Skip Navigation
Skip to contents

Epidemiol Health : Epidemiology and Health

OPEN ACCESS
SEARCH
Search
Advanced Search
mobile menu button

Search

Page Path
HOME > Search
3 "Cognitive function"
Filter
Filter
Article category
Keywords
More +
Publication year
Authors
More +
Funded articles
Original Articles
Mediation analysis of leisure activities on the association between cognitive function and mortality: a longitudinal study of 42,942 Chinese adults 65 years and older
Xingxing Chen, Wenfan Wu, Xian Zhang, Tingxi Long, Wenyu Zhu, Rundong Hu, Xurui Jin, Lijing L. Yan, Yao Yao
Epidemiol Health. 2022;44:e2022112.   Published online November 27, 2022
DOI: https://doi.org/10.4178/epih.e2022112
  • 7,071 View
  • 270 Download
  • 5 Web of Science
  • 4 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Previous studies have established associations of cognitive function and leisure activities with mortality. This study aimed to evaluate whether leisure activities causally mediate these associations.
METHODS
This longitudinal study included 42,246 participants aged over 65 years from the Chinese Longitudinal Healthy Longevity Survey. The Mini-Mental State Examination and a self-reported scale were used to measure cognitive status and leisure activities, respectively. We examined the associations of cognitive function and leisure activities with mortality using Cox proportional hazards models. Causal mediation analysis was used to assess whether leisure activities mediated the association between cognitive function and mortality.
RESULTS
Cognitive function and leisure activities were inversely associated with mortality. Leisure activities accounted for 28.3% (95% confidence interval [CI], 25.6 to 31.1) of the total effect of cognitive function and mortality. A higher mediated proportion (PM) was observed for physical leisure activities (PM, 20.1%; 95% CI, 18.0 to 22.3) than for social leisure activities (PM, 17.7%; 95% CI, 15.7 to 19.7). The mediating effect was higher among participants at younger ages (PM, 41.5%; 95% CI, 21.3 to 65.4), those with higher education levels (PM, 30.5%; 95% CI, 25.3 to 36.2), and residents of rural China (PM, 42.5%; 95% CI, 25.4 to 62.5).
CONCLUSIONS
Cognitive function was associated with inverse mortality. Leisure activities significantly mediated this association. Participation in leisure activities at the early stages of mild cognitive impairment could reduce the risk of mortality, which has a major impact on interventional strategies for healthy aging.
Summary
Key Message
Both cognitive function and leisure activities were associated with inverse mortality. Leisure activities were an important mediator of the association between cognitive function and mortality. A planned intervention for leisure activities, at an early stage of mild cognitive impairment, could promote health outcomes and optimally reduce the risk of mortality.

