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Wang Y, Xu H, Geng Z, Geng G, Zhang F. Dementia and the history of disease in older adults in community. BMC Public Health 2023; 23:1555. [PMID: 37582737 PMCID: PMC10428616 DOI: 10.1186/s12889-023-16494-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Accepted: 08/09/2023] [Indexed: 08/17/2023] Open
Abstract
INTRODUCTION Many studies have revealed the effect of medical history on dementia. The aim of this study was to explore the relationship between the history of disease and onset of dementia. METHODS This was a multi-center, cross-sectional study, with 2595 older adults enrolled. The onset of dementia was evaluated with Revised Hasegawa Dementia Scale (HDS-R). The diagnosed diseases after the age of 40 of the participants were investigated, including respiratory system diseases, digestive system diseases, cardiovascular diseases, endocrine disorders, genitourinary system diseases, nervous system disease, sensory system diseases, dental/oral diseases, bone/joint diseases and mental illnesses. RESULTS Data of 2458 older adults were analyzed. Univariate analysis showed that diabetes, thyroid disease, mental illness, hearing loss, stroke, dental/oral disease, Denture use, fracture/osteoporosis, kidney disease and number of diseases were risk factors for dementia. After controlling for demographic sociological variables, diabetes, dental/oral disease, and denture use were independent risk factors for dementia. Thyroid disease (P = 0.313), mental illnesses (P = 0.067), hearing loss (P = 0.595), stroke (P = 0.538), fractures/osteoporosis (P = 0.069), kidney disease (P = 0.168) were no longer significant to dementia. CONCLUSION Diabetes, dental/oral disease and denture use were main risk factors for dementia.
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Affiliation(s)
- Yuan Wang
- Medical College of Nantong University, 19 QiXiu Road, Nantong City, Jiangsu Province, China
| | - Honglian Xu
- Nantong North Rehabilitation Hospital, Nantong City, Jiangsu Province, China
| | - Zihan Geng
- Medical College of Nantong University, 19 QiXiu Road, Nantong City, Jiangsu Province, China
| | - Guiling Geng
- Medical College of Nantong University, 19 QiXiu Road, Nantong City, Jiangsu Province, China
| | - Feng Zhang
- Medical College of Nantong University, 19 QiXiu Road, Nantong City, Jiangsu Province, China.
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Woodward KP, Yu Z, Chen W, Chen T, Jackson DB, Powell TW, Wang L. Childhood Bereavement, Adverse and Positive Childhood Experiences, and Flourishing among Chinese Young Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4631. [PMID: 36901641 PMCID: PMC10001697 DOI: 10.3390/ijerph20054631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 02/06/2023] [Accepted: 02/21/2023] [Indexed: 06/18/2023]
Abstract
Childhood bereavement (CB) resulting from a parent or primary caregiver death is associated with a range of adverse outcomes. Little is known about the association between CB and adult flourishing in the context of adverse childhood experiences (ACEs) and positive childhood experiences (PCEs). In a cross-sectional observational study, we examined how ACEs, PCEs, and adult flourishing differs by self-reported CB history among 9468 Chinese young adults (18-35 years), of which 4.3% experienced CB (n = 409). Data collection included convenience sampling among university students in Mainland China. Respondents voluntarily completed an online survey between August and November 2020. Descriptive statistics, chi-square tests, and logistic regressions examined frequencies and differences in ACEs, PCEs, and flourishing by the history of CB controlling for a few demographic covariates. Bereaved individuals reported significantly higher ACEs and lower PCEs. The odds of experiencing emotional, physical, and sexual abuse as well as household substance abuse, parental mental illness, and parental incarceration ranged from 2.0-5.2 times higher for bereaved individuals. Bereaved participants also reported significant negative relationships with Flourishing Index (β = -0.35, t = -4.19, p < 0.001) and Secure Flourishing Index (β = -0.40, t = -4.96, p < 0.001). Consistent with previous research, our findings demonstrate the lasting effects of CB on well-being. We discuss study implications for ACEs and PCEs screening and surveillance as well as grief counseling to promote flourishing among bereaved youth in China and beyond.
