The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
권호 표지
DOI QR코드

DOI QR Code

Predictors of Cognitive Function Decline of Elderly : Using Living Conditions and Welfare Needs of Older Korean Persons Panel Data

노인의 인지기능 저하 예측요인: 노인실태조사 패널자료를 이용하여

  • Park, Hyun-Kyung (Department of Health Convergence, Graduate School of Ewha Womans University) ;
  • Song, Hyun-Jong (Department of Health Policy & Management, Sangji University)
  • 박현경 (이화여자대학교 대학원 융합보건학과) ;
  • 송현종 (상지대학교 의료경영학과)
  • Received : 2016.05.30
  • Accepted : 2016.09.09
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The aim of this study was to investigate predictors of cognitive function decline among community dwelling elderly. Methods : Data were analyzed from the Survey of Living Condition of Elderly panel study. Cognitive function was measured with the MMSE-KC at baseline and year 3. The study subjects were 5,464 community dwelling people aged 65 years or older who had no disability at baseline. Logistic regression analysis was used to predict cognitive function decline. Results : From 2008-2011, 4,417(80.8%) elderly people had no cognitive decline, and 1,074(19.2%) showed cognitive function decline measured by the MMSE-KC. After adjusting for demographics and baseline MMSE-KC score, the best predictors for cognitive function decline at 36 months were diabetes mellitus, smoking, low intensity physical activity, relationship with relatives and friends. Conclusions : Health promotion programs that are focused on the elderly are essential in preventing cognitive function decline. Promoting regular physical activity, and social relationships should be included in health promotion for elderly. When treating patients with diabetes, preventing cognitive impairment should be considered through education and counseling.

