دورية أكاديمية
أعرض في EDS

Evaluating the Influence of Social Engagement on Cognitive Impairment and Mobility Outcomes Within the Boston RISE Cohort Study.

التفاصيل البيبلوغرافية
العنوان: Evaluating the Influence of Social Engagement on Cognitive Impairment and Mobility Outcomes Within the Boston RISE Cohort Study.
المؤلفون: Steere HK; From the Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts (HKS, JFB); Spaulding Rehabilitation Hospital, Charlestown, Massachusetts (HKS, JFB); Massachusetts Veterans Epidemiology Research and Information Center, Geriatric Research Education and Clinical Center, Boston, Massachusetts (LQ, JFB); Psychology Service, VA Boston Healthcare System, Boston, Massachusetts (LG); and Department of Psychiatry, School of Medicine, Boston University, Boston, Massachusetts (LG)., Quach L, Grande L, Bean JF
المصدر: American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2019 Aug; Vol. 98 (8), pp. 685-691.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8803677 Publication Model: Print Cited Medium: Internet ISSN: 1537-7385 (Electronic) Linking ISSN: 08949115 NLM ISO Abbreviation: Am J Phys Med Rehabil Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Baltimore, MD] : Published by Williams & Wilkins for the Association of Academic Physiatrists, [c1988-
مواضيع طبية MeSH: Mobility Limitation* , Social Behavior*, Cognitive Dysfunction/*physiopathology , Cognitive Dysfunction/*psychology, Aged ; Aged, 80 and over ; Boston ; Cohort Studies ; Cross-Sectional Studies ; Female ; Humans ; Male ; Outcome Assessment, Health Care ; Range of Motion, Articular
مستخلص: Objective: We investigated the associations between mild cognitive impairment (MCI), social engagement (SE), and mobility.
Design: We evaluated data from a cohort study of older adult primary care patients (N = 430). Outcomes included self-reported function (Late-Life Function Instrument [LLFI]) and performance-based mobility (Short Physical Performance Battery score [SPPB]). Linear regression models evaluated the association between MCI and mobility, MCI and SE, mobility measures and SE, and whether SE mediated the association between MCI status and mobility.
Results: Participants with MCI had significantly lower mobility and lower SE as compared with those without MCI (LLFI: 53.5 vs. 56.9, P < 0.001; SPPB: 7.9 vs. 9.3, P < 0.001; SE score: 44.9 vs. 49.0, P < 0.001). Mild cognitive impairment was significantly associated with both LLFI and SPPB (LLFI β = -2.93, P < 0.001; SPPB β = -1.26, P < 0.001) and SE (β = -3.20, P < 0.001). Social engagement was significantly associated with both LLFI and SPPB (LLFI β = 0.22; P < 0.001; SPPB β = 0.08; P < 0.001). There was a positive association between SE and mobility (P< 0.05). A mediator effect of SE was supported when evaluating the association between MCI and mobility.
Conclusions: Among older adult primary care patients at risk for mobility decline, higher levels of SE mitigate the association between MCI and mobility.
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معلومات مُعتمدة: K24 HD070966 United States HD NICHD NIH HHS; R01 AG032052 United States AG NIA NIH HHS; UL1 RR025758 United States RR NCRR NIH HHS
تواريخ الأحداث: Date Created: 20190719 Date Completed: 20200312 Latest Revision: 20240229
رمز التحديث: 20240229
مُعرف محوري في PubMed: PMC6649680
DOI: 10.1097/PHM.0000000000001175
PMID: 31318749
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-7385
DOI:10.1097/PHM.0000000000001175