Objective To explore the factors affecting cognitive function in the community elderly and the rela-tionship between cognitive function and symptoms of depression and anxiety.Methods The cognitive function,de-pressive symptoms and anxiety symptoms of 3387 elderly in Haidian District of Beijing were investigated by using Ascer-tain Dementia 8-item Questionnaire(AD8),Geriatric Depression Scale 15(GDS-15)and Self-rating Anxiety Scale(SAS).Multivariate logistic regression was used to examine the correlation between cognitive function and depression and anxiety symptoms.Results The positive rates of cognition impairment,depression and anxiety were 23.71％,16.92％and 10.84％,respectively,and 6.61％of the subjects also had symptoms of depression and anxiety.Mul-tivariate logistic regression analysis showed that age group ≥ 85 years old and age group 75-84 years old,female,the source of income is provided by their children,self-rated hearing loss and poor self-rated health were risk factors for cognitive decline.Compared with the elderly without depression and anxiety symptoms,only depression symptoms(OR=4.596,95％CI:3.802～5.556),anxiety symptoms(OR=3.800,95％CI:3.041～4.749),depression and anxiety symptoms co-existed(OR=4.721,95％CI:3.578～6.230)was associated with a higher risk of cognitive im-pairment,and remained statistically significant after adjusting for demographic,socioeconomic,and health behavior factors(P＜0.001).Conclusion Depression,anxiety or both symptoms are higher risks of cognitive decline,and are the key groups for the prevention of cognitive impairment.
Community elderlyCognitive functionDepressionAnxiety
NETL
NSTL
万方数据