Keywords

References

  1. http://www.mw.go.kr/front_new/al/sal0301ls.jsp?PAR_MENU_ID=04&MENU_ID=0403
  2. K. Narazaki, E. Mastsuo, T. Honda, Y. Nofujo, K. Yonemoto, S. Kumgai(2014), Physical fitness measures as potential markers of low cognitive function in japans community dwelling older adults without cognitive problems, Journal of sport science and medicine, Vol.13(3);590-596.
  3. H.H. Dode, T. Kadowaki, T. Hatakawa, M. Yamakawa, A. Sekikawa, H. Ueshima(2005), Cognitive impairment as a strong predictor if incident in specific ADL-IADL tasks among community-dwelling elders: The azuchi study, Gerontologis, Vol.45(2);222-230. https://doi.org/10.1093/geront/45.2.222
  4. H.R. Kim, M.K. Yang(2013), Cognitive impairment and risk factors among elderly persons aged 60 or more in Korea, Korean society of public health nursing, Vol.27(3);450-465. https://doi.org/10.5932/JKPHN.2013.27.3.450
  5. H.K. Oh, S.K. Lee, S.H. Sok, K.B. Kim(2007), The relations among ADL, self-efficacy, and life satisfaction of elderly institution residens, Journal of Korean Community Health Nurs, Vol.13(1);48-56.
  6. S.K. Chu, H.J. Choi, J.H. Yoo(2010), A study on the relationship between depression and cognition in the community female aged, East-West Medical Research Institue, Vol.16(2);131-137.
  7. R.F. Gillium, T.O. Obeisesan(2010), Physical activity, cognitive function, and mortality in a US national cohort, Annals of epidemiology, Vol.20(4);251-257. https://doi.org/10.1016/j.annepidem.2010.01.005
  8. K.H. Jung, Y.K. Lee, B.M. Park, S.J. Lee, Y.H. Lee(2012), Analysis of the survey of living conditions and welfare needs of Korean older persons in 2011, Korea Institute for Health and Social Affairs, 1th ed;169-183.
  9. J.W. Williams, B.L. Plassman, J. Burke, S. Benjamin(2010), Preventing Alzheimer disease and cognitive decline, Evidence report/ technology assessment, pp.1-727.
  10. J.H. Wu, M.N. Haan, J. Liang, D. Ghosh, H.M. Gonzalez, W.H. Herman(2003), Impact of diabetes on cognitive function among older latinos: A population based cohort study, Clinical epidemiology and global health, Vol.56(7);686-693.
  11. S. Paterniti, M. Verdier-Taillefer, C. Dufouil, A. Alperovitch(2002), Depressive symptoms and cognitive decline in elderly people, British journal of psychiatry, Vol.181;406-410. https://doi.org/10.1192/bjp.181.5.406
  12. J.I. Sheikh, J.A. Yesavage, J.O. Brooks, L. Friedman, P. Gratzinger, R.D. Hill, A. Zadeik, T. Crook(1991), Proposed factor structure of the Geriatric Depression Scale, International psychogeriatrics, Vol.3(1);23-28. https://doi.org/10.1017/S1041610291000480
  13. H.J. Kim, B.H. Kim, O.S. Kim, The effect of visual and hearing impairment on depression and cognitive function in community-dwelling elderly: The Korean longitudinal study of aging 2008, Korean Journal of Adult Nurs, Vol.23(6);1225-4886.
  14. F.R. Lin, K. Yaffe, J. Xia, Q. Xue, T.B. Harris, E. Purchase-Helzer, S. Satterfield, H.N. Ayonayon, L. Ferrucci, E.M. Simonsick, Health ABC study group(2013), Hearing loss and cognitive decline in older adults, Journal of the American Medical Association internal medicine, Vol.173(4);293-239.
  15. J.W. Lee, G.H. Lim, H.R. Kim, Y.K. Bang, J.Y. Lee, M.L. Cho, D.J. Kim, Y.A. Yang(2014), The correlation between cognition, depression and leisure activity of elderly people, The Korean Journal of Health Service Management, Vol.8(1);65-73. https://doi.org/10.12811/kshsm.2014.8.1.065
  16. M.H. Park, J.C. Ha, I.H. Shin, H.G. Kim, S.Y. Lee, J.H. Cho, H.R. Kim, E.J. Kim, J.S. Kim, M.H. Park, E.J. Kim, Y.M. Lim, K.R. Hong, J.A. Song(2009), Analysis of the survey of living conditions and welfare needs of Korean older persons in 2008, 1st ed: The Ministry Health & Welfare and KieMyung University, pp.1-1074.
  17. T. Cukierman, H.C. Gerstein, J.D. Williamson(2005), Cognitive decline and dementia in diabetes systematic overview of prospective observational studies, Diabetologia, Vol.48(12);2460-2469. https://doi.org/10.1007/s00125-005-0023-4
  18. J.S. Lee, S.Y. Lee(2015), Effect on cognitive function in elderly people, The Korean Journal of Health Service Management, Vol.9(3);201-210. https://doi.org/10.12811/kshsm.2015.9.3.201
  19. N. Chebuin, C. Reglade-Meslin, R. Kumar, P. Jacomb, S. Eastral, H. Christensen, P. Sachdev, K.J. Anstey(2009), Risk factors of trasition from normal cognition to mild cognitive disorder: the PATH through Life Study, Dementia and geriatric cognitive diseoders, Vol.28(1);47-55. https://doi.org/10.1159/000229025
  20. E.Y. Sin(2013), The standards quality of life scales for hearing handicap of the elderly, Korean Academy of Audiology, pp.165-174.
  21. K.J. Anstry, C. Von Sanden, A. Salim, R.O. Kearney(2007), Smoking as a risk factor for demetia and cognitive decline: a meta-analysis of prospective studies, Americal Journal of hygiene, Vol.166(4);367-378.
  22. K. Yaffe, A.J. Fiocco, K.Lindquist, E. Vittinghoff, E.M. Simonsick, A.B. Newman, S. Satterfield, C. Rosano, S.M. Rubin, H.N. Ayonayon, T.B. Harris; Healh ABC Study(2009), Neurology, Vol.72(23);2029-2035. https://doi.org/10.1212/WNL.0b013e3181a92c36
  23. H.J. Jeon(2004), Providing sodical support to others and mental health among older adults in USA, Journal of Korean Gerontological Society, Vol.24(1);89-105.
  24. D.A. Glei, D.A. Landau, N. Goldman, Y. Chuang, G.Rodriguez, M. Weinstein(2005), Participating in social activities helps preserve cognitive function: An analysis of a longitudinal, population-based study of the elderly, International journal of epidemiology, Vol.34(4);864-871. https://doi.org/10.1093/ije/dyi049
  25. H.S. Baek, C.W. Won, H.R. Choi, B.S. Kim(2007), Loneliness and cognitive function in the elderly living alone: Cross-sectional study, Journal of Korean Gerontological Society, Vol.11(4);205-212.

Cited by

  1. Factors affecting cognitive function according to gender in community-dwelling elderly individuals vol.39, pp.2092-7193, 2017, https://doi.org/10.4178/epih.e2017054
  2. 노인의 성별에 따른 인지기능과 영양관리상태의 차이 vol.31, pp.2, 2016, https://doi.org/10.5932/jkphn.2017.31.2.209
  3. 노인의 교육연수에 따른 인지기능 영향 요인 차이 vol.13, pp.1, 2016, https://doi.org/10.12811/kshsm.2019.13.1.067
  4. Factors Influencing Unmet Healthcare Needs among the Elderly with Cognitive Impairment in Korea vol.26, pp.2, 2016, https://doi.org/10.11111/jkana.2020.26.2.100
  5. 독거노인과 부부동거노인의 인지기능 저하 위험요인 비교 vol.22, pp.3, 2016, https://doi.org/10.35133/kssche.20210831.07
  6. Influencing Factors of Subjective Cognitive Impairment in Middle-Aged and Older Adults vol.18, pp.21, 2016, https://doi.org/10.3390/ijerph182111488