The Mediation Effect of Self–Report Physical Activity Patterns in the Relationship between Educational Level and Cognitive Impairment in Elderly: A Cross-Sectional Analysis of Chilean Health National Survey 2016–2017
The aims of this cross-sectional study were (i) to determine the association of educational level attained with cognitive impairment and (ii) to investigate the mediating effect of different self-report physical activity (PA) patterns in a large sample of older Chileans. A sample of 1571 older adult...
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doaj-cfe73c0efb8b4e00b8877d80759134b62020-11-25T03:54:24ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-04-01172619261910.3390/ijerph17082619The Mediation Effect of Self–Report Physical Activity Patterns in the Relationship between Educational Level and Cognitive Impairment in Elderly: A Cross-Sectional Analysis of Chilean Health National Survey 2016–2017Patricio Solis-Urra0Julio Plaza-Diaz1Ana Isabel Álvarez-Mercado2Fernando Rodríguez-Rodríguez3Carlos Cristi-Montero4Juan Pablo Zavala-Crichton5Jorge Olivares-Arancibia6Javier Sanchez-Martinez7Francisco Abadía-Molina8PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, SpainDepartment of Biochemistry and Molecular Biology II, School of Pharmacy, Campus de Cartuja s/n, University of Granada, 18071 Granada, SpainDepartment of Biochemistry and Molecular Biology II, School of Pharmacy, Campus de Cartuja s/n, University of Granada, 18071 Granada, SpainIRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaiso 2374631, ChileIRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaiso 2374631, ChileFaculty of Education and Social Sciences, Universidad Andrés Bello, Viña del Mar 2531015, ChileIRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaiso 2374631, ChileIRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaiso 2374631, ChileInstitute of Nutrition and Food Technology “José Mataix”, Biomedical Research Center, Parque Tecnológico Ciencias de la Salud, University of Granada, 18016 Granada, SpainThe aims of this cross-sectional study were (i) to determine the association of educational level attained with cognitive impairment and (ii) to investigate the mediating effect of different self-report physical activity (PA) patterns in a large sample of older Chileans. A sample of 1571 older adults from the National Chilean Survey (2016–2017) was included. The educational level attained, PA levels, mode of commuting, sedentary time, and leisure-time PA were self-reported through validated questionnaires. Cognitive impairment was determined by Mini-Mental State Examination (modified version). Association between educational level attained and cognitive impairment was examined using logistic regression models. Counterfactual mediation models were used to test the mediating effect of self-reported PA patterns. A lower educational level was consistently associated with higher odds of cognitive impairment (OR range 2.846 to 2.266, all <i>p</i> < 0.001), while leisure-time PA was the only PA pattern that partially mediated this association (proportion mediated 8.0%). In conclusion, leisure-time PA was the solely PA pattern that partially mediated the association between the educational level and cognitive impairment. The rest self-reported PA patterns did not modify this association.https://www.mdpi.com/1660-4601/17/8/2619cognitive functionagingsedentary behaviorexercisemental health |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Patricio Solis-Urra Julio Plaza-Diaz Ana Isabel Álvarez-Mercado Fernando Rodríguez-Rodríguez Carlos Cristi-Montero Juan Pablo Zavala-Crichton Jorge Olivares-Arancibia Javier Sanchez-Martinez Francisco Abadía-Molina |
spellingShingle |
Patricio Solis-Urra Julio Plaza-Diaz Ana Isabel Álvarez-Mercado Fernando Rodríguez-Rodríguez Carlos Cristi-Montero Juan Pablo Zavala-Crichton Jorge Olivares-Arancibia Javier Sanchez-Martinez Francisco Abadía-Molina The Mediation Effect of Self–Report Physical Activity Patterns in the Relationship between Educational Level and Cognitive Impairment in Elderly: A Cross-Sectional Analysis of Chilean Health National Survey 2016–2017 International Journal of Environmental Research and Public Health cognitive function aging sedentary behavior exercise mental health |
author_facet |
Patricio Solis-Urra Julio Plaza-Diaz Ana Isabel Álvarez-Mercado Fernando Rodríguez-Rodríguez Carlos Cristi-Montero Juan Pablo Zavala-Crichton Jorge Olivares-Arancibia Javier Sanchez-Martinez Francisco Abadía-Molina |
author_sort |
Patricio Solis-Urra |
title |
The Mediation Effect of Self–Report Physical Activity Patterns in the Relationship between Educational Level and Cognitive Impairment in Elderly: A Cross-Sectional Analysis of Chilean Health National Survey 2016–2017 |
title_short |
The Mediation Effect of Self–Report Physical Activity Patterns in the Relationship between Educational Level and Cognitive Impairment in Elderly: A Cross-Sectional Analysis of Chilean Health National Survey 2016–2017 |
title_full |
The Mediation Effect of Self–Report Physical Activity Patterns in the Relationship between Educational Level and Cognitive Impairment in Elderly: A Cross-Sectional Analysis of Chilean Health National Survey 2016–2017 |
title_fullStr |
The Mediation Effect of Self–Report Physical Activity Patterns in the Relationship between Educational Level and Cognitive Impairment in Elderly: A Cross-Sectional Analysis of Chilean Health National Survey 2016–2017 |
title_full_unstemmed |
The Mediation Effect of Self–Report Physical Activity Patterns in the Relationship between Educational Level and Cognitive Impairment in Elderly: A Cross-Sectional Analysis of Chilean Health National Survey 2016–2017 |
title_sort |
mediation effect of self–report physical activity patterns in the relationship between educational level and cognitive impairment in elderly: a cross-sectional analysis of chilean health national survey 2016–2017 |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-04-01 |
description |
The aims of this cross-sectional study were (i) to determine the association of educational level attained with cognitive impairment and (ii) to investigate the mediating effect of different self-report physical activity (PA) patterns in a large sample of older Chileans. A sample of 1571 older adults from the National Chilean Survey (2016–2017) was included. The educational level attained, PA levels, mode of commuting, sedentary time, and leisure-time PA were self-reported through validated questionnaires. Cognitive impairment was determined by Mini-Mental State Examination (modified version). Association between educational level attained and cognitive impairment was examined using logistic regression models. Counterfactual mediation models were used to test the mediating effect of self-reported PA patterns. A lower educational level was consistently associated with higher odds of cognitive impairment (OR range 2.846 to 2.266, all <i>p</i> < 0.001), while leisure-time PA was the only PA pattern that partially mediated this association (proportion mediated 8.0%). In conclusion, leisure-time PA was the solely PA pattern that partially mediated the association between the educational level and cognitive impairment. The rest self-reported PA patterns did not modify this association. |
topic |
cognitive function aging sedentary behavior exercise mental health |
url |
https://www.mdpi.com/1660-4601/17/8/2619 |
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