The influence of healthy lifestyle behaviors on cognitive function among older Chinese adults across age and gender: Evidence from panel data

Cheng, Taozhu; Zhang, Bo; Li, Luo; Guo, Jun

doi:10.1016/j.archger.2023.105040

Cited by 8 publications

(3 citation statements)

References 33 publications

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“…Employing a randomized household survey methodology, the CLHLS collects information on participants' basic details, dietary habits, lifestyle, behaviors, and illnesses. Informed consent was obtained from all participants or their legal representatives, and trained health workers administered the survey using an internationally standardized questionnaire [ 28 ]. The analysis used data from the 2018 CLHLS, which included a total of 15,874 samples.…”

Section: Methodsmentioning

confidence: 99%

The Effects of a Healthy Lifestyle on Depressive Symptoms in Older Chinese Adults: The Mediating Role of Psychological Resilience

Duan,

Zhao,

Zhou

2024

Cureus

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Objectives This study aimed to validate the interrelationships and potential pathways of influence between healthy lifestyles, psychological resilience, and depressive symptoms in the Chinese elderly population. Methods We utilized data from the Chinese Elderly Health Influential Factors Tracking Survey 2018 and included 9448 samples for the study after screening according to the qualifying conditions. The interrelationships among healthy lifestyles, psychological resilience and depressive symptoms were analyzed using stepwise regression, and the robustness of mediation effects was assessed using Sobel and Bootstrap test. Results Among Chinese older adults, healthy lifestyles were negatively associated with depressive symptoms (β = -0.310, 95% CI: -0.405, -0.215), positively associated with psychological resilience (β = 0.137, 95% CI:0.071, 0.023), and psychological resilience was negatively associated with depressive symptoms (β = -1.014, 95% CI: -1.037, -0.990). Conclusions Psychological resilience partially mediated the association between healthy lifestyles and depressive symptoms, with the mediating effect accounting for 44.8% of the total effect. Our study contributes to the understanding of the relationship between healthy lifestyles and depressive symptoms in the elderly population and emphasizes the important role of psychological resilience. It is recommended that the government and policymakers improve depressive symptoms among older adults through comprehensive measures such as promoting healthy lifestyles and education, providing psychological support services, and creating a favorable environment.

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Section: Methodsmentioning

confidence: 99%

The Effects of a Healthy Lifestyle on Depressive Symptoms in Older Chinese Adults: The Mediating Role of Psychological Resilience

Duan,

Zhao,

Zhou

2024

Cureus

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“…From the perspective of a healthy lifestyle, late-life depressive symptoms may affect cognitive function in older adults through their daily lifestyle choices [23]. Healthy lifestyle theory suggests that higher levels of depression hinder older adults from maintaining healthy lifestyles, leading to reduced sleep quality, decreased frequency of physical exercise and social engagement, disruption of adherence to medication schedules, and an increased likelihood of engaging in health-risk behaviors such as alcohol abuse [24].…”

Section: Theoretical Perspectives and Hypothesismentioning

confidence: 99%

Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults

Lu,

Ruan

2023

Healthcare

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(1) Objectives: This study aims to investigate the bidirectional relationship between depressive symptoms and cognitive function among older adults in China, addressing a research gap in the context of developing nations. (2) Methods: A total of 3813 adults aged 60 and older participating in 2013, 2015, and 2018 waves of the China Health and Retirement Longitudinal Study (CHARLS) were included. A fixed-effects model and cross-lagged panel model (CLPM) was utilized. (3) Results: First, the results indicated that a significant negative correlation existed between depressive symptoms and cognitive function in older adults during the study period (β = −0.084, p < 0.001). Second, after controlling for unobserved confounding factors, the deterioration and improvement of depressive symptoms still significantly affected cognitive function (β = −0.055, p < 0.001). Third, using the cross-lagged panel model, we observed a reciprocal relationship between depressive symptoms (Dep) and cognitive function (Cog) among Chinese older adults (Dep2013 → Cog2015, β = −0.025, p < 0.01; Dep2015 → Cog2018, β = −0.028, p < 0.001; Cog2013 → Dep2015, β = −0.079, p < 0.01; Cog2015 → Dep2018, β = −0.085, p < 0.01). (4) Discussion: The reciprocal relationship between depressive symptoms and cognitive functioning in older adults emphasizes the need for integrated public health policies and clinical interventions, to develop comprehensive intervention strategies that simultaneously address depressive symptoms and cognitive decline.

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“…Episodic memory is associated with one’s recollection of time and place-specific personal experiences, while executive functions denote cognitive abilities such as planning, reasoning, organizing, and problem-solving ( P. L. Lee, 2014 ). Although both of these cognitive abilities are associated to some extent with age-related decline ( Glisky et al, 2022 ; McDaniel et al, 2022 ; Yang et al, 2024 ), the rate of individual decline has been found to be associated with facets of positive psychological well-being, thereby showing interpersonal and intrapersonal variation ( Cheng et al, 2023 ).…”

Section: Introductionmentioning

confidence: 99%

Impact of Optimism on Cognitive Performance of People Living in Rural Area: Findings From a 20-Year Study in US Adults

Bhattacharyya,

Molinari

2024

Gerontology and Geriatric Medicine

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Objectives: Mid- or early-late-life cognitive function is an indicator for developing late-life dementia. However, it is still unclear whether rural/urban living contexts provide cognitive benefits across adulthood. Further, higher optimism serves as a general protective factor for many health outcomes. The present study examines associations between rurality/urbanicity, optimism, and change in mid/late-life cognitive functions over time. Methods: Data were from waves 1 to 3 (1995–2015) of the Midlife in the United States (MIDUS) study ( N = 2,507). Structural equation models examine whether long-term rural living across both waves (1–2) or intermittent rural living at one wave is associated with better cognitive function over 20 years, compared to no rural living, while controlling for prior cognitive function and covariates (baseline socio-demographics, health, and functional status). Additionally, we assessed if optimism mediates the above associations. Results: After controlling for covariates, long-term rural living (waves 1–2) was indirectly (through less optimism) associated with significantly lower levels of cognitive executive function and episodic memory in wave 3. Conclusions: While long-term rural living and cognitive outcomes have no direct association for MIDUS middle-aged and older adults, mediating roles of optimism in these associations were evident. Future investigations could examine mechanisms that underlie these risk/protective factors on late-life cognition.

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The influence of healthy lifestyle behaviors on cognitive function among older Chinese adults across age and gender: Evidence from panel data

Cited by 8 publications

References 33 publications

The Effects of a Healthy Lifestyle on Depressive Symptoms in Older Chinese Adults: The Mediating Role of Psychological Resilience

The Effects of a Healthy Lifestyle on Depressive Symptoms in Older Chinese Adults: The Mediating Role of Psychological Resilience

Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults

Impact of Optimism on Cognitive Performance of People Living in Rural Area: Findings From a 20-Year Study in US Adults

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