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Time away from work predicts later cognitive function: Differences by activity during leave

机译:下班时间可以预测以后的认知功能:请假期间活动的差异

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Purpose: We sought to examine how different activities performed during employment gaps are associated with later cognitive function and change. Methods: Five cognitive measures were used to indicate cognitive impairment of 18,259 respondents to the Survey of Health, Ageing, and Retirement in Europe (ages 50-73) in 2004/5 or 2006/7. Using complete employment histories, employment gaps of ≥6 months between ages 25 and 65 were identified. Results: Controlling for early life socioeconomic status, school performance, and education, higher risk of cognitive impairment was associated with employment gaps described as unemployment (odds ratio [OR],1.18; 95% confidence interval [CI], 1.04-1.35) and sickness (OR,1.78; 95% CI, 1.52-2.09). In contrast, lower risk of cognitive impairment was associated with employment gaps described as training (OR,0.73; 95% CI, 0.52-1.01) or maternity leave (OR,0.65; 95% CI, 0.57-0.79). In longitudinal mixed effects models, training and maternity leave were associated with lower 2-year aging-related cognitive decline. Discussion: Periods away from work described as unemployment or sickness are associated with lower cognitive function, whereas maternity and training leaves are associated with better late-life cognitive function. Both causation and selection mechanisms may explain these findings.
机译:目的:我们试图研究在就业缺口期间进行的不同活动与以后的认知功能和变化之间的关系。方法:在2004/5或2006/7期间,采用了五项认知指标来指示18259名欧洲健康,老龄和退休调查(50-73岁)的受访者的认知障碍。根据完整的就业历史,我们确定了25至65岁之间≥6个月的就业差距。结果:控制早期生命的社会经济状况,学习成绩和教育,认知障碍的较高风险与被描述为失业的就业差距相关(几率[OR],1.18; 95%可信区间[CI],1.04-1.35)和疾病(OR,1.78; 95%CI,1.52-2.09)。相比之下,认知障碍的较低风险与描述为培训(OR,0.73; 95%CI,0.52-1.01)或产假(OR,0.65; 95%CI,0.57-0.79)的就业差距相关。在纵向混合效应模型中,培训和产假与较低的2年衰老相关的认知能力下降相关。讨论:被描述为失业或疾病的工作时间段与较低的认知功能相关,而产假和培训假与较晚的认知功能相关。原因和选择机制都可以解释这些发现。

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