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

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. 健康长寿影响因素分析. 北京: 北京大学出版社, 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, 陈长香, 李建民, 等. 婚姻对老年人认知功能的影响. 护理研究, 2008, 22(34): 3120-3121.
11.	王萍, 连亚伟, 李树茁. 居住安排对农村老人认知功能的影响—12 年跟踪研究. 人口学刊, 2016, 38(5): 92-101.
12.	宋泰霞, 马超群, 付广建, 等. 吸烟对老年人认知功能障碍的影响. 上海交通大学学报 (医学版), 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.	萧振禹. 中国高龄人口现状、问题及对策建议. 中国人口科学, 2001, (S1): 4-7.
15.	中国高龄老人健康长寿研究课题组. 中国高龄老人健康长寿调查数据集 (1998). 北京: 北京大学出版社, 2000.
16.	汤海艳, 王军, 魏其林, 等. MoCA 和 MMSE 评估老年帕金森病患者认知障碍的分析. 中风与神经疾病杂志, 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, 王锁良. 益智活动对退休后老年人认知功能的影响. 中国医药导报, 2017, 14(18): 177-180.
20.	张莉, 崔臻晖. 休闲活动对我国老年人认知功能的影响. 心理科学, 2017, (2): 380-387.
21.	傅朝晖, 陈登容, 吴娟, 等. 益智活动对老年人认知功能的影响. 重庆医学, 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.

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. 健康长寿影响因素分析. 北京: 北京大学出版社, 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, 陈长香, 李建民, 等. 婚姻对老年人认知功能的影响. 护理研究, 2008, 22(34): 3120-3121.
11. 王萍, 连亚伟, 李树茁. 居住安排对农村老人认知功能的影响—12 年跟踪研究. 人口学刊, 2016, 38(5): 92-101.
12. 宋泰霞, 马超群, 付广建, 等. 吸烟对老年人认知功能障碍的影响. 上海交通大学学报 (医学版), 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. 萧振禹. 中国高龄人口现状、问题及对策建议. 中国人口科学, 2001, (S1): 4-7.
15. 中国高龄老人健康长寿研究课题组. 中国高龄老人健康长寿调查数据集 (1998). 北京: 北京大学出版社, 2000.
16. 汤海艳, 王军, 魏其林, 等. MoCA 和 MMSE 评估老年帕金森病患者认知障碍的分析. 中风与神经疾病杂志, 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, 王锁良. 益智活动对退休后老年人认知功能的影响. 中国医药导报, 2017, 14(18): 177-180.
20. 张莉, 崔臻晖. 休闲活动对我国老年人认知功能的影响. 心理科学, 2017, (2): 380-387.
21. 傅朝晖, 陈登容, 吴娟, 等. 益智活动对老年人认知功能的影响. 重庆医学, 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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