Effects of vision impairment on cognitive function: the bidirectional chain mediating role of sleep quality and psychological disorders.

IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Frontiers in Public Health Pub Date : 2025-10-01 eCollection Date: 2025-01-01 DOI:10.3389/fpubh.2025.1611723
Minghao Yu, Hangqing Zhou, Yi Zhao, Hanna Lu, Yan Shao
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Abstract

Introduction: Vision impairment (VI) and cognitive function have profound impacts on quality of life, but there is still a lack of comprehensive research on the connection between VI and cognitive function. The study was designed to investigate factors influencing cognitive function, analyze the link between VI and cognitive function, and explore how sleep quality and psychological disorders mediate this relationship.

Methods: The study utilizes survey data from the Health and Retirement Study (HRS) involving 10,884 older adults aged 50 and above in the United States. Pearson correlation analysis was conducted to elucidate the associations between the variables, and the R package bruceR (version 2024.6) was used to analyze multiple mediation effects through model 6.

Results: VI is positively correlated with sleep quality and psychological disorders, and negatively correlated with cognitive function. Sleep quality is positively correlated with psychological disorders and negatively correlated with cognitive function. Psychological disorders are negatively correlated with cognitive function. All correlations are statistically significant. VI directly impacts cognitive function while also indirectly influencing it through sleep quality, psychological disorders, and the bidirectional mediating chain connecting these factors.

Conclusion: Sleep quality, psychological disorders, and their bidirectional relationships mediate the effect of VI on cognitive function in aging populations. Through this study, we gain a more profound comprehension of how VI relates to cognitive function. In the future, cognitive enhancement in individuals with VI could be achieved by improving sleep quality, addressing psychological disorders, or integrating assessments of these factors into the evaluation of cognitive function.

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视力障碍对认知功能的影响:睡眠质量和心理障碍的双向链介导作用。
导读:视力障碍(VI)和认知功能对生活质量有着深远的影响,但VI与认知功能之间的关系尚缺乏全面的研究。本研究旨在探讨影响认知功能的因素,分析VI与认知功能之间的联系,并探讨睡眠质量和心理障碍如何介导这种关系。方法:该研究利用了健康与退休研究(HRS)的调查数据,涉及美国10884名50岁及以上的老年人。通过Pearson相关分析来阐明变量之间的关联,并通过模型6使用R包bruceR (version 2024.6)来分析多重中介效应。结果:VI与睡眠质量、心理障碍呈正相关,与认知功能负相关。睡眠质量与心理障碍呈正相关,与认知功能负相关。心理障碍与认知功能呈负相关。所有相关性均具有统计学显著性。VI直接影响认知功能,同时也通过睡眠质量、心理障碍以及连接这些因素的双向中介链间接影响认知功能。结论:睡眠质量、心理障碍及其双向关系介导了老年人群VI对认知功能的影响。通过这项研究,我们对VI与认知功能的关系有了更深刻的理解。未来,VI患者的认知增强可以通过改善睡眠质量、解决心理障碍或将这些因素的评估纳入认知功能评估来实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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