Citations

Citations to this article as recorded by  
  • Cognitive performance and all-cause mortality in community dwellers of Amerindian ancestry living in rural Ecuador: A population-based, longitudinal prospective study
    Oscar H. Del Brutto, Denisse A. Rumbea, Aldo F. Costa, Maitri Patel, Mark J. Sedler, Robertino M. Mera
    Clinical Neurology and Neurosurgery.2024; 236: 108053.     CrossRef
  • Change in Healthy Lifestyle and Subsequent Risk of Cognitive Impairment Among Chinese Older Adults: A National Community-Based Cohort Study
    Chengxiang Hu, Kexin Jiang, Xiaoyue Sun, Yue He, Runhong Li, Yana Chen, Yuan Zhang, Yuchun Tao, Lina Jin, Lewis A Lipsitz
    The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences.2024;[Epub]     CrossRef
  • Healthy lifestyle in late-life, longevity genes, and life expectancy among older adults: a 20-year, population-based, prospective cohort study
    Jun Wang, Chen Chen, Jinhui Zhou, Lihong Ye, Yang Li, Lanjing Xu, Zinan Xu, Xinwei Li, Yuan Wei, Junxin Liu, Yuebin Lv, Xiaoming Shi
    The Lancet Healthy Longevity.2023; 4(10): e535.     CrossRef
  • Associations of Unhealthy Lifestyle and Nonalcoholic Fatty Liver Disease With Cardiovascular Healthy Outcomes
    Wentao Wu, Wen Ma, Shiqi Yuan, Aozi Feng, Li Li, Haoxiao Zheng, Shuna Li, Ningxia He, Yuli Huang, Jun Lyu
    Journal of the American Heart Association.2023;[Epub]     CrossRef
Factors affecting cognitive function according to gender in community-dwelling elderly individuals
Miwon Kim, Jeong-Mo Park
Epidemiol Health. 2017;39:e2017054.   Published online November 15, 2017
DOI: https://doi.org/10.4178/epih.e2017054
  • 15,893 View
  • 293 Download
  • 36 Web of Science
  • 36 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
This study aimed to identify the factors affecting the cognitive function of elderly people in a community by gender.
METHODS
We obtained 4,878 secondary data of people aged ≥65 years in 2016 at a dementia prevention center in Gyeyang-gu, Incheon. Data were obtained through Mini-Mental Status Examination optimized for screening dementia and a questionnaire. The data were statistically analyzed using analysis of variance, analysis of covariance, and hierarchical regression.
RESULTS
There were significant differences in cognitive function according to gender, and the differences were significant even when age was controlled, but gender differences disappeared when education was controlled. Age, education, social activities, number of comorbid diseases, and alcohol drinking affected cognitive function through interaction with gender, but interaction with gender disappeared when education was controlled. Regression analysis showed that depression, cohabitant, social activities etc., had a significant impact on both men and women under controlled education and age. In men, the effect of social activities was greater than that of women, and hyperlipidemia had the effect only in women.
CONCLUSIONS
The differences in gender-related cognitive functions were due to differences in gender education period. The period of education is considered to have a great influence on cognitive function in relation to the economic level, occupation, and social activity.
Summary
Korean summary
연구결과 성별에 따른 인지기능의 차이는 성별 교육기간의 차이에서 기인된 것으로 확인되었다. 또한 연령, 교육, 사회활동, 동거인, 질병수, 음주가 성별과의 상호작용을 통해 인지기능에 영향을 미쳤으나 교육을 통제 하였을 때 성별과의 상호작용이 사라져 이들 변수들과 성별의 상호작용에 교육이 관련됨을 확인하였다. 회귀 분석결과 교육과 연령을 통제한 상태에서 우울, 동거인, 사회 활동 등 인지기능에 영향을 미치는 요인들이 남녀가 동일하였다.

