Healthy Cognitive Aging and Leisure Activities Among the Oldest Old in Japan: Takashima Study

被引:53
作者
Dodge, Hiroko H. [1 ,2 ,3 ]
Kita, Yoshikuni [4 ]
Takechi, Hajime [5 ]
Hayakawa, Takehito [6 ]
Ganguli, Mary [7 ]
Ueshima, Hirotsugu [4 ]
机构
[1] Oregon State Univ, Dept Publ Hlth, Coll Hlth & Human Sci, Corvallis, OR 97401 USA
[2] Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR 97201 USA
[3] Univ Pittsburgh, Grad Sch Publ Hlth, Dept Epidemiol, Pittsburgh, PA 15260 USA
[4] Shiga Univ Med Sci, Dept Hlth Sci, Shiga, Japan
[5] Kyoto Univ, Grad Sch Med, Dept Geriatr Med, Kyoto 6068501, Japan
[6] Fukushima Med Univ, Sch Med, Fukushima, Japan
[7] Univ Pittsburgh, Sch Med, Dept Psychiat, Pittsburgh, PA 15260 USA
来源
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES | 2008年 / 63卷 / 11期
关键词
Oldest old; Normative data; Leisure activities; Healthy aging; Japanese cohort; Takashima Study;
D O I
10.1093/gerona/63.11.1193
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background. Little is known regarding the normative levels of leisure activities among the oldest old and the factors that explain the age-associated decline in these activities. Methods. The sample included 303 cognitively intact community-dwelling elderly persons with no disability in Activities of Daily Living (ADL) and minimal dependency in Instrumental ADL (IADL) in Shiga prefecture, Japan. We examined (i) the nature and frequency of leisure activities, comparing the oldest old versus younger age groups; (ii) factors that explain the age-associated differences in frequencies of engagement in these activities: and (iii) domain-specific cognitive functions associated with these activities, using three summary index scores: physical and nonphysical hobby indexes and social activity index. Results. The oldest old (95 years old or older) showed significantly lower frequency scores in all activity indexes, compared with the youngest old (age 65-74 years). Gait speed or overall mobility consistently explained the age-associated reduction in levels of activities among the oldest old, whereas vision or hearing impairment and depressive symptoms explained only the decline in social activity. Frequency of engagement in nonphysical hobbies was significantly associated with all cognitive domains examined. Conclusions. Knowing the factors that explain age-associated decline in leisure activities can help in planning strategies for maintaining activity levels among elderly persons.
引用
收藏
页码:1193 / 1200
页数:8
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