Online engagement and cognitive function among older adults

Amini, Reza; Chee, Kyong Hee; Mendieta, Maximiliano; Parker, Shan

doi:10.1111/ggi.13749

Cited by 15 publications

(11 citation statements)

References 19 publications

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“…Additionally, doctors can diagnose diseases using data collected remotely from patients [14]. Internet use has also been demonstrated to help reduce the risk of cognitive decline [15] and lower the prevalence of chronic diseases [16]. It also showed a correlation with self-rated health status or quality of life in older adults [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Association Between Internet Use and Physical Health, Mental Health, and Subjective Health in Middle-aged and Older Adults: Nationally Representative Cross-sectional Survey in China

Wen¹,

Zhang²,

Shi³

et al. 2023

J Med Internet Res

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Background Internet use is an important means of accessing health-related information. Identifying the associations between internet use and health outcomes could provide insight into strategies for improving public health among middle-aged and older adults (45 years and up). Objective This study aimed to examine the relationship between internet use and health outcomes in middle-aged and older adults. Methods Data were obtained from the 2018 China Health and Retirement Longitudinal Study. Physical, mental, and subjective health were assessed using the Activities of Daily Living (ADL) Scale, the 10-item Center for Epidemiologic Studies Depression Scale, and the 3-level Self-Rated Health Scale, respectively. The chi-square test and rank sum test were used to explore whether internet use was associated with health status. A multivariate logistic regression model was used to determine this association further after controlling for the confounding factors. Results Overall, 13% (1752/13,474) of the participants used the internet. Regression analyses revealed that the prevalence of depression (odds ratio [OR] 0.59, 95% CI 0.52-0.68; P<.001), negative self-rated health (OR 0.68, 95% CI 0.61-0.76; P<.001), and difficulty with ADL (OR 0.48, 95% CI 0.39-0.60; P<.001) in the participating middle-aged and older adult was lower in those using the internet than nonusers. After controlling for confounding factors, internet use was found to be negatively associated with difficulty with ADL (urban: OR 0.44, 95% CI 0.32-0.61; P<.001 vs rural: OR 0.55, 95% CI 0.41-0.75; P<.001), depression (urban: OR 0.69, 95% CI 0.57-0.84; P<.001 vs rural: OR 0.52, 95% CI: 0.43-0.63; P<.001), and self-rated health status (urban: OR 0.70, 95% CI 0.61-0.81; P<.001 vs rural: OR 0.67, 95% CI 0.57-0.78; P<.001) among middle-aged and older adults in both urban and rural areas. Conclusions Internet use had a positive effect on the physical and mental health of middle-aged and older adults who participated in this study. However, the internet usage rate remains low among older Chinese people. Therefore, the internet penetration rate should be a priority.

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Section: Introductionmentioning

confidence: 99%

Association Between Internet Use and Physical Health, Mental Health, and Subjective Health in Middle-aged and Older Adults: Nationally Representative Cross-sectional Survey in China

Wen¹,

Zhang²,

Shi³

et al. 2023

J Med Internet Res

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“…With the rapid development of digital and information technology, the internet health-care industry is developing at high speed. Internet medical use data suggest that using the Internet for medical treatment has become a common practice among many older people [2][3][4]. Therefore, the question focused on in the present study arises-that is, whether older adults' use of the Internet for medical treatment will affect their happiness.…”

Section: Introductionmentioning

confidence: 96%

Internet-Based Medical Service Use and Eudaimonic Well-Being of Urban Older Adults: A Peer Support and Technology Acceptance Model