Citations

Citations to this article as recorded by  
  • Disability-Adjusted Life Expectancy and Cognitive Function among Community-Dwelling Adults
    Sanghun Nam, Brian Downer, Suna Cha, Jae-Sung Choi, Seungmin Yang, Ickpyo Hong
    Evaluation & the Health Professions.2024; 47(3): 319.     CrossRef
  • Pathways of Media Contact to Health Literacy in Middle-Aged and Older People: The Chain Mediation Effect of Perceived Social Support and Self-Efficacy
    Mao-Min Jiang, Ye-Wei Xiao, Zhi-Liu Liao
    Journal of Multidisciplinary Healthcare.2024; Volume 17: 111.     CrossRef
  • Longitudinal associations between the frequency of playing Mahjong and cognitive functioning among older people in China: evidence from CLHLS, 2008–2018
    Lan Zhu, Yixi Wang, Yuju Wu, Amanda Wilson, Huan Zhou, Ningxiu Li, Yuanyuan Wang
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Association between Flavonoid Intake and Cognitive Executive Function among African American and White Adults in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) Study
    Marie Fanelli Kuczmarski, Sara B. Crawford, Rhonda S. Sebastian, May A. Beydoun, Joseph D. Goldman, Alanna J. Moshfegh, Michele K. Evans, Alan B. Zonderman
    Nutrients.2024; 16(9): 1360.     CrossRef
  • The association between objectively measured physical activity, screen time, and cognitive function: A narrative review
    Reime Jamal Shalash, Ashokan Arumugam, Raneen Mohammed Qadah, Alham Al-Sharman
    Fizjoterapia Polska.2024; 24(2): 164.     CrossRef
  • Effects of a Functional Cone Mushroom (Termitomyces fuliginosus) Protein Snack Bar on Cognitive Function in Middle Age: A Randomized Double-Blind Placebo-Controlled Trial
    Supaporn Muchimapura, Wipawee Thukham-mee, Terdthai Tong-un, Weerapon Sangartit, Sophida Phuthong
    Nutrients.2024; 16(21): 3616.     CrossRef
  • Repeated testing does not confound cognitive performance in the Western Australian magpie (Cracticus tibicen dorsalis)
    Joseph G. Sollis, Benjamin J. Ashton, Elizabeth M. Speechley, Amanda R. Ridley
    Animal Cognition.2023; 26(2): 579.     CrossRef
  • Meaningful cognitive decline is uncommon in virally suppressed HIV, but sustained impairment, subtle decline and abnormal cognitive aging are not
    Htein Linn Aung, Krista J. Siefried, Thomas M. Gates, Bruce J. Brew, Limin Mao, Andrew Carr, Lucette A. Cysique
    eClinicalMedicine.2023; 56: 101792.     CrossRef
  • The effects of 6-weeks program of physical therapeutic exergames on cognitive flexibility focused by reaction times in relation to manual and podal motor abilities
    Dana Badau, Adela Badau, Marko Joksimović, Bogdan Marian Oancea, Catalin Octavian Manescu, Cristian Graur, Georgeta Gabriela Cornea, Virgil Ene-Voiculescu, Florin Cojanu, Valentina Stefanica, Adin Cojocaru, George Mocanu, Sinziana Calina Silisteanu
    Balneo and PRM Research Journal.2023; (Vol.14, no): 570.     CrossRef
  • The neutrophil-to-lymphocyte ratio is associated with mild cognitive impairment in community-dwelling older women aged over 70 years: a population-based cross-sectional study
    Shengjie Li, Xiaoyu Chen, Mengze Gao, Xingyu Zhang, Peipei Han, Liou Cao, Jing Gao, Qiongying Tao, Jiayi Zhai, Dongyu Liang, Qi Guo
    Frontiers in Aging Neuroscience.2023;[Epub]     CrossRef
  • Do human work interruptions bring positive affective responses?—Based on the mediation of coping potential and the moderation of polychronicity
    Xiao Pan, Xiaokang Zhao, Huali Shen, Qilong Chen
    Acta Psychologica.2023; 240: 104038.     CrossRef
  • Association between Handgrip Strength and Cognitive Function in Older Adults: Korean Longitudinal Study of Aging (2006–2018)
    San Lee, Jae Won Oh, Nak-Hoon Son, Woojin Chung
    International Journal of Environmental Research and Public Health.2022; 19(3): 1048.     CrossRef
  • Grip Strength Trajectories and Cognition in English and Chilean Older Adults: A Cross-Cohort Study
    Bárbara Angel, Olesya Ajnakina, Cecilia Albala, Lydia Lera, Carlos Márquez, Leona Leipold, Avri Bilovich, Richard Dobson, Rebecca Bendayan
    Journal of Personalized Medicine.2022; 12(8): 1230.     CrossRef
  • Gender-specific prevalence and risk factors of mild cognitive impairment among older adults in Chongming, Shanghai, China
