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首页> 外文期刊>International Journal of Environmental Research and Public Health >Health and Quality of Life Perception in Older Adults: The Joint Role of Cognitive Efficiency and Functional Mobility
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Health and Quality of Life Perception in Older Adults: The Joint Role of Cognitive Efficiency and Functional Mobility

机译：老年人的健康和生活质量感知：认知效率和功能移动的共同作用

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摘要

Cognitive and mobility functions are involved in health-related quality of life (HRQoL). The present cross-sectional study aimed at investigating what facets of efficient cognition and functional mobility interactively contribute to mental and physical HRQoL. Fifty-six healthy older individuals (aged 65–75 years) were evaluated for mental and physical HRQoL, core cognitive executive functions (inhibition, working memory, and cognitive flexibility), and functional mobility (walking) under single and dual task conditions. Multiple regression analyses were run to verify which core executive functions predicted mental and physical HRQoL and whether the ability to perform complex (dual) walking tasks moderated such association. Inhibitory efficiency and the ability to perform physical-mental dual tasks interactively predicted mental HRQoL, whereas cognitive flexibility and the ability to perform physical dual tasks interactively predicted physical HRQoL. Different core executive functions seem relevant for mental and physical HRQoL. Executive function efficiency seems to translate into HRQoL perception when coupled with tangible experience of the ability to walk under dual task conditions that mirror everyday life demands. Implications of these results for supporting the perception of mental and physical quality of life at advanced age are discussed, suggesting the usefulness of multicomponent interventions and environments conducive to walking that jointly aid successful cognitive aging and functional mobility.
机译：认知和移动功能与健康相关的生活质量（HRQoL）有关。本横断面研究旨在调查有效认知和功能活动的哪些方面对心理和身体HRQoL有交互作用。对五十六名健康的老年人（年龄在65-75岁之间）进行了心理和身体HRQoL，核心认知执行功能（抑制，工作记忆和认知灵活性）以及单任务和双任务条件下的功能移动性（行走）的评估。进行了多元回归分析，以验证哪些核心执行功能预测了心身和身体的HRQoL，以及执行复杂（双重）步行任务的能力是否能够缓解这种关联。抑制效率和执行身体-心理双重任务的能力以交互方式预测心理HRQoL，而认知灵活性和执行身体双重任务的能力以交互方式预测物理HRQoL。不同的核心执行功能似乎与心理和身体HRQoL有关。执行功能效率似乎转化为HRQoL感知，再加上在反映日常生活需求的双重任务条件下行走的能力的切实经验。讨论了这些结果对支持高龄者的心理和身体生活质量的看法的影响，表明多组分干预措施和有益于步行的环境的有用性，共同有助于成功的认知衰老和功能性活动。

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