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研究生:陳正美
研究生(外文):Chen chen-mei
論文名稱:蔬果攝取頻率與老人認知惡化的關聯性探討
論文名稱(外文):Association of fruit-vegetable consumption frequency with the risk of cognitive status and cognitive decline in older Taiwanese
指導教授:蔡仲弘蔡仲弘引用關係
指導教授(外文):Alan C. Tsai
口試委員:王俊毅張菡馨蔡仲弘
口試委員(外文):Jiun-Yi WangHan-Hsin ChangAlan C. Tsai
口試日期:2012-06-21
學位類別:碩士
校院名稱:亞洲大學
系所名稱:健康產業管理學系長期照護組碩士在職專班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:25
中文關鍵詞:認知狀況認知惡化蔬果攝取頻率老年人
外文關鍵詞:Cognitive statusCognitive declineFruit and vegetable consumptionOlder adults
相關次數:
  • 被引用被引用:3
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  • 下載下載:155
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背景:認知惡化風險會隨年齡增加而大幅升高。老年人認知惡化原因很多,而飲食營養是一很主要的環境因素。
目的:本研究目的在探討蔬果攝取頻率與老人認知功能惡化的關聯。
方法:資料來源為國民健康局1999及2003年的「台灣中老年身心社會生活狀況長期追蹤調查」的資料。以2890名,≥65歲的個案為樣本。以邏輯斯回歸分析1999年食物攝取頻率與認知狀況的横斷關聯及與2003年認知惡化(以2003年SPMSQ總分減少2分界定為惡化)的縱性關聯。
結果:在控制性別、年齡、教育年數、休閒活動、抽煙、喝酒、嚼檳榔、運動情形、休閒活動、魚油、卵磷脂、高血壓、糖尿病、心臟病、中風等變項狀況下,橫斷分析顯示蔬果攝取每週≥5次者比<4次者之認知不良風險減少27% (OR=0.73, 95% CI=0.57-0.94, p=0.014), 豆類攝取每週≥3次者比≤2次者之認知不良風險減少25% (0.75, 0.59-0.95, P=0.019);縱貫分析顯示每週蔬果攝取≥5次者比<4次者,四年後的認知惡化風險減少24% (0.76, 0.60-0.96, p=0.024);其他食物如肉禽類、魚類、海鮮類則不顯著。
結論與建議:蔬果的攝取與認知狀況呈負關聯,且是認知惡化風險的預測因子。此結果顯示蔬果的攝取可能影響認知惡化風險,也彰顯飲食對於預防老人記憶退化及維持長期健康的重要性。
Background: Although nutrition is known to be one of the major external factors having impact on cognitive deterioration, the possible role of fruit and vegetable intake frequency in cognitive function is not well understood.
Objective: This study aims to explore the possible role of fruit-vegetable consumption frequency in cognitive function in older Taiwanese.
Method: Data for this analysis were the 1999 and 2003 datasets of the "Survey of Health and Living Status of the Older in Taiwan". Subjects were 2890 Taiwanese men and women ≥65-year-old. The consumption frequency of fruits and vegetables in 1999 was examined for its association with the current risk of cognitive status and for its association with the risk of cognitive decline four years later. Cognitive status and cognitive decline were rated with the SPMSQ scale. A reduction of 2 SPMSQ points was designated as a decline.
Results: Compared to those who consumed fruit-vegetable ≤4 times/wk, those who consumed ≥5 times/wk had a 27% reduction in the risk of cognitive impairment (OR=0.73, 95% CI=0.57-0.94, p=0.014). Likewise, those who comsume legume ≥3 times compared to ≤ 2 times/week reduced cognitive impairment by 25% (0.75, 0.59-0.95, P = 0.019). Further, more frequent fruit-vegetable consumption also reduced cognitive decline by 24% (0.76, 0.60-0.96, p=0.024) 4-years later. Both regression models were controlled for gender, age, years of education, leisure activities, smoking, drinking, chewing betel nut, physical activity, leisure activity, intake of fish oil & lecithin, hypertension, diabetes, heart disease, and stroke.
Conclusions: More frequent fruit-vegetable consumption is associated with a reduced risk of cognitive impairment and a reduction in cognitive decline. These results suggest that the intake of fruits and vegetables may offer protection against cognitive decline. The study also highlights the importance of diet for the elderly to delay the aging-associated memory deterioration.

中文摘要
英文摘要
目錄i
表目錄ii
前言 1
相關研究及理論 2
研究目的 5
研究方法 5
結果 9
討論 10
結論與研究意義 13
參考文獻 15

表目錄
表一、樣本於1999 年基本社會人口學、生活方式、健康狀況及營養補充品攝取狀況分佈情形 20
表二、認知正常與認知衰退的老年樣本於1999 年基本社會人口學、生活方式、健康狀況及營養補充品情形的分佈情形 22
表三、樣本於1999 年食物攝取頻率與認知衰退關聯性之歸分析 24
表四、1999 年食物攝取進行預測2003 年產生認知惡化風險能力的縱貫性邏輯式迴歸分析 25
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