    Yuewen Liu, Xing Yu, Peipei Han, Xiaoyu Chen, Feng Wang, Xuan Lian, Jiayu Li, Ruijin Li, Beibei Wang, Chunliu Xu, Junxue Li, Yaqing Zheng, Ziwei Zhang, Ming Li, Ying Yu, Qi Guo
    Frontiers in Aging Neuroscience.2022;[Epub]     CrossRef
  • The Mediating Effects of Information and Communication Technology Use and Social Activity on the Relationship between Depression and Cognitive Function in Older Koreans
    Jee Young Lee
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 357.     CrossRef
  • Cognitive Function Trajectories and Factors among Chinese Older Adults with Subjective Memory Decline: CHARLS Longitudinal Study Results (2011–2018)
    Chifen Ma, Mengyuan Li, Chao Wu
    International Journal of Environmental Research and Public Health.2022; 19(24): 16707.     CrossRef
  • Investigation of Temperature Indicators, Thermal Comfort, and Mental Performance Parameters among Taxi Drivers in Winter
    Elahe Dabaghi, Habibollah Dehghan, Mahnaz Shakerian
    International Journal of Environmental Health Engineering.2022; 11(1): 14.     CrossRef
  • Gender Differences in the Impact of Depression on Cognitive Decline Among Korean Older Adults
    Jongnam Hwang, Seongju Kim, Sujin Kim
    Asia Pacific Journal of Public Health.2021; 33(1): 67.     CrossRef
  • The Association between Olfactory Function and Cognitive Impairment in Older Persons with Cognitive Impairments: A Cross-Sectional Study
    Hyangjeong Park, Heejeong Kim, Sisook Kim, Hyegyeong Cha
    Healthcare.2021; 9(4): 399.     CrossRef
  • Sociodemographic and Health-Related Factors Associated with Severity of Cognitive Impairment in Elderly Patients Hospital-ized in a Geriatric Clinic
    Marta Kłoszewska, Błażej Łyszczarz, Kornelia Kędziora-Kornatowska
    Brain Sciences.2021; 11(2): 170.     CrossRef
  • Gender Differences in State Anxiety Related to Daily Function Among Older Adults During the COVID-19 Pandemic: Questionnaire Study
    Sara Rosenblum, Ortal Cohen Elimelech
    JMIR Aging.2021; 4(2): e25876.     CrossRef
  • Association between masticatory function and cognitive impairment in the elderly
    Taejun Park, Hyojin Heo, Min-Jeong Cho, Hyeon Chang Kim, Yoosik Youm, Keun-Bae Song, Youn-Hee Choi
    Journal of Korean Academy of Oral Health.2021; 45(2): 57.     CrossRef
  • Sex Differences in Modifiable Fall Risk Factors
    Yuta Kubo, Keisuke Fujii, Takahiro Hayashi, Naoki Tomiyama, Akira Ochi, Hiroyuki Hayashi
    The Journal for Nurse Practitioners.2021; 17(9): 1098.     CrossRef
  • Predictors of Cognitive Function in Community-Dwelling Older Adults by Age Group: Based on the 2017 National Survey of Older Korean Adults
    Jinheum Kim, Eunjeong Cha
    International Journal of Environmental Research and Public Health.2021; 18(18): 9600.     CrossRef
  • An Overview on Cognitive Function Enhancement through Physical Exercises
    Narayanasamy Sai Srinivas, Vijayaragavan Vimalan, Parasuraman Padmanabhan, Balázs Gulyás
    Brain Sciences.2021; 11(10): 1289.     CrossRef
  • Increased Risk of Neurodegenerative Dementia after Benign Paroxysmal Positional Vertigo
    So Young Kim, Dae Myoung Yoo, Chanyang Min, Hyo Geun Choi
    International Journal of Environmental Research and Public Health.2021; 18(19): 10553.     CrossRef
  • RETRACTED ARTICLE: Age- and education-related effects on cognitive functioning in Colored South African women
    Sharné Nieuwoudt, Kasha Elizabeth Dickie, Carla Coetsee, Louise Engelbrecht, Elmarie Terblanche
    Aging, Neuropsychology, and Cognition.2020; 27(3): 321.     CrossRef
  • The factors associated with subjective cognitive decline and cognitive function among older adults
    JuHee Lee, Jooyoun Sung, MoonKi Choi
    Journal of Advanced Nursing.2020; 76(2): 555.     CrossRef
  • Association between social participation and cognitive function among community‐dwelling older adults living alone: Analysis of a nationally representative survey
    MoonKi Choi
    International Journal of Nursing Practice.2020;[Epub]     CrossRef
  • Physical Inactivity is Liable to the Increased Cardiovascular Risk and Impaired Cognitive Profile
    Robson B. Teixeira, Paulo Roberto dos Santos Amorim, João C.B. Marins, Yuri de L.X. Martins, Samuel de Souza Magalhães Marques, Victor P.R. Aguiar, András Palotás, Luciana M. Lima
    Current Alzheimer Research.2020; 17(4): 365.     CrossRef

