目的:本研究的目的是研究社会支持不同领域不同亚型的轨迹与主观运动认知风险(MCR)综合征风险之间的纵向关系。
方法:纵向队列研究。
方法:1999年至2011年,台湾纵向衰老研究(TLSA)的2,279名参与者。
方法:实施了基于群体的多轨迹建模(GBMTM),以识别各种社会支持领域中不同的轨迹亚型,包括社交网络,情感支持,仪器支持,以及工作和经济地位。然后使用Logistic回归模型来评估这些轨迹亚型与主观MCR风险之间的关联。
结果:在2,279名参与者中,GBMTM确定了四种不同的轨迹亚型:“低社会支持”(n=371),“中等社会支持”(n=862),“高社会支持”(n=292),和“就业高社会支持”(n=754)。这些组的主观MCR发生率为9.4%,9.0%,4.1%,和0.8%,分别。在调整了年龄之后,性别,教育水平,和合并症,"低社会支持"(调整比值比(aOR)4.07,95%CI[1.60-10.34])和"中等社会支持"(aOR3.10,95%CI[1.26-7.66])与"就业高社会支持"组的主观MCR风险增加显著相关.
结论:当前的研究表明,社会支持显着降低了主观MCR的风险,较低的支持水平与较高的风险相关,有必要进行进一步的干预研究,以确认社会支持与主观MCR风险之间的联系。
OBJECTIVE: The aim of this study was to examine the longitudinal relationships between the trajectories of distinct subtypes of various domains of social supports and risk of subjective motoric cognitive risk (MCR) syndrome.
METHODS: Longitudinal cohort study.
METHODS: 2,279 participants in the Taiwan Longitudinal Study on Aging (TLSA) between 1999 and 2011.
METHODS: A group-based multi-trajectory modeling (GBMTM) was implemented to identify distinct trajectory subtypes within various social support domains, encompassing social networks, emotional support, instrumental support, as well as working and economic status. Logistic regression models were then utilized to evaluate the associations between these trajectory subtypes and the risk of subjective MCR.
RESULTS: Among 2,279 participants, GBMTM identified four distinct trajectory subtypes: \"low social support\" (n = 371), \"medium social support \" (n = 862), \"high social support\" (n = 292), and \"high social support with employment\" (n = 754). The incidence rates of subjective MCR for these groups were 9.4%, 9.0%, 4.1%, and 0.8%, respectively. After adjusting for age, sex, education level, and comorbidities, both \"low social support\" (adjusted odds ratio (aOR) 4.07, 95% CI [1.60-10.34]) and \"medium social support\" (aOR 3.10, 95% CI [1.26-7.66]) were significantly associated with an increased risk of subjective MCR compared to the \"high social support with employment\" group.
CONCLUSIONS: The current study demonstrates that social support significantly reduces the risk of subjective MCR, with lower support levels correlating to higher risk, necessitating further intervention studies to confirm the link between social support and risk of subjective MCR.