The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Differences in factors affecting cognitive function according to the education level of the older adults

노인의 교육연수에 따른 인지기능 영향 요인 차이

  • Hong, Seong-Ae (Department of Health Administration, Kongju National University)
  • 홍성애 (공주대학교 간호보건대학 보건행정학과)
  • Received : 2019.02.19
  • Accepted : 2019.03.29
  • Published : 2019.03.31
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Abstract

Objectives: To identify the factors affecting the cognitive function according to the education level of people aged 65 or older. Methods: This study used the data from the 2014 survey of living conditions and welfare needs of Korean older adults. A total of 10,248 people were analyzed in the final analysis, not including those who responded by proxy and those who did not participate in cognitive function tests. Cognitive function was measured by Mini Mental State Examination -Dementia Screening(MMSE-DS), and logistic regression was performed using the SPSS/WIN 24.0 program. Results: There were differences in factors affecting cognitive function depending on the education level. Overall, regular exercise had a positive effect on maintaining cognitive function, and the higher the education level, the more important it was to maintain the Instrumental Activities of Daily Living(IADL). In addition, for lower education levels, improving the life satisfaction was important to prevent the decline of cognitive function. Conclusions: Based on the results of this research, it is suggested that customized approaches shoud be taken according to education level when developing and implementing programs to prevent the decline of cognitive function.

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References

  1. National Statistical Office(2016), Future Population Forecast
  2. C. Hu, D. Yu, X. Sun, M. Zhang, L. Wang, H. Qin(2017), The Prevalence and progression of mild cognitive impairment among clinic and community populations: a systematic review and meta-analysis, Int Psychogeriatr. Vol.29 (10):1595-1608. https://doi.org/10.1017/S1041610217000473
  3. M. Prince, R. Bryce, E. Albanese, A. Wimo, W. Ribeiro, C.P. Ferri(2013), The global prevalence of dementia: a systematic review and meta-analysis. Alzheimers Dement, Vol.9(1):63-75. https://doi.org/10.1016/j.jalz.2012.11.007
  4. Central Dementia center(2018), 2017 National Institute of Dementia Annual Report
  5. Clinical Reserch center for dementia. http://public.crcd.or.kr/Info/Mechanism/Morbidity
  6. Ministry of Health and Welfare(2017), A data of national responsibility system with dementia
  7. E.S Oh, A.Y Lee(2016), Mild cognitive impairment. J Korean Neurol Assoc. Vol. 34(3):167-175. https://doi.org/10.17340/jkna.2016.3.1
  8. H. Koga, T. Yuzuriha, H. Yao, K. Endo, S. Hiejima, Y. Takashima, F. Sadanaga, T. Matsumoto, A. Uchino, K. Ogomori, A. Ichimiya, H. Uchimura, N. Tashiro1 (2002), Quantitative MRI findings and cognitive impairment among community dwelling elderly subjects, BMJ, Vol.72(6),737-741.
  9. W. Li, T. Wang, S. Xiao(2016), Type 2 diabetes mellitus might be a risk factor for mild cognitive impairment progressing to Alzheimer's disease. Neuro- psychiatr Dis Treat, Vol.12:2489-2495. https://doi.org/10.2147/NDT.S111298
  10. B. Akdag, E.A Telci, U. Cavlak(2013), Factors Affecting Cognitive Function in Older Adults: A Turkish Sample, International Journal of Gerontology, Vol.7(3) ;137-141. https://doi.org/10.1016/j.ijge.2013.01.002
  11. S. Sabia, A. Elbaz, A. Dugravot, J. Head, M. Shipley, H.G. Johnson, M. Kivimaki, A.S. Manoux(2012). Impact of Smoking on Cognitive Decline in Early Old Age-The Whitehall II Cohort Study. Arch Gen Psychiatry. Vol.69(6):627-635. https://doi.org/10.1001/archgenpsychiatry.2011.2016
  12. M.W Kim and J.M Park(2017), Factors affecting cognitive function according to gender in community-dwelling elderly individuals, Epidemiol Health. Vol.39: e2017054. https://doi.org/10.4178/epih.e2017054
  13. K.A Jung(2008), Dietary nutrition status and cognitive function of cognitive impairmentin the elderly, Master thesis, Graduate school, Ewha Womans universirty.
  14. Xiaojun Liu, Xiao Yin, Anran Tan, Meikun He, Dongdong Jiang, Yitan Hou, Yuanan Lu, Zongfu Mao(2018), Correlates of Mild Cognitive Impairment of Community-Dwelling Older Adults in Wuhan, China, Int. J. Environ. Res. Public Health, Vol.15,2705;doi:10.3390/ijerph15122705
  15. C.J Hyun(2014), A Comparison of Cognitive Impairment Level according to Character- istics and MMSE-DS of the Elderly, Master thesis, Graduate school, Korea National Open University.
  16. H.K. Park, H.J. Song(2016), Predictors of cognitive function decline of elderly: using living conditions and welfare needs of older Korean persons panel data. Korean J Health Serv Manag. Vol.10(3):147-158. https://doi.org/10.12811/kshsm.2016.10.3.147
  17. H. Koga, T. Yuzuriha, H. Yao, K. Endo, S. Hiejima, Y. Takashima, F. Sadanaga, T. Matsumoto, A. Uchino, K. Ogomori, A. Ichimiya, H. Uchimura, N. Tashiro1(2002), Quantitative MRI findings and cognitive impairment among community dwelling elderly subjects, BMJ, Vol.72(6);737-741.
  18. 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); pp.23-28 https://doi.org/10.1017/S1041610291000480
  19. B.M. Posner, A.M. Jette, K.W. Smith, D.R. Miller(1993), Nutrition and health risks in the elderly: the nutrition screening initiative. Am J Public Health, Vol. 83(7);972-978. https://doi.org/10.2105/AJPH.83.7.972
  20. Y.S. Yang, H.D. Yang, Y.J. Hong, J.E. Kim, M.H. Park, H.R. Na, I.W. Han, S.Y. Kim(2012), Activities of Daily Living and Dementia, Dementia and Neuro -cognitive Disorders, Vol.11(2):29-37. https://doi.org/10.12779/dnd.2012.11.2.29
  21. J.S. Lee, S.Y. Lee(2015), Effect on Cognitive Function in Elderly People, The Korean Society of Health Service Management, Vol.9(3);201-210. https://doi.org/10.12811/kshsm.2015.9.3.201
  22. M.K. Edwards, P.D. Loprinzi(2017), The Association Between Sedentary Behavior and Cognitive Function Among Older Adults May Be Attenuated With Adequate Physical Activity. J Phys Act Health. Vol.14(1):52-58. https://doi.org/10.1123/jpah.2016-0313
  23. H.S. Jeon(2013), An Exploratory Study on the Predictors of Cognitive Improvement among Older Adults: Using Korean Longitudinal Study of Aging(KLoSA), Health and Social Welfare Review, Vol.33(2);461-488 https://doi.org/10.15709/hswr.2013.33.2.461
  24. R.I. Hwang, J.Y. Lim, Y.W. Lee(2009), A Comparison of the Factors Influencing the Life Satisfaction of the Elderly According to their Cognitive Impairment Level, Journal of Korean Academy of Nursing, Vol.39(5);622-631. https://doi.org/10.4040/jkan.2009.39.5.622
  25. J.Y. Lee(2018), Risk Factors to Cognitive Function and Life Satisfaction in Elderly Living Alone, Korean J Stress Res, Vol.26(4);259-267. https://doi.org/10.17547/kjsr.2018.26.4.259