A prospective study on association between comprehensive lifestyle scores and cognitive function changes in community-dwelling older adults in Tianjin city
ObjectiveTo investigate the association between comprehensive lifestyle scores and changes in cognitive function among community-dwelling older adults in Tianjin city. MethodsA prospective cohort study was conducted. From March to April 2016, eldly adults aged 65 years and above were recruited as re...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Chinese Journal of Public Health
2024-12-01
|
| Series: | Zhongguo gonggong weisheng |
| Subjects: | |
| Online Access: | https://www.zgggws.com/article/doi/10.11847/zgggws1145154 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823859446328066048 |
|---|---|
| author | Muya ZHANG Xian CAI Liping ZU Huichao ZHAO Tianyu WANG Chenyu LI Jing YUAN Fei MA |
| author_facet | Muya ZHANG Xian CAI Liping ZU Huichao ZHAO Tianyu WANG Chenyu LI Jing YUAN Fei MA |
| author_sort | Muya ZHANG |
| collection | DOAJ |
| description | ObjectiveTo investigate the association between comprehensive lifestyle scores and changes in cognitive function among community-dwelling older adults in Tianjin city. MethodsA prospective cohort study was conducted. From March to April 2016, eldly adults aged 65 years and above were recruited as research subjects in Tianjin through multi-stage cluster random sampling. Baseline data collection included basic demographic characteristics, lifestyle habits, and health status. A comprehensive lifestyle score was constructed based on overweight or obesity, physical activity, smoking, alcohol consumption, diet, and sleep. Scores of 0 – 1 were defined as unhealthy lifestyle, 2 – 4 as average lifestyle, and 5 – 6 as healthy lifestyle. Annual follow-ups were conducted from 2017 to 2019. Cognitive function was assessed using the Wechsler Adult Intelligence Scale (Chinese revised edition). Generalized estimating equations were used to analyze the association between different lifestyle groups and changes in cognitive function. ResultsA total of 816 participants were included, with an average age of (76.60 ± 9.46) years. Generalized estimating equation analysis showed that, compared with a healthy lifestyle, an unhealthy lifestyle was statistically associated with lower scores in full-scale intelligence quotient (β = – 2.839), verbal intelligence quotient (β = – 2.438), performance intelligence quotient (β = – 2.987), comprehension (β = – 1.260), digit symbol (β = – 2.372), block design (β = – 1.592), and object assembly (β = – 1.974) (all P < 0.05). ConclusionsAn unhealthy lifestyle is associated with cognitive decline among older adults in a community in Tianjin city. Adhering to a healthy lifestyle may reduce the risk of cognitive decline. |
| format | Article |
| id | doaj-art-0ac54b0fb0354e0ea5a364e989d3c05c |
| institution | Kabale University |
| issn | 1001-0580 |
| language | zho |
| publishDate | 2024-12-01 |
| publisher | Editorial Office of Chinese Journal of Public Health |
| record_format | Article |
| series | Zhongguo gonggong weisheng |
| spelling | doaj-art-0ac54b0fb0354e0ea5a364e989d3c05c2025-02-11T02:11:59ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802024-12-0140121452145810.11847/zgggws11451541145154A prospective study on association between comprehensive lifestyle scores and cognitive function changes in community-dwelling older adults in Tianjin cityMuya ZHANG0Xian CAI1Liping ZU2Huichao ZHAO3Tianyu WANG4Chenyu LI5Jing YUAN6Fei MA7School of Public Health and Management, Tianjin Medical University, Tianjin 300070, ChinaDepartment of Clinical Laboratory, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300052, ChinaTianjin Nankai District Wangdingdi Hospital, Tianjin 300191, ChinaSchool of Medical Humanities, Tianjin Medical University, Tianjin 300070, ChinaSchool of Public Health and Management, Tianjin Medical University, Tianjin 300070, ChinaSchool of Public Health and Management, Tianjin Medical University, Tianjin 300070, ChinaSchool of Public Health and Management, Tianjin Medical University, Tianjin 300070, ChinaSchool of Public Health and Management, Tianjin Medical University, Tianjin 300070, ChinaObjectiveTo investigate the association between comprehensive lifestyle scores and changes in cognitive function among community-dwelling older adults in Tianjin city. MethodsA prospective cohort study was conducted. From March to April 2016, eldly adults aged 65 years and above