A Dual Group-Based 11-Year Trajectory Analysis of Cognitive Impairment and Transport Restriction for Community-Dwelling Older Adults

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY International Journal of Geriatric Psychiatry Pub Date : 2024-12-09 DOI:10.1002/gps.70032

Yong Yang, Yu Jiang, Ming Wen, Li Wang

{"title":"A Dual Group-Based 11-Year Trajectory Analysis of Cognitive Impairment and Transport Restriction for Community-Dwelling Older Adults","authors":"Yong Yang, Yu Jiang, Ming Wen, Li Wang","doi":"10.1002/gps.70032","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To examine the trajectories of cognitive impairment and transport restriction over time and the interrelation between these trajectories among older adults.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Group-based trajectory modeling was used on the longitudinal National Health and Aging Trends Study (NHATS) over 11 years from 2011 to 2021, among 5753 participants, stratified by age in 2011 to three groups of 65–74 years, 75–84 years, and 85 years and above.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>For transport restrictions, these trajectory groups were: (1) a majority with no restrictions, (2) low and increasing or stable, and (3) moderate or high and decreasing. The overall pattern was largely consistent across the three age groups, with the older group showing a higher predicted likelihood of transport restrictions compared to the younger group. For each of the three age groups, there were two cognitive impairment trajectories including (1) low and (2) increasing cognitive impairment. The proportions of increasing cognitive impairment were 12.3% among the 65–74 years old, 27.3% among the 75–84 years old, and 40.4% among the 85 years and above old. Compared with those with no transport restriction, the other two trajectories with either low or moderate transport restrictions were more likely to belong to increasing cognitive impairment. The odds ratio was 3.06 (95% CI 2.0–4.68) for low & increasing transport restrictions versus 1.57 (95% CI 0.96–2.56) for moderate & decreasing transport restrictions among 65–74 years old. The odds ratio was 2.38 (95% CI 1.68–3.38) for low & increasing transport restrictions versus 1.88 (95% CI 1.39–2.55) for moderate & decreasing transport restrictions among 75–84 years old.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Cognitive impairment was more likely to co-occur with those with low and increasing transport restrictions than with those with moderate and decreasing transport restrictions. Addressing transport restriction among older adults holds the potential to ameliorate cognitive outcomes.</p>\n </section>\n </div>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"39 12","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Geriatric Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/gps.70032","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

To examine the trajectories of cognitive impairment and transport restriction over time and the interrelation between these trajectories among older adults.

Methods

Group-based trajectory modeling was used on the longitudinal National Health and Aging Trends Study (NHATS) over 11 years from 2011 to 2021, among 5753 participants, stratified by age in 2011 to three groups of 65–74 years, 75–84 years, and 85 years and above.

Results

For transport restrictions, these trajectory groups were: (1) a majority with no restrictions, (2) low and increasing or stable, and (3) moderate or high and decreasing. The overall pattern was largely consistent across the three age groups, with the older group showing a higher predicted likelihood of transport restrictions compared to the younger group. For each of the three age groups, there were two cognitive impairment trajectories including (1) low and (2) increasing cognitive impairment. The proportions of increasing cognitive impairment were 12.3% among the 65–74 years old, 27.3% among the 75–84 years old, and 40.4% among the 85 years and above old. Compared with those with no transport restriction, the other two trajectories with either low or moderate transport restrictions were more likely to belong to increasing cognitive impairment. The odds ratio was 3.06 (95% CI 2.0–4.68) for low & increasing transport restrictions versus 1.57 (95% CI 0.96–2.56) for moderate & decreasing transport restrictions among 65–74 years old. The odds ratio was 2.38 (95% CI 1.68–3.38) for low & increasing transport restrictions versus 1.88 (95% CI 1.39–2.55) for moderate & decreasing transport restrictions among 75–84 years old.

Conclusions

Cognitive impairment was more likely to co-occur with those with low and increasing transport restrictions than with those with moderate and decreasing transport restrictions. Addressing transport restriction among older adults holds the potential to ameliorate cognitive outcomes.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

基于双组的社区居住老年人认知障碍和交通限制的11年轨迹分析。

目的：研究老年人认知障碍和运输限制随时间的变化轨迹，以及这些轨迹之间的相互关系。方法：采用基于群体的轨迹模型对2011年至2021年11年间的全国健康与老龄化趋势纵向研究（NHATS）进行研究，共有5753名参与者，按2011年的年龄分为65-74岁、75-84岁和85岁及以上三组。结果：对于运输限制，这些轨迹组为：(1)大多数没有限制，(2)低且增加或稳定，(3)中或高且减少。总体模式在三个年龄组中基本一致，与年轻人相比，老年人显示出更高的交通限制预测可能性。在三个年龄组中，每个年龄组都有两个认知障碍轨迹，包括(1)低认知障碍和(2)增加认知障碍。65 ~ 74岁认知功能障碍加重的比例为12.3%，75 ~ 84岁为27.3%，85岁及以上为40.4%。与没有交通限制的患者相比，其他两个交通限制低或中度的轨迹更有可能属于认知障碍的增加。在65-74岁人群中，低和增加的交通限制的优势比为3.06 (95% CI 2.0-4.68)，而中等和减少的交通限制的优势比为1.57 （95% CI 0.96-2.56）。在75-84岁的人群中，低和增加交通限制的优势比为2.38 (95% CI 1.68-3.38)，而中等和减少交通限制的优势比为1.88 （95% CI 1.39-2.55）。结论：认知障碍更可能与交通限制程度低且增加的患者同时发生，而不是与交通限制程度中等且减少的患者同时发生。解决老年人的交通限制问题有可能改善认知结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.