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Affiliation(s)
- Krista P. Woodward
- Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
| | - Zhiyuan Yu
- Johns Hopkins School of Nursing, 525N Wolfe Street, Baltimore, MD 21205, USA
| | - Wenyi Chen
- Johns Hopkins School of Nursing, 525N Wolfe Street, Baltimore, MD 21205, USA
| | - Tingting Chen
- Xin Hua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Dylan B. Jackson
- Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
| | - Terrinieka W. Powell
- Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
| | - Lin Wang
- School of Nursing, Shanghai Jiao Tong University, Shanghai 200240, China
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Fu R, Liu Y. Intergenerational Socioeconomic Mobility and Cognitive Impairment Among Chinese Older Adults: Gender Differences. J Appl Gerontol 2022; 41:1733-1743. [PMID: 35414294 DOI: 10.1177/07334648221084996] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study examined the impact of intergenerational socioeconomic mobility on the risk of cognitive impairment in a cohort of Chinese older adults aged 60 years and older. Data were derived from the 2014 wave of the Chinese Longitudinal Healthy Longevity Survey. Logistic regression models were performed to assess the impact of three dimensions of socioeconomic mobility (occupational mobility, educational mobility, and residential mobility) on the risk of cognitive impairment. We found that men who were stable with non-professional jobs across generations had a higher risk of cognitive impairment than their counterparts who experienced upward occupational mobility compared to their father. This pattern was not observed in women. There was little evidence that educational mobility or residential mobility affected cognitive impairment in later life. The findings have implications for advancing supportive policies and practices related to maximizing the benefits of education and career advancements for cognition in later life.
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Affiliation(s)
- Rong Fu
- Department of Sociology, 5173Siena College, Loudonville, NY, USA
| | - Yujun Liu
- School of Family and Consumer Sciences, 2848Northern Illinois University, DeKalb, IL, USA
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Zhang K, Zhang W. Adverse Childhood Experiences and Mild Cognitive Impairment in Later Life: Exploring Rural/Urban and Gender Differences Using CHARLS. J Appl Gerontol 2021; 41:1454-1464. [PMID: 34933578 DOI: 10.1177/07334648211064796] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This paper aims to examine whether and how adverse childhood experiences are associated with mild cognitive impairment among middle-aged and older adults in China, and if the associations vary by gender and rural/urban residence. Using four waves of data from the China Health and Retirement Longitudinal Study, cox proportional hazard models were applied. Results showed that the rural and female subsamples were significantly disadvantaged and were more likely to be cognitively impaired. Moreover, childhood family socioeconomic status and childhood social relationships were significantly associated with the risk of mild cognitive impairment for the study sample. Our findings suggest that, for middle-aged and older Chinese adults, adverse childhood experiences could have long-lasting impacts on cognitive functioning throughout the life course.
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Affiliation(s)
- Keqing Zhang
- Department of Sociology, 204835University of Hawai'i at Mānoa, Honolulu, HI, USA
| | - Wei Zhang
- Department of Sociology, 204835University of Hawai'i at Mānoa, Honolulu, HI, USA
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Conde-Sala JL, Garre-Olmo J. Early parental death and psychosocial risk factors for dementia: A case-control study in Europe. Int J Geriatr Psychiatry 2020; 35:1051-1059. [PMID: 32392630 DOI: 10.1002/gps.5328] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 04/29/2020] [Accepted: 05/03/2020] [Indexed: 12/19/2022]
Abstract
OBJECTIVES To assess the association between early parental death and the risk of dementia in adult life and to examine the risk factors associated with early parental death in people with and without dementia. METHODS/DESIGN A population-based case-control study of a sample of 65 997 participants from the Survey of Health, Ageing and Retirement in Europe study. Early parental death was operationalized as parental death at the age of ≤16 years. Main analyses were conducted using bivariate and multivariate logistic regression analyses. RESULTS The odds ratio (OR) for dementia in individuals who experienced early parental death (father or mother) at the age of ≤16 years was 1.83 (95%CI 1.61-2.09) and 1.54 (95%CI 1.35-1.76) adjusted for age, gender and education. In the multivariate logistic regression analysis carried out with the whole sample, early parental death increased the risk of dementia (OR = 1.50, 95%CI 1.31-1.72), along with older age (OR = 5.92, 95%CI 4.86-7.17), neuroticism (OR = 2.94, 95%CI 2.61-3.31), low education level (OR = 1.84, 95%CI 1.64-2.05) and low income (OR = 1.49, 95%CI 1.34-1.67). DISCUSSION Early parental death (≤16 years) was associated with an increased risk of dementia. We discuss the neurobiological markers associated with adverse childhood experiences (ACEs) and dementia as well as interventions to counteract the negative health effects on adults. J Am Geriatr Soc 68:-, 2020.
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Affiliation(s)
- Josep L Conde-Sala
- Institute of Neurosciences, University of Barcelona, Catalonia, Spain.,Aging, Disability and Health Research Group, Girona Biomedical Research Institute (IdIBGi), Catalonia, Spain
| | - Josep Garre-Olmo
- Aging, Disability and Health Research Group, Girona Biomedical Research Institute (IdIBGi), Catalonia, Spain.,Department of Medical Sciences, University of Girona, Spain
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Zhu Y, Liu H, Lu XL, Zhang B, Weng W, Yang J, Zhang J, Dong MJ. Prevalence of dementia in the People's Republic of China from 1985 to 2015: a systematic review and meta-regression analysis. BMC Public Health 2019; 19:578. [PMID: 31092218 PMCID: PMC6521412 DOI: 10.1186/s12889-019-6840-z] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Accepted: 04/16/2019] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND In China, the most populous developing country in the world, dementia represents a serious challenge. We performed a large-scale systematic review and meta-regression analysis to elucidate the prevalence of dementia and its subtypes and to identify potential factors underlying the differences between articles. METHODS A comprehensive literature search was conducted in the following databases to identify studies published up to December 2015: Cochrane Library, CBMDISK, Chongqing VIP, CNKI, PubMed and EMBASE. All statistical analyses (including subtype and meta-regression analyses) were performed with R version 3.3.3. RESULTS In total, 51 surveys were selected. The pooled prevalence rates of dementia and its main subtypes, namely, Alzheimer's disease (AD) and vascular dementia (VAD), for the population aged 55 years and older were 4.03, 2.44 and 1.09%, respectively. The outcomes showed that the meta-regression analysis was affected by the publication year, sample size, region and diagnostic criteria. CONCLUSIONS Our analysis provided reliable estimates of the prevalence of dementia/ AD/ VD over the past 30 years, which may be affected by education level, and diagnostic criteria. The prevalence of AD/VAD was higher in northern than in southern China, which warrants further study.
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Affiliation(s)
- Yangjun Zhu
- Department of Ultrasound, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310003, People's Republic of China
| | - Hao Liu
- The Department of Nuclear Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, 79 QingChun Road, Hangzhou, 310003, People's Republic of China
| | - Xi-Li Lu
- The Department of Nuclear Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, 79 QingChun Road, Hangzhou, 310003, People's Republic of China
| | - Bo Zhang
- The Department of Nuclear Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, 79 QingChun Road, Hangzhou, 310003, People's Republic of China
| | - Wanwen Weng
- The Department of Nuclear Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, 79 QingChun Road, Hangzhou, 310003, People's Republic of China
| | - Jun Yang
- The Department of Nuclear Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, 79 QingChun Road, Hangzhou, 310003, People's Republic of China
| | - Jun Zhang
- The Department of Nuclear Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, 79 QingChun Road, Hangzhou, 310003, People's Republic of China
| | - Meng-Jie Dong
- The Department of Nuclear Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, 79 QingChun Road, Hangzhou, 310003, People's Republic of China.
- Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Tumours of Zhejiang Province, Hangzhou, 310003, People's Republic of China.
