年人認知功能障礙的影響. 上海交通大學學報 (醫學版), 2014, 34(8): 1225-1228, 1247.
13. Scarmeas N, Luchsinger JA, Brickman AM, et al. Physical activity and Alzheimer disease course. Am J Geriatr Psychiatry, 2011, 19(5): 471-481.
14. 蕭振禹. 中國高齡人口現狀、問題及對策建議. 中國人口科學, 2001, (S1): 4-7.
15. 中國高齡老人健康長壽研究課題組. 中國高齡老人健康長壽調查數據集 (1998). 北京: 北京大學出版社, 2000.
16. 湯海艷, 王軍, 魏其林, 等. MoCA 和 MMSE 評估老年帕金森病患者認知障礙的分析. 中風與神經疾病雜志, 2013, 30(8): 719-723.
17. Chêne G, Beiser A, Au R, et al. Gender and incidence of dementia in the framingham heart study from mid-adult life. Alzheimers Dement, 2015, 11(3): 310-320.
18. Gabelli C, Codemo A. Gender differences in cognitive decline and Alzheimer’s disease. Ital J Gender-Specific Med, 2015, 1(1): 21-28.
19. 魏小利, 王鎖良. 益智活動對退休后老年人認知功能的影響. 中國醫藥導報, 2017, 14(18): 177-180.
20. 張莉, 崔臻暉. 休閑活動對我國老年人認知功能的影響. 心理科學, 2017, (2): 380-387.
21. 傅朝暉, 陳登容, 吳娟, 等. 益智活動對老年人認知功能的影響. 重慶醫學, 2014, (16): 1983-1984, 1987.
22. Lee ATC, Richards M, Chan WC, et al. Association of daily intellectual activities with lower risk of incident dementia among older chinese adults. JAMA Psychiatry, 2018, 75(7): 697-703.

Chinese Journal of Evidence-Based Medicine

A HLM analysis on the influencing factors of cognitive performance among the old elderly

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