  • Evaluation of Retinal Nerve Fiber Layer and Ganglion Cell Layer Thickness in Alzheimer’s Disease Using Optical Coherence Tomography


    Panitha Jindahra, Nitchanan Hengsiri, Pirada Witoonpanich, Anuchit Poonyathalang, Teeratorn Pulkes, Supoch Tunlayadechanont, Kunlawat Thadanipon, Kavin Vanikieti
    Clinical Ophthalmology.2020; Volume 14: 2995.     CrossRef
  • Age- and Sex-Specific Prevalence and Modifiable Risk Factors of Mild Cognitive Impairment Among Older Adults in China: A Population-Based Observational Study
    Jingzhu Fu, Qian Liu, Yue Du, Yun Zhu, Changqing Sun, Hongyan Lin, Mengdi Jin, Fei Ma, Wen Li, Huan Liu, Xumei Zhang, Yongjie Chen, Zhuoyu Sun, Guangshun Wang, Guowei Huang
    Frontiers in Aging Neuroscience.2020;[Epub]     CrossRef
  • How does cognitive function measured by the reaction time and critical flicker fusion frequency correlate with the academic performance of students?
    Archana Prabu Kumar, Abirami Omprakash, Maheshkumar Kuppusamy, Maruthy K.N., Sathiyasekaran B.W.C., Vijayaraghavan P.V., Padmavathi Ramaswamy
    BMC Medical Education.2020;[Epub]     CrossRef
  • Relationships between residual blood pressure variability and cognitive function in the general population of the PAMELA study
    Marijana Tadic, Cesare Cuspidi, Michele Bombelli, Rita Facchetti, Giuseppe Mancia, Guido Grassi
    The Journal of Clinical Hypertension.2019; 21(1): 39.     CrossRef
  • Catheter Ablation and Cognitive Impairment in Atrial Fibrillation
    Lindsey Rosman, Matthew M. Burg, Rachel Lampert
    Circulation: Arrhythmia and Electrophysiology.2019;[Epub]     CrossRef
  • Alcohol Use and Cognitive Functioning Among Middle‐Aged and Older Adults in China: Findings of the China Health and Retirement Longitudinal Study Baseline Survey
    Song Ge, Zhe Wei, Tingting Liu, Jinjiao Wang, Hongjin Li, Juan Feng, Changwei Li
    Alcoholism: Clinical and Experimental Research.2018; 42(10): 2054.     CrossRef
The Effect of Vitamin Supplementation on Cognitive Function in the Elderly.
Sam Soon Lee, Byung Yeol Chun, Sang Soon Kim
Korean J Epidemiol. 2000;22(1):32-41.
  • 5,924 View
  • 14 Download
AbstractAbstract PDF
Abstract
OBJECTIVES
To estimate the effects of an oral vitamin supplementation on cognitive function in the elderly, 254 elderly people(experiment group) who were received an oral vitamin supplement for one-year was compared with 292 elderly who were treated as the control group in Koje city during the study period(from February 1997 to March 1998).
METHODS
The cognitive function was tested by mini-mental state examination Korea(MMSE-K). Multiple regression analysis was done to control other confounding variables such as gender, age, educational level, smoking, alcohol, a past 15-day medical history, satisfaction for living cost, family number, cognitive function of the baseline survey.
RESULTS
In the baseline survey, the prevalence of cognitive impairment was 31%(mild impairment 12.5% and severe impairment 18.5%). There was a significant difference(0.76) in cognitive change in the elderly between two groups, 0.68 improved in the experiment group and 0.08 worsen in the control group(p<0.01). In multiple regression analysis, the significant variables were an oral vitamin supplementation, a past 15-day medical history, family number, cognitive function of baseline survey(p<0.05). The improvement of cognitive function was observed in those who do not have a past 15-day medical history, have a large family number, and have a low cognitive function of the baseline survey.
CONCLUSIONS
It appears that an oral vitamin supplementation was effective in improving the cognitive function in the elderly and more effective in the cases with abnormal cognitive function.
Summary
Epidemiol Health : Epidemiology and Health
© Korean Society of Epidemiology.
TOP