农村老年人生活行为方式、抑郁情绪与听觉记忆功能相关性研究  

Research on the correlation between lifestyle,depression,and auditory memory function in rural elderly

作　　者：王念芬 宋振玉 刘晓黎 尹燕雯 杜怡峰 WANG Nianfen;SONG Zhenyu;LIU Xiaoli;YIN yanwen;DU Yifeng(Department of Neurology,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)

机构地区：[1]山东第一医科大学附属省立医院,济南250021

出　　处：《中国神经精神疾病杂志》2023年第8期462-467,共6页Chinese Journal of Nervous and Mental Diseases

基　　金：国家自然科学基金项目(编号:8186113808)。

摘　　要：目的探讨农村老年人生活行为方式、抑郁情绪与听觉记忆功能的相关性。方法于2018年3月至9月对山东省阳谷县闫楼镇52个村庄4225名60岁以上老年人进行调查,应用中文版听觉词语学习测验(Chinese auditory verbal learning test,CAVLT)评价其听觉记忆功能,简易精神状态量表(mini-mental state examination,MMSE)评价其认知功能,经专科医生诊断,筛选出听觉记忆功能障碍者827名(研究组),听觉记忆功能正常者3173名(对照组),采用自制生活行为方式问卷、简版老年抑郁量表(geriatric depression scale-15,GDS-15)评价其生活行为方式和抑郁情绪。结果研究组与对照组比较,70岁及以上者(51.3%vs.48.3%)、受教育程度低者[(文盲39.5%、小学45.3%、初中及以上15.2%)vs(.文盲35.9%、小学45.1%、初中及以上19.0%)]、有抑郁情绪者(9.6%vs.6.4%)较多(P<0.05),饮食偏好嗜盐(46.4%vs.41.3%)、嗜油(4.5%vs.1.4%)、吸烟(25.4%vs.21.7%)者较多(P<0.05)。研究组中,散步(r=0.041)、骑车(r=0.044)、打麻将(r=0.033)、听戏(r=0.036)、下象棋(r=0.017)与听觉记忆功能评分呈正相关(P<0.05),荤食为主(r=-0.043)、嗜油(r=-0.032)、吸烟(r=-0.025)、抑郁情绪(r=-0.140)与听觉记忆功能评分呈负相关(P<0.05)。logistic回归分析显示,受教育程度(OR=1.214)、荤素均衡(OR=1.111)、素食为主(OR=1.214)、减体重(OR=1.445)、骑车(OR=1.071)、听戏(OR=1.122)、有抑郁情绪(OR=0.511)与听觉记忆功能障碍(赋值:0=是,1=否)有关联(P<0.05)。结论农村老年人听觉记忆功能与生活行为方式及抑郁情绪相关。Objective To investigate the correlation between the lifestyle behaviors,depressive mood,and auditory memory function of elderly individuals in rural areas.Methods From March to September 2018,a survey was conducted among 4225 elderly individuals aged 60 and above in 52 villages of Yanggu,Yanlou Town,Shandong.The Chinese auditory verbal learning test(CAVLT)and the mini-mental state examination(MMSE)were used to evaluate their cognitive functions.Based on diagnoses by specialists,827 individuals with auditory memory impairments(research group)and 3173 with normal auditory memory function(control group)were identified.Custom-made lifestyle behavior questionnaires and the geriatric depression scale-15(GDS-15)were employed to assess their lifestyle behaviors and depressive moods.Results Compared with the control group,the research group had a higher percentage of individuals aged 70 and above(51.3%vs.48.3%),those with lower educational levels[(illiterate 39.5%,primary school 45.3%,junior high school and above 15.2%)vs.(illiterate 35.9%,primary school 45.1%,junior high school and above 19.0%)]and those with depressive moods(9.6%vs.6.4%)(P<0.05).Differences in dietary preferences for salt(46.4%vs.41.3%),oil(4.5%vs.1.4%),and smoking habits(25.4%vs.21.7%)were significant(P<0.05).In the research group,activities such as walking(r=0.041),cycling(r=0.044),playing mahjong(r=0.033),listening to opera(r=0.036),and playing chess(r=0.017)were positively correlated with auditory memory function(P<0.05).Meanwhile,preferences for meat-based diets(r=-0.043),oil(r=-0.032),smoking(r=-0.025),and depressive moods(r=-0.140)showed a negative correlation with auditory memory function(P<0.05).Regression analysis revealed that education level(OR=1.214),balanced meat-vegetable diet(OR=1.111),preference for vegetarian diet(OR=1.214),weight loss(OR=1.445),cycling(OR=1.071),listening to opera(OR=1.122),and having a depressive mood(OR=0.511)were correlated with auditory memory function scores(P<0.05).Conclusion The auditory memory function of eld

关 键 词：听觉记忆 认知功能 农村老年人 生活行为方式 抑郁情绪 听觉词语学习测验 记忆 

分 类 号：R749.16[医药卫生—神经病学与精神病学]