Prospective association between standing balance and cognitive function in middle-aged and older Chinese adults

ObjectiveTo investigate the association of standing balance with cognitive functions and the rate of cognitive decline among middle-aged and older Chinese adults.MethodsParticipants were selected from China’s Health and Retirement Longitudinal Study. A total of 8,499 subjects aged ≥45 years who part...

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Main Authors: Jingzheng Yan, Fangyun Luan, Meijuan Wang, Wenshuo Dong, Xinyue Zhang, Mengli Li, Yingjuan Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.931216/full
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author Jingzheng Yan
Fangyun Luan
Meijuan Wang
Wenshuo Dong
Xinyue Zhang
Mengli Li
Yingjuan Cao
Yingjuan Cao
author_facet Jingzheng Yan
Fangyun Luan
Meijuan Wang
Wenshuo Dong
Xinyue Zhang
Mengli Li
Yingjuan Cao
Yingjuan Cao
author_sort Jingzheng Yan
collection DOAJ
description ObjectiveTo investigate the association of standing balance with cognitive functions and the rate of cognitive decline among middle-aged and older Chinese adults.MethodsParticipants were selected from China’s Health and Retirement Longitudinal Study. A total of 8,499 subjects aged ≥45 years who participated in wave 1 to wave 3 surveys were included in the final analysis. Standing balance was measured using the tandem test, and participants were categorized into two groups according to their ability to maintain standing balance. Cognitive functions were assessed in three domains: episodic memory, mental status, and global cognition. The associations between standing balance scores, cognitive scores, and the rate of cognitive decline were evaluated using linear regression and linear mixed models.ResultsCompared with participants who successfully completed the standing balance test, those who were unable to complete the test had lower scores on episodic memory [β = −0.18; 95% confidence interval (CI): −0.24, −0.11], mental status (β = −0.28; 95% CI: −0.37, −0.19), and global cognition (β = −0.51; 95% CI: −0.65, −0.38) after 4 years of follow-up. In addition, the rate of decline in mental status and global cognition increased by 0.10 (β = 0.10; 95% CI: 0.07, 0.13) and 0.08 (β = 0.08; 95% CI: 0.04, 0.12) units, respectively, in participants who were unable to complete the test compared with their counterparts.ConclusionGood standing balance was significantly associated with higher cognitive function and a lower decline in mental status and global cognition in middle-aged and older Chinese adults.
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spelling doaj.art-bce52c1012534ac9ba80e171f4d383c72022-12-22T03:50:03ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-09-011310.3389/fpsyg.2022.931216931216Prospective association between standing balance and cognitive function in middle-aged and older Chinese adultsJingzheng Yan0Fangyun Luan1Meijuan Wang2Wenshuo Dong3Xinyue Zhang4Mengli Li5Yingjuan Cao6Yingjuan Cao7School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Emergency, Qilu Hospital, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Nursing, Qilu Hospital, Shandong University, Jinan, ChinaObjectiveTo investigate the association of standing balance with cognitive functions and the rate of cognitive decline among middle-aged and older Chinese adults.MethodsParticipants were selected from China’s Health and Retirement Longitudinal Study. A total of 8,499 subjects aged ≥45 years who participated in wave 1 to wave 3 surveys were included in the final analysis. Standing balance was measured using the tandem test, and participants were categorized into two groups according to their ability to maintain standing balance. Cognitive functions were assessed in three domains: episodic memory, mental status, and global cognition. The associations between standing balance scores, cognitive scores, and the rate of cognitive decline were evaluated using linear regression and linear mixed models.ResultsCompared with participants who successfully completed the standing balance test, those who were unable to complete the test had lower scores on episodic memory [β = −0.18; 95% confidence interval (CI): −0.24, −0.11], mental status (β = −0.28; 95% CI: −0.37, −0.19), and global cognition (β = −0.51; 95% CI: −0.65, −0.38) after 4 years of follow-up. In addition, the rate of decline in mental status and global cognition increased by 0.10 (β = 0.10; 95% CI: 0.07, 0.13) and 0.08 (β = 0.08; 95% CI: 0.04, 0.12) units, respectively, in participants who were unable to complete the test compared with their counterparts.ConclusionGood standing balance was significantly associated with higher cognitive function and a lower decline in mental status and global cognition in middle-aged and older Chinese adults.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.931216/fullagingcognitive functionbalanceprospective studyChina
spellingShingle Jingzheng Yan
Fangyun Luan
Meijuan Wang
Wenshuo Dong
Xinyue Zhang
Mengli Li
Yingjuan Cao
Yingjuan Cao
Prospective association between standing balance and cognitive function in middle-aged and older Chinese adults
Frontiers in Psychology
aging
cognitive function
balance
prospective study
China
title Prospective association between standing balance and cognitive function in middle-aged and older Chinese adults
title_full Prospective association between standing balance and cognitive function in middle-aged and older Chinese adults
title_fullStr Prospective association between standing balance and cognitive function in middle-aged and older Chinese adults
title_full_unstemmed Prospective association between standing balance and cognitive function in middle-aged and older Chinese adults
title_short Prospective association between standing balance and cognitive function in middle-aged and older Chinese adults
title_sort prospective association between standing balance and cognitive function in middle aged and older chinese adults
topic aging
cognitive function
balance
prospective study
China
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.931216/full
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