Mild Behavioral Impairment as a Mediator of the Relationships Among Perceived Stress, Social Support, Physical Activity, and Cognitive Function in Older Adults with Transitional Cognitive Decline: A Structural Equation Modelling Analysis.

IF 1.2 4区医学 Q3 GERONTOLOGY

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-01 DOI:10.1017/S0714980825100172

Wachira Suriyawong, Panawat Sanprakhon, Noppamas Pipatpiboon, Narongkorn Chaiwong, Ruksanudt Budda, Papan Thaipisuttikul

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引用次数: 0

Abstract

Cognitive decline presents individual and societal challenges, underscoring the importance of identifying risk factors to inform interventions for older adults. This cross-sectional study examined how physical activity (PA), perceived stress, and social support were related to cognitive function, with mild behavioral impairment (MBI) as a mediator, among 410 Thai older adults. Structural equation model revealed that perceived stress was associated with increased MBI (p < .001), which was directly related to cognitive function (p < .05). Higher social support was associated with lower MBI (p < .05), while moderate-to-vigorous PA was related to reduced MBI (p < .001) and improved cognitive function (p < .001). MBI mediated the associations of perceived stress (indirect effect = -0.244) and moderate-to-vigorous PA (indirect effect = 0.08) with cognitive function. Perceived stress-MBI relationship was stronger in participants with chronic diseases (∆χ² = 4.236; p = 0.025). Findings support developing interventions to mitigate MBI, with input from health care professionals.

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轻度行为障碍在过渡性认知衰退老年人感知压力、社会支持、身体活动和认知功能之间的中介作用：结构方程模型分析。

认知能力下降给个人和社会带来了挑战，强调了识别风险因素以告知老年人干预措施的重要性。这项横断面研究以轻度行为障碍（MBI）为中介，调查了410名泰国老年人的身体活动（PA）、感知压力和社会支持如何与认知功能相关。结构方程模型显示，感知应力与MBI升高相关(p p p p p χ2 = 4.236；p = 0.025)。研究结果支持在卫生保健专业人员的投入下制定缓解MBI的干预措施。

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来源期刊

Canadian Journal on Aging-Revue Canadienne Du Vieillissement GERONTOLOGY-

CiteScore

3.40

自引率

5.30%

发文量

109

期刊介绍： The Canadian Journal on Aging/La Revue canadienne du vieillissement (CJA/RCV) promotes excellence in research and disseminates the latest work of researchers in the social sciences, humanities, health and biological sciences who study the older population of Canada and other countries; informs policy debates relevant to aging through the publication of the highest quality research; seeks to improve the quality of life for Canada"s older population and for older populations in other parts of the world through the publication of research that focuses on the broad range of relevant issues from income security to family relationships to service delivery and best practices.