Cognitive Benefits of Activity Engagement among 12,093 Adults Aged over 65 Years

Objective: The present study includes two aims: (1) to understand patterns of activity engagement among older Chinese adults; (2) to further investigate associations between activity engagement and cognitive abilities in this population. Methods: Latent class analysis was applied to answer the afore...

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Main Authors: Jieting Zhang, Liye Zou, Can Jiao, Minqiang Zhang, Lina Wang, Wook Song, Qian Yu, Igor Grabovac, Yanjie Zhang, Peter Willeit, Lin Yang
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/10/12/967
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author Jieting Zhang
Liye Zou
Can Jiao
Minqiang Zhang
Lina Wang
Wook Song
Qian Yu
Igor Grabovac
Yanjie Zhang
Peter Willeit
Lin Yang
author_facet Jieting Zhang
Liye Zou
Can Jiao
Minqiang Zhang
Lina Wang
Wook Song
Qian Yu
Igor Grabovac
Yanjie Zhang
Peter Willeit
Lin Yang
author_sort Jieting Zhang
collection DOAJ
description Objective: The present study includes two aims: (1) to understand patterns of activity engagement among older Chinese adults; (2) to further investigate associations between activity engagement and cognitive abilities in this population. Methods: Latent class analysis was applied to answer the aforementioned research questions across different age ranges while controlling for confounding variables (age, health, socioeconomic status (SES), and living alone). Specifically, five latent classes (non-active, working-active, comprehensive-active, physical-active, and less-active) were identified. Furthermore, associations between the classes of activity engagement and cognition were examined separately in three age groups: less than 80 years (young-old group), 80–99.5 years (old-old group) and more than 100 years (oldest-old group) of age. Results: Compared with Non-active older individuals, the other classes with a higher probability of engagement in various activities generally showed higher cognitive abilities (including general cognition, orientation, calculation, recall, and language), but not all patterns of active engagement in daily life were positively associated with better cognitive status across different age ranges. In particular, differences in the individuals’ cognitive abilities across the four active latent classes were especially obvious in the old-old group as follows: the Comprehensive-active class had higher general cognitive and recall abilities than the other three active classes and higher calculation and language abilities than the Working-active class. In addition, significant sex differences were observed in activity patterns, cognition, and their associations in the young-old and old-old groups. Culture-specific programs should be customized to subgroups of different ages and genders by providing different training or activity modules based on their related dimensions of cognitive decline.
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spelling doaj.art-c1d1399251c042d19263fbcd65a1c0cd2023-11-21T00:12:53ZengMDPI AGBrain Sciences2076-34252020-12-01101296710.3390/brainsci10120967Cognitive Benefits of Activity Engagement among 12,093 Adults Aged over 65 YearsJieting Zhang0Liye Zou1Can Jiao2Minqiang Zhang3Lina Wang4Wook Song5Qian Yu6Igor Grabovac7Yanjie Zhang8Peter Willeit9Lin Yang10Institute of Mental Health, School of Psychology, Shenzhen University, Shenzhen 518060, ChinaInstitute of Mental Health, School of Psychology, Shenzhen University, Shenzhen 518060, ChinaInstitute of Mental Health, School of Psychology, Shenzhen University, Shenzhen 518060, ChinaCenter for Studies of Psychological Application, South China Normal University, Guangzhou 510631, ChinaInstitute of Mental Health, School of Psychology, Shenzhen University, Shenzhen 518060, ChinaHealth & Exercise Science Laboratory, Institute of Sports Science, Department of Kinesiology, Seoul National University, Seoul 08826, KoreaExercise and Mental Health Laboratory, School of Psychology, Shenzhen University, Shenzhen 518060, ChinaDepartment of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/1, 1090 Vienna, AustriaHealth & Exercise Science Laboratory, Institute of Sports Science, Department of Kinesiology, Seoul National University, Seoul 08826, KoreaDepartment of Neurology, Medical University of Innsbruck, 6020 Innsbruck, AustriaDepartment of Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, Calgary, AB T2S 3C3, CanadaObjective: The present study includes two aims: (1) to understand patterns of activity engagement among older Chinese adults; (2) to further investigate associations between activity engagement and cognitive abilities in this population. Methods: Latent class analysis was applied to answer the aforementioned research questions across different age ranges while controlling for confounding variables (age, health, socioeconomic status (SES), and living alone). Specifically, five latent classes (non-active, working-active, comprehensive-active, physical-active, and less-active) were identified. Furthermore, associations between the classes of activity engagement and cognition were examined separately in three age groups: less than 80 years (young-old group), 80–99.5 years (old-old group) and more than 100 years (oldest-old group) of age. Results: Compared with Non-active older individuals, the other classes with a higher probability of engagement in various activities generally showed higher cognitive abilities (including general cognition, orientation, calculation, recall, and language), but not all patterns of active engagement in daily life were positively associated with better cognitive status across different age ranges. In particular, differences in the individuals’ cognitive abilities across the four active latent classes were especially obvious in the old-old group as follows: the Comprehensive-active class had higher general cognitive and recall abilities than the other three active classes and higher calculation and language abilities than the Working-active class. In addition, significant sex differences were observed in activity patterns, cognition, and their associations in the young-old and old-old groups. Culture-specific programs should be customized to subgroups of different ages and genders by providing different training or activity modules based on their related dimensions of cognitive decline.https://www.mdpi.com/2076-3425/10/12/967cognitionactivityolder adultsaginglifestyle
spellingShingle Jieting Zhang
Liye Zou
Can Jiao
Minqiang Zhang
Lina Wang
Wook Song
Qian Yu
Igor Grabovac
Yanjie Zhang
Peter Willeit
Lin Yang
Cognitive Benefits of Activity Engagement among 12,093 Adults Aged over 65 Years
Brain Sciences
cognition
activity
older adults
aging
lifestyle
title Cognitive Benefits of Activity Engagement among 12,093 Adults Aged over 65 Years
title_full Cognitive Benefits of Activity Engagement among 12,093 Adults Aged over 65 Years
title_fullStr Cognitive Benefits of Activity Engagement among 12,093 Adults Aged over 65 Years
title_full_unstemmed Cognitive Benefits of Activity Engagement among 12,093 Adults Aged over 65 Years
title_short Cognitive Benefits of Activity Engagement among 12,093 Adults Aged over 65 Years
title_sort cognitive benefits of activity engagement among 12 093 adults aged over 65 years
topic cognition
activity
older adults
aging
lifestyle
url https://www.mdpi.com/2076-3425/10/12/967
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