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http://dx.doi.org/10.12811/kshsm.2016.10.3.147

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

Park, Hyun-Kyung (Department of Health Convergence, Graduate School of Ewha Womans University)
Song, Hyun-Jong (Department of Health Policy & Management, Sangji University)
Publication Information
The Korean Journal of Health Service Management / v.10, no.3, 2016 , pp. 147-158 More about this Journal
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
Aged; Cognitive Function Decline; Predictor;
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