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ORIGINAL RESEARCH article

Front. Aging Neurosci.
Sec. Neurocognitive Aging and Behavior
Volume 16 - 2024 | doi: 10.3389/fnagi.2024.1498354
This article is part of the Research Topic Mental, Sensory, Physical and Life Style Parameters Related to Cognitive Decline in Aging View all 16 articles

Contribution of social activity participation to the relationship between sensory impairment, physical performance and cognitive decline: A longitudinal study in China

Provisionally accepted
Lei Lei Lei Lei 1,2Yinuo Zhou Yinuo Zhou 1Lizhen Ye Lizhen Ye 3Yanfang Yang Yanfang Yang 1*
  • 1 Sichuan University, Chengdu, China
  • 2 Chengdu Shuangliu District Center for Disease Control and Prevention, Chengdu, China
  • 3 Erasmus Medical Center, Rotterdam, Netherlands

The final, formatted version of the article will be published soon.

    Objectives This study examined the impact of sensory impairment (hearing and/or vision) combined with poor physical performance on cognitive decline and assessed whether social activity participation mediated this relationship.Multilevel models were used to explore the relationships between sensory impairment, physical performance, their combination, and cognitive decline. A multilevel mediation model analyzed the mediating effect of social activity participation. The study included 10,149 adults aged 45 and older (mean age 53.84) from five waves (2011-2020) of the China Health and Retirement Longitudinal Study (CHARLS). The exposure variable, body function (BF), was categorized into six groups based on sensory impairment and physical performance. Cognitive function was measured using an adapted Chinese Mini-Mental State Examination (MMSE).Compared to BF group 1 (normal physical performance without sensory impairment), individuals in BF group 4 (low physical performance without sensory impairment) (β=-0.670, P<0.001), BF group 5 (low physical performance with single sensory impairment) (β=-1.029, P<0.001), and BF group 6 (low physical performance with dual sensory impairment) (β=-1.630, P<0.001) showed worse cognitive function. Only BF group 4 (β=-0.670, P<0.001) had a faster cognitive decline.Mediation analysis revealed a significant indirect effect of social activity participation on cognitive function in BF group 4 (β=-0.03, P<0.01, mediation proportion: 4.32%).The combined effect of sensory impairment and low physical performance on cognitive decline may be accumulative, and social activity participation could mitigate this effect. Prioritizing social activity participation is crucial for health professionals and policymakers.

    Keywords: Cognitive Function, sensory impairment, physical performance, Social activity participation, mediation analyses

    Received: 18 Sep 2024; Accepted: 29 Nov 2024.

    Copyright: © 2024 Lei, Zhou, Ye and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Yanfang Yang, Sichuan University, Chengdu, China

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