요양병원에 입원한 경도 인지장애 노인의 자율신경 기능, 타액 코티졸과 신체활동 정도가 인지기능에 미치는 영향: Neurovisceral Integration Model 기반.
Purpose: This study aimed to investigate objectively measured physical activity (PA) in institutionalized older adults with mild cognitive impairment (MCI) and to elucidate the influence of autonomic nervous function, salivary cortisol, and PA on cognitive functions based on neurovisceral integratio...
| Publicado en: | Journal of Korean Academy of Nursing Vol. 51; no. 3; pp. 294 - 305 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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Korean Society of Nursing Science
Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151417589&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151417589 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20053673 ATS7 jtl: Journal of Korean Academy of Nursing issn: 20053673 maglogo: N pubinfo: dt: Jun2021 vid: 51 iid: 3 pid: 42744 pub: Korean Society of Nursing Science place: , <Blank> artinfo: ui: 151417589 151417589 151417589 10.4040/jkan.20282 151417589 ppf: 294 ppct: 11 formats: fmt: @attributes: type: P tig: atl: 요양병원에 입원한 경도 인지장애 노인의 자율신경 기능, 타액 코티졸과 신체활동 정도가 인지기능에 미치는 영향: Neurovisceral Integration Model 기반. aug: au: 서민희 affil: 인하대학교 의과대학 간호학과 sug: subj: Physical Activity Cognition Disorders Hospitalization of Older Persons Autonomic Nervous System Physiology Hydrocortisone Saliva Human Psychiatric Patients Questionnaires Executive Function Speech and Language Assessment Actigraphy Geriatric Depression Scale Psychological Tests Aged Aged, 80 and Over Multiple Regression Sedentary Behavior Descriptive Statistics Aged: 65+ years Aged, 80 & over ab: Purpose: This study aimed to investigate objectively measured physical activity (PA) in institutionalized older adults with mild cognitive impairment (MCI) and to elucidate the influence of autonomic nervous function, salivary cortisol, and PA on cognitive functions based on neurovisceral integration model. Methods: Overall cognitive function was evaluated using the mini-mental state examination (MMSE) and executive function was evaluated using semantic verbal fluency test and clock drawing test. Actigraph for PA, HRV and sAA for autonomous function, and the geriatric depression scale for depression were used. Saliva specimens were collected in the morning for sAA and cortisol. Results: Ninety-eight older adults from four regional geriatric hospitals participated in the study. They took 4,499 steps per day on average. They spent 753.93 minutes and 23.12 minutes on average in sedentary and moderate-to-vigorous activity, respectively. In the multiple regression analysis, lower salivary cortisol level (β = - .33, p = .041) and greater step counts (β = .37, p = .029) significantly improved MMSE score. Greater step count (β = .27, p = .016) also exerted a significant influence on verbal fluency, and greater sAA (β = .35, p = .026) was significantly associated with a better clock drawing test result. Conclusion: Salivary cortisol, sAA and physical activity were significantly associated with cognitive functions. To prevent older adults from developing dementia, strategies are needed to increase their overall PA amount by decreasing sedentary time and to decrease salivary cortisol for cognitive function, and to maintain their sympathetic nervous activity for executive function. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Korean refInfo: holdings: @attributes: islocal: N |
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