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KMID : 0365220210580020070
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Korean Journal of Public Health
2021 Volume.58 No. 2 p.70 ~ p.79
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The joint effects of leisure activity and alcohol drinking on mild cognitive impairment (MCI) in Korean adults: Analysis of the 2019 Korea Community Health Survey
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Min Ji-Eun
Kang Cin-Oo
Shreeya Wasunkar
Kim Ho
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Abstract
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Objectives: Several studies have reported the individual effects of leisure activity and alcohol drinking on cognitive function, despite the existence of association of leisure activity and alcohol drinking. Therefore, this study investigated the individual and joint effects of leisure activity and alcohol drinking on mild cognitive impairment (MCI).
Methods: This study is a cross-sectional analysis of Korean adults from the nationwide 2019 Korea Community Health Survey. Among the 229,099 participants, 177,065 participants aged over 40 years were selected for this study. We used logistic regression models to examine the association of leisure activity and alcohol drinking frequency with OR for mild cognitive impairment (MCI). To investigate the interaction between leisure activity and alcohol drinking on mild cognitive impairment (MCI), we calculated the additive and the multiplicative scale joint effects of their co-exposure.
Results: In the fully adjusted model, the odds ratio for mild cognitive impairment (MCI) decreased by 0.88 (95% CI: 0.84, 0.91) times with engaging leisure activity, and increased by 1.09 (95% CI: 1.04, 1.15) times with ≥6 times/month alcohol drinking compared to never alcohol drinking. The positive joint effect of leisure activity and alcohol drinking on mild cognitive impairment (MCI) was found on multiplicative scale (p=0.028).
Conclusion: We found that leisure activity improved cognitive function, and alcohol drinking reduced it. In addition, leisure activity and alcohol drinking had a positive joint effect on mild cognitive impairment (MCI) in the Korean population.
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KEYWORD
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Leisure Activities, Alcohol Drinking, Cognitive Dysfunction, Health Surveys
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