The Effects of Social Activities and Living Arrangements on Cognitive Functions in Middle-aged and Elderly Adults: A Panel Study Using the 2006-2018 Korean Longitudinal Study of Aging

Hong, Yun Chul; Kyung, Young

doi:10.3961/jpmph.21.384

Cited by 8 publications

(11 citation statements)

References 23 publications

(29 reference statements)

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“…As few studies simultaneously included handgrip strength, depression, social participation, and cognitive function in older adults with cardiovascular diseases, we could not directly compare our findings with previous studies. However, our results were consistent with cross‐sectional studies (Bae, 2020; Choi et al, 2021). Notably, Bae (2020) showed that community‐dwelling older adults over 60 with high handgrip strength, low depression, and attending social participation had better cognitive functioning.…”

Section: Discussionsupporting

confidence: 93%

Eight‐year trajectories and predictors of cognitive function in community‐dwelling Korean older adults with cardiovascular diseases

Son,

Kim,

Choi

et al. 2023

J of Nursing Scholarship

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PurposeThis study aims to identify longitudinal patterns and predictors of cognitive function trajectories among Korean older adults with cardiovascular diseases.DesignThis study is a longitudinal panel analysis based on secondary data. Data from the the Korean Longitudinal Study of Ageing (KLoSA) were used for analysis.MethodsThe KLoSA is a representative panel survey of older Koreans. We analyzed responses from 301 participants aged ≥65 years who completed the same survey more than three times out of five waves between 2012 and 2020.FindingsLatent class growth modeling identified two trajectories of cognitive function in older people with cardiovascular diseases: “low and declining” (n = 81, 26.9%) and “high and declining” (n = 220, 73.1%). Participants in “the low and declining trajectory group” were more likely to have a low educational level, weak handgrip strength, depression, and low social participation at baseline than those in “the high and declining trajectory group.”ConclusionsOur results indicate a need to develop community‐based tailored interventions for improving handgrip strength, mental health, and social participation in delaying cognitive decline in older people with cardiovascular diseases considering their educational level.Clinical RelevanceHealthcare providers should be more concerned about older people with a weaker handgrip, depression, and low social activities as a high‐risk group for cognitive decline over time in cardiovascular care. Therefore, it is necessary to evaluate them early with standardized tools and make subsequent strategies for the older population with cardiovascular diseases.

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Section: Discussionsupporting

confidence: 93%

Eight‐year trajectories and predictors of cognitive function in community‐dwelling Korean older adults with cardiovascular diseases

Son,

Kim,

Choi

et al. 2023

J of Nursing Scholarship

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“…Atsushi's [29] study found that half of sampled bereaved seniors transitioned to living alone after 2013. Choi and colleagues [30] also revealed a significant increase in the number of living alone groups from 2006 to 2018 among Korean older adults. By conducting an APC analysis of Chinese sample, scholars indicated that older adults' willingness to live alone rose gradually till 2011 and it stayed flat afterwards [31].…”

Section: Changing Patterns Of Living Arrangements Among Older Adultsmentioning

confidence: 92%

Two Decades of Change in Living arrangements and Oldest Old Health in China, 1998-2018

Zhang

2024

Preprint

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Living arrangement has been documented to be influential on older adults’ health. However, there is hardly comprehensive temporal model for understanding the effects of time and cohort on oldest old’s health in various household contexts. This study intended to fill the voids of prior literature by studying Chinese oldest old through analyzing data from eight (1998, 2000, 2002, 2005, 2008, 2011-12, 2014 and 2018) waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The results showed changing patterns of Chinese oldest old’s living arrangements by time period and across birth cohorts. Chinese oldest old were more inclined to live with a spouse or live alone. Living in nursing homes was also chosen by more oldest old in recent years. Younger cohorts were more inclined to live with a spouse, live both with a spouse and adult children/grandchildren or live alone than older birth cohorts. Oldest old who lived with a spouse only, and those living in multigenerational families tended to have better physical and mental health. Respondents who lived in nursing homes and stayed with others showed the worst physical and mental health. Oldest old who lived alone had better physical health but suffered from loneliness and reported the worst subjective wellbeing. Significant period and cohort variations were also found when linking living arrangements to oldest old health. Cohort variations mainly occurred among subgroups living alone, staying in nursing homes and living with others. Period effects were more prominent than cohort effects, especially in times of economic recessions and natural disasters that had massive social impacts. The study emphasized strong period effects and highlighted that special attention should be given to more vulnerable groups to promote their health, including those living alone, living in nursing homes and living with others.

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“…The score ranges from 0 to 30. Based on previous studies, we categorized those with a score of 23 or less as having cognitive impairment and those with a score of 24 or more as having normal cognition [13][14][15].…”

Section: Cognitive Impairmentmentioning

confidence: 99%

The Effect of Cognitive Impairment on the Association Between Social Network Properties and Mortality Among Older Korean Adults

Kim¹,

Sung²,

Kim³

et al. 2023

J Prev Med Public Health

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Objectives: This study investigated the effect of cognitive impairment on the association between social network properties and mortality among older Korean adults.Methods: This study used data from the Korean Social Life, Health, and Aging Project. It obtained 814 older adults’ complete network maps across an entire village in 2011-2012. Participants’ deaths until December 31, 2020 were confirmed by cause-of-death statistics. A Cox proportional hazards model was used to assess the risks of poor social network properties (low degree centrality, perceived loneliness, social non-participation, group-level segregation, and lack of support) on mortality according to cognitive impairment.Results: In total, 675 participants (5510.4 person-years) were analyzed, excluding those with missing data and those whose deaths could not be verified. Along with cognitive impairment, all social network properties except loneliness were independently associated with mortality. When stratified by cognitive function, some variables indicating poor social relations had higher risks among older adults with cognitive impairment, with adjusted hazard ratios (HRs) of 2.12 (95% confidence interval [CI], 1.34 to 3.35) for social nonparticipation, 1.58 (95% CI, 0.94 to 2.65) for group-level segregation, and 3.44 (95% CI, 1.55 to 7.60) for lack of support. On the contrary, these effects were not observed among those with normal cognition, with adjusted HRs of 0.73 (95% CI, 0.31 to 1.71), 0.96 (95% CI, 0.42 to 2.21), and 0.95 (95% CI, 0.23 to 3.96), respectively.Conclusions: The effect of social network properties was more critical among the elderly with cognitive impairment. Older adults with poor cognitive function are particularly encouraged to participate in social activities to reduce the risk of mortality.

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The Effects of Social Activities and Living Arrangements on Cognitive Functions in Middle-aged and Elderly Adults: A Panel Study Using the 2006-2018 Korean Longitudinal Study of Aging

Cited by 8 publications

References 23 publications

Eight‐year trajectories and predictors of cognitive function in community‐dwelling Korean older adults with cardiovascular diseases

Eight‐year trajectories and predictors of cognitive function in community‐dwelling Korean older adults with cardiovascular diseases

Two Decades of Change in Living arrangements and Oldest Old Health in China, 1998-2018

The Effect of Cognitive Impairment on the Association Between Social Network Properties and Mortality Among Older Korean Adults

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