Association between social networks and cognitive impairment among older Chinese adults: the mediating effect of depression
ObjectivesThis study aimed to explore the rationality of the social networks-depression-cognitive impairment pathway and to provide recommendations for the development of mild cognitive impairment intervention strategies.MethodsA cross-sectional survey was conducted in 2021. Sixteen urban communitie...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-01-01
|
| Series: | Frontiers in Aging Neuroscience |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnagi.2024.1495694/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841543785885990912 |
|---|---|
| author | Zhuo Zhang Ying Bian |
| author_facet | Zhuo Zhang Ying Bian |
| author_sort | Zhuo Zhang |
| collection | DOAJ |
| description | ObjectivesThis study aimed to explore the rationality of the social networks-depression-cognitive impairment pathway and to provide recommendations for the development of mild cognitive impairment intervention strategies.MethodsA cross-sectional survey was conducted in 2021. Sixteen urban communities in Xi 'an, Shaanxi China were selected as sample sites. The cognitive function, social networks and depression were measured by the Montreal Cognitive Assessment (MoCA), the Lubben Social Network Scale-6 (LSNS-6) and the Geriatric Depression Scale-15 (GDS-15), respectively. The generalized linear model was used to analysis the impact of social networks on cognitive impairment, and further analysis the mediating effect of depression.ResultsA total of 745 elderly people aged 60 and above was included in this survey, with an average age of 68.90 ± 6.00 years. The prevalence of cognitive impairment was 18.52%, and the prevalence of cognitive impairment increased with age. According to the generalized linear model, poor social networks (relative network, friend network) was associated with higher risk of cognitive impairment (OR = 2.08, 95% CI: 1.27–3.41), and this association was more significant in women and older adults <70 years of age. Mediation analysis results showed that depression was the mediating path between social networks and cognitive impairment, with the indirect effects accounting for 34.44%.ConclusionSocial isolation increases the risk of cognitive impairment and depression has a significant mediating effect on the relationship between social isolation and cognitive impairment. |
| format | Article |
| id | doaj-art-bc94d96d62974c6ab80ab2c2d9983bf7 |
| institution | Kabale University |
| issn | 1663-4365 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging Neuroscience |
| spelling | doaj-art-bc94d96d62974c6ab80ab2c2d9983bf72025-01-13T06:11:02ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652025-01-011610.3389/fnagi.2024.14956941495694Association between social networks and cognitive impairment among older Chinese adults: the mediating effect of depressionZhuo Zhang0Ying Bian1School of Health Services Management, Xi'an Medical University, Xi'an, Shaanxi, ChinaInstitute of Chinese Medical Sciences, State Key Laboratory of Quality Research in Chinese Medicine, University of Macau, Taipa, Macao SAR, ChinaObjectivesThis study aimed to explore the rationality of the social networks-depression-cognitive impairment pathway and to provide recommendations for the development of mild cognitive impairment intervention strategies.MethodsA cross-sectional survey was conducted in 2021. Sixteen urban communities in Xi 'an, Shaanxi China were selected as sample sites. The cognitive function, social networks and depression were measured by the Montreal Cognitive Assessment (MoCA), the Lubben Social Network Scale-6 (LSNS-6) and the Geriatric Depression Scale-15 (GDS-15), respectively. The generalized linear model was used to analysis the impact of social networks on cognitive impairment, and further analysis the mediating effect of depression.ResultsA total of 745 elderly people aged 60 and above was included in this survey, with an average age of 68.90 ± 6.00 years. The prevalence of cognitive impairment was 18.52%, and the prevalence of cognitive impairment increased with age. According to the generalized linear model, poor social networks (relative network, friend network) was associated with higher risk of cognitive impairment (OR = 2.08, 95% CI: 1.27–3.41), and this association was more significant in women and older adults <70 years of age. Mediation analysis results showed that depression was the mediating path between social networks and cognitive impairment, with the indirect effects accounting for 34.44%.ConclusionSocial isolation increases the risk of cognitive impairment and depression has a significant mediating effect on the relationship between social isolation and cognitive impairment.https://www.frontiersin.org/articles/10.3389/fnagi.2024.1495694/fullsocial networkscognitive impairmentdepressionmediating effectolder Chinese adults |
| spellingShingle | Zhuo Zhang Ying Bian Association between social networks and cognitive impairment among older Chinese adults: the mediating effect of depression Frontiers in Aging Neuroscience social networks cognitive impairment depression mediating effect older Chinese adults |
| title | Association between social networks and cognitive impairment among older Chinese adults: the mediating effect of depression |
| title_full | Association between social networks and cognitive impairment among older Chinese adults: the mediating effect of depression |
| title_fullStr | Association between social networks and cognitive impairment among older Chinese adults: the mediating effect of depression |
| title_full_unstemmed | Association between social networks and cognitive impairment among older Chinese adults: the mediating effect of depression |
| title_short | Association between social networks and cognitive impairment among older Chinese adults: the mediating effect of depression |
| title_sort | association between social networks and cognitive impairment among older chinese adults the mediating effect of depression |
| topic | social networks cognitive impairment depression mediating effect older Chinese adults |
| url | https://www.frontiersin.org/articles/10.3389/fnagi.2024.1495694/full |
| work_keys_str_mv | AT zhuozhang associationbetweensocialnetworksandcognitiveimpairmentamongolderchineseadultsthemediatingeffectofdepression AT yingbian associationbetweensocialnetworksandcognitiveimpairmentamongolderchineseadultsthemediatingeffectofdepression |