Sociodemographic features associated with the MoCA, SPPB, and GDS scores in a community-dwelling elderly population.
Elderly people
Geriatric Depression Scale
Montreal Cognitive Assessment
Short physical performance battery
Sociodemographic features
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
13 09 2023
13 09 2023
Historique:
received:
08
11
2022
accepted:
11
07
2023
medline:
15
9
2023
pubmed:
14
9
2023
entrez:
13
9
2023
Statut:
epublish
Résumé
An accurate evaluation of cognitive function, physical health, and psychological health is fundamental for assessing health problems in the elderly population, and it is important to identify the necessity of early therapeutic intervention. The objective of this study was to evaluate the states of mental and physical functions and to investigate the relationships between sociodemographic features and these functions in a community-dwelling elderly population. This community-based cross-sectional study was conducted in a suburban district of Shanghai, China. A total of 1025 participants aged 60-89 years underwent investigations of demographic and lifestyle features and a multidimensional geriatric evaluation comprising the Montreal Cognitive Assessment (MoCA), Short Physical Performance Battery (SPPB), and Geriatric Depression Scale (GDS). The results of the multivariate linear regression models demonstrated that the MoCA and SPPB scores decreased with advancing age (all P < 0.01). However, the GDS score did not exhibit an age-related decrease (P = 0.09). Both sex and living alone influenced the MoCA score (P < 0.01 and P = 0.04, respectively), SPPB score (P < 0.01 and P = 0.04, respectively), and GDS score (P < 0.01 and P < 0.01, respectively). A higher education level was related to better MoCA and SPPB scores (all P < 0.01). Furthermore, age and sex had interactive effects on the MoCA score (P = 0.03) and SPPB score (P < 0.01). The kernel-weighted local polynomial smoothing curves exhibited similar trends. It is imperative to develop a more sensitive evaluation of physical function, and to encourage various intellectually and emotionally stimulating social activity strategies to promote healthy aging, especially in elderly women and those living alone who have a low education level.
Sections du résumé
BACKGROUND
An accurate evaluation of cognitive function, physical health, and psychological health is fundamental for assessing health problems in the elderly population, and it is important to identify the necessity of early therapeutic intervention. The objective of this study was to evaluate the states of mental and physical functions and to investigate the relationships between sociodemographic features and these functions in a community-dwelling elderly population.
METHODS
This community-based cross-sectional study was conducted in a suburban district of Shanghai, China. A total of 1025 participants aged 60-89 years underwent investigations of demographic and lifestyle features and a multidimensional geriatric evaluation comprising the Montreal Cognitive Assessment (MoCA), Short Physical Performance Battery (SPPB), and Geriatric Depression Scale (GDS).
RESULTS
The results of the multivariate linear regression models demonstrated that the MoCA and SPPB scores decreased with advancing age (all P < 0.01). However, the GDS score did not exhibit an age-related decrease (P = 0.09). Both sex and living alone influenced the MoCA score (P < 0.01 and P = 0.04, respectively), SPPB score (P < 0.01 and P = 0.04, respectively), and GDS score (P < 0.01 and P < 0.01, respectively). A higher education level was related to better MoCA and SPPB scores (all P < 0.01). Furthermore, age and sex had interactive effects on the MoCA score (P = 0.03) and SPPB score (P < 0.01). The kernel-weighted local polynomial smoothing curves exhibited similar trends.
CONCLUSIONS
It is imperative to develop a more sensitive evaluation of physical function, and to encourage various intellectually and emotionally stimulating social activity strategies to promote healthy aging, especially in elderly women and those living alone who have a low education level.
