The influence of social participation and depressive symptoms on cognition among middle-aged and older adults

作者全名："Chen, Chen; Tian, Yu; Ni, Linghao; Xu, Qianjie; Hu, Yaoyue; Peng, Bin"

作者地址："[Chen, Chen; Tian, Yu; Ni, Linghao; Xu, Qianjie; Hu, Yaoyue; Peng, Bin] Chongqing Med Univ, Sch Publ Hlth, Chongqing 400016, Peoples R China"

通信作者："Hu, YY; Peng, B (通讯作者)，Chongqing Med Univ, Sch Publ Hlth, Chongqing 400016, Peoples R China."

来源：HELIYON

ESI学科分类：　

WOS号：WOS:001156724100001

JCR分区：Q2

影响因子：4

年份：2024

卷号：10

期号：2

开始页：　

结束页：　

文献类型：Article

关键词：Social participation; Depressive symptoms; Cognitive ability; Middle-aged and elder adults; Mediation model

摘要："Background: The global aging phenomenon has raised concerns about the cognitive abilities of older individuals. This study aimed to explore the relationship between social participation, depressive symptoms, and cognitive function among middle-aged and older adults. Methods: This study utilized data from the China Longitudinal Study of Health and Retirement (CHARLS) from wave 1 to wave 4. We used linear regression and generalized estimation equations to investigate the correlation between social participation, depressive symptoms, and cognitive function. Moreover, three models were constructed by adjusting covariates, and we used the sobel test and bootstrap method to analyze the mediating effects of depressive symptoms on social activities and cognitive function. Results: The results of both linear regression and generalized estimation equation showed that social participation had a positive correlation with cognitive function (P < 0.05), and the impact of social participation on cognition increased with the number of social activity types. Meanwhile, depressive symptoms had a negative association with cognitive function (P < 0.05). Furthermore, there was no interaction between social participation and depressive symptoms on cognitive function. Finally, after adjusting the model, social participation could affect cognitive function by affecting depressive symptoms (P < 0.05). Conclusion: The study emphasizes the mediating role of depressive symptoms in the relationship between social participation and cognitive function. Notably, no interaction was observed between social participation and depressive symptoms. These findings highlight the potential of active social participation in reducing depressive symptoms and enhancing cognitive function in middle-aged and older adults."

基金机构：National Natural Science Foundation of China [82273739]

基金资助正文："Role of the funding source This study was funded by The National Natural Science Foundation of China (82273739) . The funding body had no roles in study design, data collection, and analysis, decision to publish, or preparation of the manuscript."