Association Between Sensory Impairment and Dementia: The Roles of Social Network and Leisure Activity

被引:10
作者
Dintica, Christina S. [1 ,2 ,3 ]
Calderon-Larranaga, Amaia [1 ,2 ,4 ]
Vetrano, Davide Liborio [1 ,2 ,4 ]
Xu, Weili [1 ,2 ]
机构
[1] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Aging Res Ctr, Stockholm, Sweden
[2] Stockholm Univ, Stockholm, Sweden
[3] Univ Calif San Francisco, Dept Psychiat & Behav Sci, San Francisco, CA USA
[4] Stockholm Gerontol Res Ctr, Stockholm, Sweden
基金
瑞典研究理事会;
关键词
Alzheimer's disease; dementia; hearing impairment; sensory impairment; vision impairment; HEARING IMPAIRMENT; INCIDENT DEMENTIA; COGNITIVE DECLINE; VISION IMPAIRMENT; OLDER-ADULTS; FOLLOW-UP; PARTICIPATION; POPULATION; RISK; DEPRESSION;
D O I
10.3233/JAD-230041
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Background: Evidence suggests that sensory impairment is linked to dementia; however, the role of social network and leisure activity in this relationship is unclear. Objective: Examine the association of hearing and visual impairment with dementia, and whether a rich social network and leisure activity moderates this association. Methods: Dementia-free older adults from the Swedish National Study on Aging and Care in Kungsholmen (n = 2,579) were followed up for up for a median of 10 years (interquartile range = 6). Visual impairment was assessed with a reading acuity test, and hearing impairment was ascertained via self-report and medical records. Dementia was diagnosed following international criteria. Data on social network and leisure activity was collected via self-report. Hazard ratios (HRs) of dementia risk were derived from Cox regression models. Results: Dual impairment, but not single impairment in hearing and vision was associated with a higher risk of dementia (HR: 1.62, 95% CI: 1.16 to 2.27). Compared to participants with no sensory impairment and a moderate-to-rich social network, those with dual impairment and low social network or leisure activity had higher dementia risk (HR: 2.08, 95% CI: 1.43 to 3.22; HR: 2.08, 95% CI: 1.43 to 3.22, respectively), whereas participants with dual impairment with a moderate-to-rich social network or leisure activity did not have significantly higher dementia risk (HR; 1.42, 95% CI: 0.87 to 2.33; HR; 1.42, 95% CI: 0.87 to 2.33, respectively). Conclusion: A richer social network and participation in stimulating activities may mitigate the higher dementia risk in older adults with dual impairment in vision and hearing.
引用
收藏
页码:585 / 595
页数:11
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