Identifiants
pubmed: 37704972
doi: 10.1186/s12877-023-04162-z
pii: 10.1186/s12877-023-04162-z
pmc: PMC10500811
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
557Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
BMC Psychiatry. 2021 Oct 4;21(1):485
pubmed: 34607584
Arch Gen Psychiatry. 2008 Feb;65(2):172-8
pubmed: 18250255
J Affect Disord. 2019 Dec 1;259:370-375
pubmed: 31470180
Nutrients. 2021 Feb 04;13(2):
pubmed: 33557348
Front Neurol. 2022 Aug 03;13:950644
pubmed: 35989918
Ann Gen Psychiatry. 2021 Jul 28;20(1):36
pubmed: 34321017
Health Soc Care Community. 2022 Jul;30(4):e909-e920
pubmed: 34245201
JAMA. 2018 Apr 17;319(15):1600-1612
pubmed: 29677308
Issues Ment Health Nurs. 2006 Aug-Sep;27(7):795-813
pubmed: 16849264
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Int J Geriatr Psychiatry. 2019 Feb;34(2):233-242
pubmed: 30370616
Heliyon. 2021 Jul 16;7(7):e07618
pubmed: 34368483
PLoS One. 2021 Jul 1;16(7):e0253899
pubmed: 34197527
Shanghai Arch Psychiatry. 2018 Feb 25;30(1):12-19
pubmed: 29719354
Int J Psychiatry Clin Pract. 2020 Sep;24(3):293-300
pubmed: 32271127
EClinicalMedicine. 2022 Sep 29;54:101677
pubmed: 36204005
Int J Environ Res Public Health. 2016 Jul 09;13(7):
pubmed: 27409627
Aging Clin Exp Res. 2022 Oct;34(10):2417-2420
pubmed: 35780219
Korean J Intern Med. 2016 Jul;31(4):712-21
pubmed: 27079326
BMC Geriatr. 2019 Aug 8;19(1):216
pubmed: 31395008
Nutr Rev. 1996 Jan;54(1 Pt 2):S59-65
pubmed: 8919685
Gerontologist. 2019 Nov 16;59(6):e743-e763
pubmed: 30517634
Geriatr Gerontol Int. 2017 Apr;17(4):637-644
pubmed: 27197085
Clin Geriatr Med. 2018 Nov;34(4):505-513
pubmed: 30336985
J Gerontol. 1994 Mar;49(2):M85-94
pubmed: 8126356
Am J Hum Genet. 2018 Jan 4;102(1):88-102
pubmed: 29304378
J Family Med Prim Care. 2020 May 31;9(5):2332-2336
pubmed: 32754497
Int Psychogeriatr. 2012 Nov;24(11):1749-55
pubmed: 22687278
Am J Geriatr Psychiatry. 2002 May-Jun;10(3):283-91
pubmed: 11994215
Psychol Med. 2021 Oct;51(14):2414-2421
pubmed: 32338228
J Am Geriatr Soc. 2005 Apr;53(4):695-9
pubmed: 15817019
J Psychiatr Res. 1982-1983;17(1):37-49
pubmed: 7183759
J Alzheimers Dis. 2017;58(3):789-801
pubmed: 28482634
CNS Spectr. 2019 Feb;24(1):78-87
pubmed: 30651152
J Am Geriatr Soc. 1989 Aug;37(8):819-20
pubmed: 2666489
Proc Nutr Soc. 2019 Aug;78(3):372-379
pubmed: 30501651
Psychol Methods. 2002 Mar;7(1):19-40
pubmed: 11928888
BMC Geriatr. 2019 Jul 18;19(1):192
pubmed: 31319807
Psychiatr Pol. 2016 Oct 31;50(5):1039-1052
pubmed: 27992895
J Geriatr Psychiatry Neurol. 2011 Dec;24(4):184-90
pubmed: 22228824
Dement Neurocogn Disord. 2020 Jun;19(2):65-73
pubmed: 32602281
Appl Neuropsychol Adult. 2023 Jul-Aug;30(4):414-418
pubmed: 34266325
Int J Geriatr Psychiatry. 2018 Jul;33(7):972-979
pubmed: 29575215
Neurology. 2022 Jun 8;:
pubmed: 35676089
Soc Sci Med. 2015 Mar;128:67-75
pubmed: 25594954
J Gerontol B Psychol Sci Soc Sci. 2006 Jul;61(4):P213-9
pubmed: 16855033
Int J Behav Med. 2019 Aug;26(4):329-330
pubmed: 31140147