노인에서 주관적으로 지각한 신체 및 정신건강수준이 인지감퇴에 미치는 영향

The Effect of Subjective Physical and Mental Health on Cognitive Decline in the Elderly

Objectives：The aim of this study was to describe subjective physical and mental health assessed by the single item self-rated physical health (SRPH), and self-rated mental health (SRMH) had influence on the cognitive decline in community-dwelling elderly. Methods：This study was based on the Suwon Project, a cohort comprising of non-random convenience samples of ethnic Koreans aged 60 years and above. 1,356 individuals were assessed at 2 time points 2 years apart for questionnaire which included demographic characteristics, medical history, Korean Mini-Mental State Examination (K-MMSE), Korean version of Geriatric Depression Scale (SGDS-K), SRPH, and SRMH. Multiple logistic regression was used to assess K-MMSE score change from the SRPH, and SRMH. Results：At baseline, both SRPH (β=0.18, p＜0.01) and SRMH (β=0.19, p＜0.01) score positively associated with the K-MMSE score. At follow-up, subjects with baseline lower SRMH score had significantly greater decline in K-MMSE score (β=0.09, p=0.007). However, baseline SRPH score showed no effect to follow up K-MMSE score before and after adjusting age, sex, education, number of chronic disease, SGDS-K, and baseline K-MMSE score (p=0.89). Conclusion：Brief and easily collected subjective mental health may predict the risk of cognitive decline, but subjective physical health may not.