Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from Beijing

ObjectiveThis observational study aims to comprehensively explore the network relationship and mechanism of action between cognitive function and quality of life among community-dwelling older adults aged 60 and above in Beijing.MethodsThe research encompassed a cohort of 323 older adults individual...

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Main Authors: Yitian Ye, Yichun Zhang, Jiaju Ren, Yanbo Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1516895/full
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author Yitian Ye
Yichun Zhang
Jiaju Ren
Yanbo Zhu
Yanbo Zhu
author_facet Yitian Ye
Yichun Zhang
Jiaju Ren
Yanbo Zhu
Yanbo Zhu
author_sort Yitian Ye
collection DOAJ
description ObjectiveThis observational study aims to comprehensively explore the network relationship and mechanism of action between cognitive function and quality of life among community-dwelling older adults aged 60 and above in Beijing.MethodsThe research encompassed a cohort of 323 older adults individuals residing in the community in Beijing. Data were collected from January to July 2024 using convenience sampling. Cognitive function was evaluated using the Chinese adaptation of the Montreal Cognitive Assessment (MoCA), while quality of life was assessed through the Medical Outcomes Study 36-Item Short-Form Health Survey version 2 (SF-36v2). Cognitive assessment involved seven dimensions, namely visuospatial/executive function, naming, attention, language, abstraction, delayed recall, and orientation. Concurrently, quality of life was assessed across eight dimensions: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health. Network analysis graphs were developed to investigate the interrelationships among variables, identify central nodes, and evaluate stability.ResultsIn the network, the dimensions of social functioning, role-physical, physical functioning, general health, vitality, orientation, and language showed high centrality strength. The dimensions of physical functioning, role-physical, language, and orientation exhibited strong closeness and betweenness. There were strong associations between role-physical and social functioning, physical functioning and role-physical, and vitality and mental health. The centrality stability coefficients for strength, closeness, and betweenness were 0.672, 0.672, and 0.285, respectively.ConclusionThe network structure was stable, indicating that dimensions such as social functioning, role-physical, and physical functioning play pivotal roles influencing cognitive function in community-dwelling older adults. Orientation and language were the most representative dimensions of cognitive function and may serve as important targets for interventions aimed at improving cognitive function and subsequently enhancing QoL. These findings provide practical guidance for community health interventions. Future research should explore causal relationships and develop scalable strategies to support aging populations.
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spelling doaj-art-7f36ca35b38943aebb6609ed9f89832c2025-02-07T05:10:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011210.3389/fpubh.2024.15168951516895Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from BeijingYitian Ye0Yichun Zhang1Jiaju Ren2Yanbo Zhu3Yanbo Zhu4School of Management, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Management, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Management, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaObjectiveThis observational study aims to comprehensively explore the network relationship and mechanism of action between cognitive function and quality of life among community-dwelling older adults aged 60 and above in Beijing.MethodsThe research encompassed a cohort of 323 older adults individuals residing in the community in Beijing. Data were collected from January to July 2024 using convenience sampling. Cognitive function was evaluated using the Chinese adaptation of the Montreal Cognitive Assessment (MoCA), while quality of life was assessed through the Medical Outcomes Study 36-Item Short-Form Health Survey version 2 (SF-36v2). Cognitive assessment involved seven dimensions, namely visuospatial/executive function, naming, attention, language, abstraction, delayed recall, and orientation. Concurrently, quality of life was assessed across eight dimensions: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health. Network analysis graphs were developed to investigate the interrelationships among variables, identify central nodes, and evaluate stability.ResultsIn the network, the dimensions of social functioning, role-physical, physical functioning, general health, vitality, orientation, and language showed high centrality strength. The dimensions of physical functioning, role-physical, language, and orientation exhibited strong closeness and betweenness. There were strong associations between role-physical and social functioning, physical functioning and role-physical, and vitality and mental health. The centrality stability coefficients for strength, closeness, and betweenness were 0.672, 0.672, and 0.285, respectively.ConclusionThe network structure was stable, indicating that dimensions such as social functioning, role-physical, and physical functioning play pivotal roles influencing cognitive function in community-dwelling older adults. Orientation and language were the most representative dimensions of cognitive function and may serve as important targets for interventions aimed at improving cognitive function and subsequently enhancing QoL. These findings provide practical guidance for community health interventions. Future research should explore causal relationships and develop scalable strategies to support aging populations.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1516895/fullcognitive assessmentquality of lifecommunity-dwelling older adultsnetwork analysishealth promotion
spellingShingle Yitian Ye
Yichun Zhang
Jiaju Ren
Yanbo Zhu
Yanbo Zhu
Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from Beijing
Frontiers in Public Health
cognitive assessment
quality of life
community-dwelling older adults
network analysis
health promotion
title Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from Beijing
title_full Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from Beijing
title_fullStr Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from Beijing
title_full_unstemmed Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from Beijing
title_short Network relationship between cognitive function and quality of life in community-dwelling older adults: an observational study from Beijing
title_sort network relationship between cognitive function and quality of life in community dwelling older adults an observational study from beijing
topic cognitive assessment
quality of life
community-dwelling older adults
network analysis
health promotion
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1516895/full
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