were recruited as research subjects in Tianjin through multi-stage cluster random sampling. Baseline data collection included basic demographic characteristics, lifestyle habits, and health status. A comprehensive lifestyle score was constructed based on overweight or obesity, physical activity, smoking, alcohol consumption, diet, and sleep. Scores of 0 – 1 were defined as unhealthy lifestyle, 2 – 4 as average lifestyle, and 5 – 6 as healthy lifestyle. Annual follow-ups were conducted from 2017 to 2019. Cognitive function was assessed using the Wechsler Adult Intelligence Scale (Chinese revised edition). Generalized estimating equations were used to analyze the association between different lifestyle groups and changes in cognitive function. ResultsA total of 816 participants were included, with an average age of (76.60 ± 9.46) years. Generalized estimating equation analysis showed that, compared with a healthy lifestyle, an unhealthy lifestyle was statistically associated with lower scores in full-scale intelligence quotient (β = – 2.839), verbal intelligence quotient (β = – 2.438), performance intelligence quotient (β = – 2.987), comprehension (β = – 1.260), digit symbol (β = – 2.372), block design (β = – 1.592), and object assembly (β = – 1.974) (all P < 0.05). ConclusionsAn unhealthy lifestyle is associated with cognitive decline among older adults in a community in Tianjin city. Adhering to a healthy lifestyle may reduce the risk of cognitive decline.https://www.zgggws.com/article/doi/10.11847/zgggws1145154older adultscognitive functionlifestyleprospective cohort studygeneralized estimating equationtianjin city |
| spellingShingle | Muya ZHANG Xian CAI Liping ZU Huichao ZHAO Tianyu WANG Chenyu LI Jing YUAN Fei MA A prospective study on association between comprehensive lifestyle scores and cognitive function changes in community-dwelling older adults in Tianjin city Zhongguo gonggong weisheng older adults cognitive function lifestyle prospective cohort study generalized estimating equation tianjin city |
| title | A prospective study on association between comprehensive lifestyle scores and cognitive function changes in community-dwelling older adults in Tianjin city |
| title_full | A prospective study on association between comprehensive lifestyle scores and cognitive function changes in community-dwelling older adults in Tianjin city |
| title_fullStr | A prospective study on association between comprehensive lifestyle scores and cognitive function changes in community-dwelling older adults in Tianjin city |
| title_full_unstemmed | A prospective study on association between comprehensive lifestyle scores and cognitive function changes in community-dwelling older adults in Tianjin city |
| title_short | A prospective study on association between comprehensive lifestyle scores and cognitive function changes in community-dwelling older adults in Tianjin city |
| title_sort | prospective study on association between comprehensive lifestyle scores and cognitive function changes in community dwelling older adults in tianjin city |
| topic | older adults cognitive function lifestyle prospective cohort study generalized estimating equation tianjin city |
| url | https://www.zgggws.com/article/doi/10.11847/zgggws1145154 |
| work_keys_str_mv | AT muyazhang aprospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT xiancai aprospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT lipingzu aprospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT huichaozhao aprospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT tianyuwang aprospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT chenyuli aprospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT jingyuan aprospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT feima aprospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT muyazhang prospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT xiancai prospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT lipingzu prospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT huichaozhao prospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT tianyuwang prospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT chenyuli prospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT jingyuan prospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity AT feima prospectivestudyonassociationbetweencomprehensivelifestylescoresandcognitivefunctionchangesincommunitydwellingolderadultsintianjincity |