Cognitive Reserve Mediates the Relation between Neighborhood Socio-Economic Position and Cognitive Decline

IF 1.4 Q4 CLINICAL NEUROLOGY

Dementia and Geriatric Cognitive Disorders Extra Pub Date : 2022-05-03 DOI:10.1159/000521905

A. Ihle, Rainer Gabriel, M. Oris, É. Gouveia, B. Gouveia, A. Marques, P. Marconcin, M. Kliegel

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引用次数: 1

Abstract

Introduction: We investigated the mediating role of leisure activity engagement as marker of cognitive reserve in the relation between neighborhood socio-economic position (SEP) and cognitive decline over 6 years. Methods: The study analyzed longitudinal data from 897 older adults who participated in the two waves (2011 and 2017) of the Vivre-Leben-Vivere (VLV) survey in Switzerland (M = 74.33 years in the first wave). Trail Making Test parts A and B were administered in both waves. Leisure activity engagement was assessed during interviews. Neighborhood SEP was derived from the Swiss Neighborhood Index of Socio-Economic Position (Swiss-SEP), provided by the Swiss National Cohort (SNC). Results: Latent change score modeling revealed that 42.5% of the relationship between higher neighborhood SEP and smaller cognitive decline was mediated via a higher frequency of leisure activities in the first wave. Conclusion: Neighborhood SEP constitutes an important contextual factor potentially influencing the pathways of cognitive reserve accumulation and, therefore, should be taken into account to better understand their effects on cognitive decline in old age.

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认知储备在邻里社会经济地位与认知衰退之间起中介作用

摘要本研究历时6年，考察了休闲活动参与作为认知储备标记在社区社会经济地位(SEP)与认知衰退之间的中介作用。方法:本研究分析了参与瑞士Vivre-Leben-Vivere (VLV)调查两波(2011年和2017年)的897名老年人的纵向数据(第一波M = 74.33岁)。试验A和B部分在两波中进行。在访谈中评估了休闲活动的参与度。邻里指数来源于瑞士社会经济地位邻里指数(Swiss-SEP)，由瑞士国家队列(SNC)提供。结果:潜在变化评分模型显示，高邻里SEP与小认知衰退之间的42.5%的关系是通过第一波较高的休闲活动频率介导的。结论:邻里SEP是可能影响认知储备积累途径的重要背景因素，因此应予以考虑，以更好地了解其对老年认知能力下降的影响。

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

Dementia and Geriatric Cognitive Disorders Extra Medicine-Psychiatry and Mental Health

CiteScore

4.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .