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蔡璨, 王思思, 刘璐鑫, 董力, 苑林宏. 水果和蔬菜摄入与老年人认知功能关系[J]. 中国公共卫生, 2016, 32(9): 1163-1167. DOI: 10.11847/zgggws2016-32-09-08
引用本文: 蔡璨, 王思思, 刘璐鑫, 董力, 苑林宏. 水果和蔬菜摄入与老年人认知功能关系[J]. 中国公共卫生, 2016, 32(9): 1163-1167. DOI: 10.11847/zgggws2016-32-09-08
CAI Can, WANG Si-si, LIU Lu-xin.et al, . Correlation between fruit and vegetable intake and cognitive function in the elderly[J]. Chinese Journal of Public Health, 2016, 32(9): 1163-1167. DOI: 10.11847/zgggws2016-32-09-08
Citation: CAI Can, WANG Si-si, LIU Lu-xin.et al, . Correlation between fruit and vegetable intake and cognitive function in the elderly[J]. Chinese Journal of Public Health, 2016, 32(9): 1163-1167. DOI: 10.11847/zgggws2016-32-09-08

水果和蔬菜摄入与老年人认知功能关系

Correlation between fruit and vegetable intake and cognitive function in the elderly

  • 摘要: 目的 了解不同膳食果蔬摄入水平与老年人认知功能之间的关系。方法 采用随机抽样方法对北京市南苑社区卫生服务中心辖区内的5个居民社区内457名55~75岁老年人志愿者进行一般状况及饮食情况调查,并使用蒙特利尔量表对其认知功能进行评估;对认知功能进行logistic回归分析,对不同果蔬摄入水平与认知功能的关系进行协方差分析。结果 多因素logistic回归分析结果显示,读书看报(OR=0.608)是老年人认知功能的保护因素,而年龄(OR=1.072)是认知功能的危险因素;水果摄入频率不同的分组中,每周摄入7~8次的老年人MoCA总分最高(27.021分),蔬菜摄入量不同的分组中,每日摄入350~500g的老年人MoCA定向得分最高(5.995分),蔬菜摄入种类不同的分组中,每周食用8~10种的老年人,MoCA总分(27.077分)和延迟回忆得分(3.677分)最高,每周食用2~4种的老年人,抽象得分最高(1.770分);水果摄入量和水果摄入种类不同的分组中,MoCA总分及7个认知领域的得分差异均无统计学意义(P>0.05)。结论 为改善老年人的认知功能,可适当增加日常饮食中水果的食用频率、蔬菜的食用量和种类。

     

    Abstract: Objective To explore the relationship between cognitive function and dietary consumptions of fruits and vegetables among the elderly.Methods A total of 457 volunteers aged 55 to 75 years from 5 communities covered by Nanyuan Community Health Service Center in Beijing were selected with random sampling.Questionnaires on their general status and dietary consumption were completed and the Montreal Cognitive Assessment (MoCA)was used to measure their cognitive function.The association between general status and cognitive function were analyzed by using logistic regression.Covariance analysis was used to estimate the difference in cognitive function among the elderly with different degrees of fruit and vegetable consumption.Results The results of multivariate logistic regression showed that reading books and newspaper (odds ratioOR=0.608) was a protective factor,while age (OR=1.072)was a risk factor of cognitive function.Fruit intake frequency was significantly associated with the MoCA score and the elderly consuming 7-8 times per week earned the highest score (27.021).There was a significant association between the amount of vegetable consumption and the orientation scores and the elderly consuming 350-500 g per day earned the highest score (5.995);the elderly taking 8-10 sorts of vegetables per week got better results in MoCA score (27.077) and memory and delayed recall score (3.677).In addition,abstraction score was high in the elderly consuming 2-4 sorts of vegetable per week.While no correlation between daily fruit consumption and MoCA score and seven cognitive domain scores was detected (P>0.05).Similarly,the variety of fruit intake had no effect on MoCA score and seven cognitive domain scores in the elderly (P>0.05).Conclusion Appropriate increase in the amount,frequency,and kinds of dietary fruit and vegetable consumption is benefit to the improvement of cognitive function among the elderly.

     

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