دورية أكاديمية

Association Between Weight Status and Rate of Cognitive Decline: China Health and Nutrition Survey 1997–2018.

التفاصيل البيبلوغرافية
العنوان: Association Between Weight Status and Rate of Cognitive Decline: China Health and Nutrition Survey 1997–2018.
المؤلفون: Lynch, David H, Howard, Annie Green, Tien, Hsiao-Chuan, Du, Shufa, Zhang, Bing, Wang, Huijun, Gordon-Larsen, Penny, Batsis, John A
المصدر: Journals of Gerontology Series A: Biological Sciences & Medical Sciences; Jun2023, Vol. 78 Issue 6, p958-965, 8p
مصطلحات موضوعية: COGNITION disorders, NUTRITION surveys, HEALTH surveys, OLDER people, COMPULSIVE eating, BODY mass index
مصطلحات جغرافية: CHINA
الشركة/الكيان: WORLD Health Organization
مستخلص: Background There is a close relationship between weight status and cognitive impairment in older adults. This study examined the association between weight status and the trajectory of cognitive decline over time in a population-based cohort of older adults in China. Methods We used data from adults aged ≥55 years participating in the China health and nutrition survey (1997–2018). Underweight (body mass index [BMI] ≤ 18.5 kg/m2), normal weight (18.5–23 kg/m2), overweight (23–27.5 kg/m2), and obesity (BMI ≥ 27.5 kg/m2) were defined using the World Health Organization Asian cutpoints. Global cognition was estimated every 2–4 years through a face-to-face interview using a modified telephone interview for cognitive status (scores 0–27). The association between BMI and the rate of global cognitive decline, using a restricted cubic spline for age and age category, was examined with linear mixed-effects models accounting for correlation within communities and individuals. Results We included 5 992 adults (53% female participants, mean age of 62 at baseline). We found differences in the adjusted rate of global cognitive decline by weight status (p  = .01 in the cubic spline model). Models were adjusted for sex, marital status, current employment status, income, region, urbanization, education status, birth cohort, leisure activity, smoking status, and self-reported diagnosis of hypertension, diabetes, or Myocardial Infarction (MI)/stroke. In addition, significant declines by age in global cognitive function were found for all weight status categories except individuals with obesity. Conclusions In a cohort of adults in China, cognitive decline trajectory differed by weight status. A slower rate of change was observed in participants classified as having obesity. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10795006
DOI:10.1093/gerona/glad051