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노인의 인지기능 저하 예측요인: 노인실태조사 패널자료를 이용하여

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

  • 박현경 (이화여자대학교 대학원 융합보건학과) ;
  • 송현종 (상지대학교 의료경영학과)
  • Park, Hyun-Kyung (Department of Health Convergence, Graduate School of Ewha Womans University) ;
  • Song, Hyun-Jong (Department of Health Policy & Management, Sangji University)
  • 투고 : 2016.05.30
  • 심사 : 2016.09.09
  • 발행 : 2016.09.30

초록

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.

키워드

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피인용 문헌

  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