生活行为方式对老年人抑郁与认知功能关系的修正

Modifying Effect of the Relationship between Depression and Cognitive Function in the Elderly by Lifestyles

目的探讨社区老年人体育锻炼、读书看报、使用智能手机等生活行为方式对其抑郁与认知功能关系的影响。方法应用老年抑郁量表(GDS-15)、MoCA量表对厦门市社区老年人进行调查,用一般线性模型分析生活行为方式对抑郁与认知功能关系的修正作用。结果共收回2296名老年人的有效问卷,MoCA得分为22.05±4.73;有读书看报、每周体育锻炼天数>2、使用智能手机及无抑郁老年人的认知功能MoCA得分较高;校正社会人口学特征的影响后,有读书看报和使用智能手机老年人中,GDS≥8分者的MoCA得分与GDS<8分者差异无统计学意义(F=0.822,P=0.347),而在无读书看报和未使用智能手机老年人中,GDS≥8分者的MoCA得分低于GDS<8分者(F=0.029,P=0.027)。结论读书看报和使用智能手机可对抑郁与老年人认知功能的关系产生修正作用。

Objective To explore lifestyles of the elderly in the community, such as physical exercise, reading books and newspapers, and using smart phones, how to effect their depression and cognitive function.Methods Data of a survey to the elderly in Xiamen community by The Geriatric Depression Scales(GDS-15)and MoCA Scale, are used to build a general linear model and analyze the modifying effect of lifestyle on the relationship to depression and cognitive function.Results A total of 2296 valid MoCA questionnaires were collected, score of which was 22.05±4.73.Some of the elderly, who read books and newspapers, do exercise at least 2 days a week, and use smart phone, or who is not depressed, have higher MoCA scores than the others.Excluding the influence of demographic characteristics, for the elderly, who read books and newspapers, do exercise at least 2 days a week, and use smart phones, there were no significant differences between the MoCA scores of depressed people and those without depression(F=0.822,P=0.347),moreover, for the elderly, who live without those lifestyles, the MoCA scores of depressed individuals were lower than those without depression(F=0.029,P=0.027).Conclusion Reading and using smart phones can correct the relationship between depression and cognitive function in the elderly.