Risk factors for cognitive decline in older Chinese adults: the impact of social activity on the relationship between hearing, functional mobility, and cognition
ObjectiveHearing and functional mobility impairments are recognized as risk factors for cognitive decline in older adults, yet the causal relationship underlying these associations is not well-understood. This study aims to explore whether engagement in social activities mediates the link between he...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-11-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1460941/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849221341476028416 |
|---|---|
| author | Hao Wang Dan Chen Daling Hu Fangyuan Tian Meifen Dai Shuangyan Zhang Liyu Jin |
| author_facet | Hao Wang Dan Chen Daling Hu Fangyuan Tian Meifen Dai Shuangyan Zhang Liyu Jin |
| author_sort | Hao Wang |
| collection | DOAJ |
| description | ObjectiveHearing and functional mobility impairments are recognized as risk factors for cognitive decline in older adults, yet the causal relationship underlying these associations is not well-understood. This study aims to explore whether engagement in social activities mediates the link between hearing or functional mobility impairment and cognitive decline.MethodsThis cross-sectional study was carried out in two cities in Jiangsu Province, Eastern China. Participants self-reported hearing impairment and social activity engagement, whereas functional mobility impairment was assessed using the Timed Up and Go Test (TUGT). Cognitive function was evaluated through the Modified Mini-Mental State Examination (MMSE). Logistic regression analysis explored factors influencing cognitive function, and mediation analysis was conducted to examine the relationship between hearing or functional mobility impairment and cognitive decline.ResultsThe study included 10,217 adults aged 60 and above. Among them, 19.35% reported hearing impairment, while 40.86% failed the Timed Up and Go Test (TUGT). The Modified Mini-Mental State Examination (MMSE) indicated a 30.40% prevalence of cognitive decline. Logistic regression analysis identified significant associations of cognitive function with factors such as gender, age, education level, residency, living arrangement, hyperlipidemia, cerebrovascular disease, alcohol consumption, smoking, Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), social activity, hearing, and functional mobility (p < 0.01). Mediation analysis, after adjusting for confounders, showed that social activity engagement partially mediated the impact of functional mobility impairment on cognitive decline (indirect effect: −0.0947, 95% Bootstrapped CI: −0.1228, −0.0695; proportion of total effect: 11.635%, p < 0.01). However, no mediation effect was observed in the relationship between self-reported hearing impairment and cognitive decline.ConclusionThis study revealed that social activity engagement plays a mediating role in the relationship between functional mobility and cognitive function, but it does not significantly influence the relationship between self-reported hearing impairment and cognitive decline. These findings suggest that social activity engagement could be a crucial factor in preventing cognitive deterioration among older adults with functional mobility impairments. |
| format | Article |
| id | doaj-art-783e39ffbe014f1abb81d0d6cf99ecf4 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-783e39ffbe014f1abb81d0d6cf99ecf42024-11-15T05:10:17ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-11-011210.3389/fpubh.2024.14609411460941Risk factors for cognitive decline in older Chinese adults: the impact of social activity on the relationship between hearing, functional mobility, and cognitionHao Wang0Dan Chen1Daling Hu2Fangyuan Tian3Meifen Dai4Shuangyan Zhang5Liyu Jin6Department of Nursing, Sir Run Run Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Nursing, Sir Run Run Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Nursing, Sir Run Run Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Nursing, Sir Run Run Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Nursing, Changshu No.5 People’s Hospital, Suzhou, ChinaDepartment of Nursing, Changshu No.2 People’s Hospital, Suzhou, ChinaDepartment of Nursing, Sir Run Run Hospital, Nanjing Medical University, Nanjing, ChinaObjectiveHearing and functional mobility impairments are recognized as risk factors for cognitive decline in older adults, yet the causal relationship underlying these associations is not well-understood. This study aims to explore whether engagement in social activities mediates the link between hearing or functional mobility impairment and cognitive decline.MethodsThis cross-sectional study was carried out in two cities in Jiangsu Province, Eastern China. Participants