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The Association Between Zinc and Cognitive Impairment in Elderly People of Iran. ACTA ACUST UNITED AC 2017. [DOI: 10.5812/semj.13093] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Lü J, Fu W, Liu Y. Physical activity and cognitive function among older adults in China: A systematic review. JOURNAL OF SPORT AND HEALTH SCIENCE 2016; 5:287-296. [PMID: 30356530 PMCID: PMC6188717 DOI: 10.1016/j.jshs.2016.07.003] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2016] [Revised: 04/30/2016] [Accepted: 05/14/2016] [Indexed: 05/27/2023]
Abstract
BACKGROUND Physical activity (PA) has been shown to benefit cognitive function in older adults. However, the cognitive benefits of exercising for older Chinese adults have not been systematically documented. This study was to conduct a systematic review on evidence that PA is beneficial for cognitive functioning in older Chinese adults. METHODS Major databases, including PubMed, EMBASE, Cochrane Library, WanFang, CNKI, and VIP, were searched for studies published in English or Chinese between January 2000 and December 2015. Randomized and non-randomized controlled trials (RCTs and non-RCTs), cohort, case-control and cross-sectional studies that evaluated PA and cognitive function among older Chinese adults were included in this review. RESULTS Of 53 studies included and reviewed, 33 were observational (22 cross-sectional, 7 case-control, and 4 cohort) and 20 were experimental (15 RCTs, 5 non-RCTs). Observational studies showed an association of reduced risk of cognitive-related diseases (i.e., mild cognitive impairment, Alzheimer's disease, and dementia) through PA, whereas experimental studies reported exercise-induced improvement in multiple domains of cognitive function (i.e., global cognitive function, memory, executive function, attention, language, and processing recourse). CONCLUSION This systematic review provides initial evidence that PA may benefit cognition in older Chinese adults. Further studies of individuals with cognitive impairments and prospective and RCT studies having high scientific rigor are needed to corroborate the findings reported in this review.
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Affiliation(s)
| | | | - Yu Liu
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
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Elkana O, Eisikovits OR, Oren N, Betzale V, Giladi N, Ash EL. Sensitivity of Neuropsychological Tests to Identify Cognitive Decline in Highly Educated Elderly Individuals: 12 Months Follow up. J Alzheimers Dis 2015; 49:607-16. [DOI: 10.3233/jad-150562] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Odelia Elkana
- Behavioral Sciences, Academic College of Tel Aviv-Yaffo, Israel
- Memory and Attention Disorders Center, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | | | - Noga Oren
- Memory and Attention Disorders Center, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Functional Brain Center, Wohl Institute for Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Vered Betzale
- Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Nir Giladi
- Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Elissa L. Ash
- Memory and Attention Disorders Center, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
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Vargas EA, Gallardo ÁMR, Manrrique GG, Murcia-Paredes LM, Riaño MCA. Prevalence of dementia in Colombian populations. Dement Neuropsychol 2014; 8:323-329. [PMID: 29213921 PMCID: PMC5619179 DOI: 10.1590/s1980-57642014dn84000004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
With the gradual increase in the life expectancy of the population due to
scientific progress and public health at the service of society, the prevalence
of dementia has been increasing at different rates worldwide. Currently, the
prevalence rates range between 5% and 7% (6.4% in the U.S. and up to 8.5 % in
Latin America) in subjects older than 60 years. The lowest prevalence rate
(2.1%) has been reported from sub-Saharan Africa, probably due to selective
mortality under 60 years of age. By contrast, a very high prevalence of dementia
(23.6% dementia in individuals >60 years) was observed in the city of Neiva,
Southern Colombia. We believe that this high rate could be explained by the
presence of several risk factors such as very low schooling, low socio-economic
strata, chronic diseases, the inclusion of geriatric homes among others, and
additional unknown factors.
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Affiliation(s)
- Efraín Amaya Vargas
- Neurologist, Professor of Medicine Program and Member of the Group DNEUROPSY - Surcolombiana University
| | - Ángela Magnolia Ríos Gallardo
- Psychologist, PhD Psychology Focusing on Cognitive Neuroscience. Teacher and Director of the Group DNEUROPSY - Surcolombiana University
| | - Guillermo González Manrrique
- Neurologist. Health Specialist in Management. Head of the Area of Neurophysiology University Hospital in Neiva. Professor and Member of the Group DNEUROPSY - Surcolombiana University
| | - Lina M Murcia-Paredes
- Psychologist. Specialist in Health Psychology, Masters Student in Psychology. Member of Group DNEUROPSY - Surcolombiana University
| | - María Consuelo Angarita Riaño
- General Medical. Specialist in Management of Health Organizations. Master's Student in Public Health. Area Leader for Public Health. Department of Health - Huila
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