Shen

Yang

et al. 2021

IJERPH

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Currently, internet services are developing rapidly, and the relationship between specific types of internet services and the well-being of older adults is still unclear. This study took a total of 353 urban older adults aged 60 years and above as research objects to explore the impact of the use behavior toward internet-based medical services (IBMS) on their well-being through an online questionnaire. This study integrated well-being theory and peer support theory, constructed an extended structural equation model of technology acceptance based on the technology acceptance model (TAM), and analyzed the variable path relationship. The results confirm the proposed model: older adults improved their eudaimonic well-being through using IBMS; perceived usefulness significantly affected the older adults’ attitudes towards IBMS; perceived ease of use significantly affected the use of IBMS through mediation; peer support significantly affected older adults’ attitudes, willingness, actual use, and well-being in the process. This study proposes that facilitating IBMS use for older adults in the development and design of internet technology programs should be considered in order to provide them with benefits. Moreover, paying attention to peer support among older adults plays an important role in the acceptance of new technologies and improving their well-being. The “peer support” of this study expanded and contributed to the research on the impact on older adults’ well-being and the construction of a technology acceptance model. The peer support in this study extended the influence factor of eudaimonic well-being and contributed to the further development of the TAM.

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“…Increased cognitive reserve can, in turn, compensate for brain aging and reduce the risk of dementia 8 . Accordingly, prior research on older adults shows internet users to have better overall cognitive performance, verbal reasoning, and memory than non‐users 1–7 . Nonetheless, existing research consists of cross‐sectional analyses and longitudinal studies with short follow‐up periods, 1–7 leaving the long‐term cognitive benefits of internet usage unexamined.…”

Section: Introductionmentioning

confidence: 99%

“…Using the internet may help extend the cognitively healthy lifespan. [1][2][3][4][5][6][7][8] Online engagement can develop and maintain cognitive reserve, i.e., resiliency against physiological damage to the brain. [1][2][3][4][5][6][7][8] Increased cognitive reserve can, in turn, compensate for brain aging and reduce the risk of dementia.…”

Section: Introductionmentioning

confidence: 99%

Internet usage and the prospective risk of dementia: A population‐based cohort study

Cho

Betensky

Chang

2023

J American Geriatrics Society

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Background Little is known about the long‐term cognitive impact of internet usage among older adults. This research characterized the association between various measures of internet usage and dementia. Methods We followed dementia‐free adults aged 50–64.9 for a maximum of 17.1 (median = 7.9) years using the Health and Retirement Study. The association between time‐to‐dementia and baseline internet usage was examined using cause‐specific Cox models, adjusting for delayed entry and covariates. We also examined the interaction between internet usage and education, race‐ethnicity, sex, and generation. Furthermore, we examined whether the risk of dementia varies by the cumulative period of regular internet usage to see if starting or continuing usage in old age modulates subsequent risk. Finally, we examined the association between the risk of dementia and daily hours of usage. Analyses were conducted from September 2021 to November 2022. Results In 18,154 adults, regular internet usage was associated with approximately half the risk of dementia compared to non‐regular usage, CHR (cause‐specific hazard ratio) = 0.57, 95% CI = 0.46–0.71. The association was maintained after adjustments for self‐selection into baseline usage (CHR = 0.54, 95% CI = 0.41–0.72) and signs of cognitive decline at the baseline (CHR = 0.62, 95% CI = 0.46–0.85). The difference in risk between regular and non‐regular users did not vary by educational attainment, race‐ethnicity, sex, and generation. In addition, additional periods of regular usage were associated with significantly reduced dementia risk, CHR = 0.80, 95% CI = 0.68–0.95. However, estimates for daily hours of usage suggested a U‐shaped relationship with dementia incidence. The lowest risk was observed among adults with 0.1–2 h of usage, though estimates were non‐significant due to small sample sizes. Conclusions Regular internet users experienced approximately half the risk of dementia than non‐regular users. Being a regular internet user for longer periods in late adulthood was associated with delayed cognitive impairment, although further evidence is needed on potential adverse effects of excessive usage.

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Online engagement and cognitive function among older adults

Cited by 15 publications

References 19 publications

Association Between Internet Use and Physical Health, Mental Health, and Subjective Health in Middle-aged and Older Adults: Nationally Representative Cross-sectional Survey in China

Association Between Internet Use and Physical Health, Mental Health, and Subjective Health in Middle-aged and Older Adults: Nationally Representative Cross-sectional Survey in China

Internet-Based Medical Service Use and Eudaimonic Well-Being of Urban Older Adults: A Peer Support and Technology Acceptance Model

Internet usage and the prospective risk of dementia: A population‐based cohort study

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