self-reported hearing impairment and social activity engagement, whereas functional mobility impairment was assessed using the Timed Up and Go Test (TUGT). Cognitive function was evaluated through the Modified Mini-Mental State Examination (MMSE). Logistic regression analysis explored factors influencing cognitive function, and mediation analysis was conducted to examine the relationship between hearing or functional mobility impairment and cognitive decline.ResultsThe study included 10,217 adults aged 60 and above. Among them, 19.35% reported hearing impairment, while 40.86% failed the Timed Up and Go Test (TUGT). The Modified Mini-Mental State Examination (MMSE) indicated a 30.40% prevalence of cognitive decline. Logistic regression analysis identified significant associations of cognitive function with factors such as gender, age, education level, residency, living arrangement, hyperlipidemia, cerebrovascular disease, alcohol consumption, smoking, Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), social activity, hearing, and functional mobility (p < 0.01). Mediation analysis, after adjusting for confounders, showed that social activity engagement partially mediated the impact of functional mobility impairment on cognitive decline (indirect effect: −0.0947, 95% Bootstrapped CI: −0.1228, −0.0695; proportion of total effect: 11.635%, p < 0.01). However, no mediation effect was observed in the relationship between self-reported hearing impairment and cognitive decline.ConclusionThis study revealed that social activity engagement plays a mediating role in the relationship between functional mobility and cognitive function, but it does not significantly influence the relationship between self-reported hearing impairment and cognitive decline. These findings suggest that social activity engagement could be a crucial factor in preventing cognitive deterioration among older adults with functional mobility impairments.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1460941/fullself-reported hearing impairmentfunctional mobility impairmentsocial activitycognitive functionaging |
| spellingShingle | Hao Wang Dan Chen Daling Hu Fangyuan Tian Meifen Dai Shuangyan Zhang Liyu Jin Risk factors for cognitive decline in older Chinese adults: the impact of social activity on the relationship between hearing, functional mobility, and cognition Frontiers in Public Health self-reported hearing impairment functional mobility impairment social activity cognitive function aging |
| title | Risk factors for cognitive decline in older Chinese adults: the impact of social activity on the relationship between hearing, functional mobility, and cognition |
| title_full | Risk factors for cognitive decline in older Chinese adults: the impact of social activity on the relationship between hearing, functional mobility, and cognition |
| title_fullStr | Risk factors for cognitive decline in older Chinese adults: the impact of social activity on the relationship between hearing, functional mobility, and cognition |
| title_full_unstemmed | Risk factors for cognitive decline in older Chinese adults: the impact of social activity on the relationship between hearing, functional mobility, and cognition |
| title_short | Risk factors for cognitive decline in older Chinese adults: the impact of social activity on the relationship between hearing, functional mobility, and cognition |
| title_sort | risk factors for cognitive decline in older chinese adults the impact of social activity on the relationship between hearing functional mobility and cognition |
| topic | self-reported hearing impairment functional mobility impairment social activity cognitive function aging |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1460941/full |
| work_keys_str_mv | AT haowang riskfactorsforcognitivedeclineinolderchineseadultstheimpactofsocialactivityontherelationshipbetweenhearingfunctionalmobilityandcognition AT danchen riskfactorsforcognitivedeclineinolderchineseadultstheimpactofsocialactivityontherelationshipbetweenhearingfunctionalmobilityandcognition AT dalinghu riskfactorsforcognitivedeclineinolderchineseadultstheimpactofsocialactivityontherelationshipbetweenhearingfunctionalmobilityandcognition AT fangyuantian riskfactorsforcognitivedeclineinolderchineseadultstheimpactofsocialactivityontherelationshipbetweenhearingfunctionalmobilityandcognition AT meifendai riskfactorsforcognitivedeclineinolderchineseadultstheimpactofsocialactivityontherelationshipbetweenhearingfunctionalmobilityandcognition AT shuangyanzhang riskfactorsforcognitivedeclineinolderchineseadultstheimpactofsocialactivityontherelationshipbetweenhearingfunctionalmobilityandcognition AT liyujin riskfactorsforcognitivedeclineinolderchineseadultstheimpactofsocialactivityontherelationshipbetweenhearingfunctionalmobilityandcognition |