Villalonga-Olives Ester, Majercak Kayleigh R, Almansa Josue, Khambaty Tasneem
Sciences and Health Outcomes Research Department, University of Maryland School of Pharmacy, Baltimore, MD, USA.
Department of Health Sciences, Community & Occupational Medicine, University Medical Center, University of Groningen, the Netherlands.
Int J Nurs Sci. 2023 Jun 30;10(3):373-382. doi: 10.1016/j.ijnss.2023.06.018. eCollection 2023 Jul.
To examine the relationship of volunteering with cognitive activity, social activity, and physical activity among older adults and, ultimately, with later cognitive functioning across different time periods.
We used individual responding to three waves of the US Health and Retirement Study panel data from 2008, 2012, and 2016 ( = 2,862). Self-reported questionnaires were used to assess annual volunteering frequency (non volunteering, volunteering <100 h and ≥100 h), and an adapted version of the Telephone Interview for Cognitive Status (TICS) was used to assess memory, mental processing, knowledge, language, and orientation. A structural equation model was estimated to assess effects on cognitive functioning throughout waves.
Those participants that were part of volunteering activities in 2012 showed an increase between 2008 and 2012 in moderate physical activity ( = 0.19, < 0.001 for those volunteering less than 100 h and 0.21, < 0.001 for those volunteering at least 100 h), increase in social activity ( 0.10, 0.052 for those volunteering less than 100 h and 0.12, 0.018 for those volunteering at least 100 h) and increase in higher cognitive activity ( 0.13, < 0.001 for those volunteering at least 100 h), compared to participants who did not volunteer. Higher levels of cognitive activity in 2008 and 2012 were associated with higher cognitive functioning on the following waves ( 0.66 and 0.60, < 0.001, respectively).
Volunteering is a modifiable activity that can be increased to bolster cognitive functioning in older adulthood, primarily mediated by increased cognitive activity.
研究老年人参与志愿活动与认知活动、社交活动、身体活动之间的关系,并最终研究其与不同时间段后期认知功能的关系。
我们使用了对2008年、2012年和2016年美国健康与退休研究小组三轮数据的个体回复(n = 2862)。使用自我报告问卷评估年度志愿活动频率(不参与志愿活动、参与志愿活动少于100小时和不少于100小时),并使用认知状态电话访谈(TICS)的改编版本评估记忆、心理加工、知识、语言和定向。估计了一个结构方程模型,以评估各轮对认知功能的影响。
与未参与志愿活动的参与者相比,2012年参与志愿活动的参与者在2008年至2012年间,中等强度身体活动有所增加(参与志愿活动少于100小时的参与者增加了0.19,P < 0.001;参与志愿活动至少100小时的参与者增加了0.21,P < 0.001),社交活动有所增加(参与志愿活动少于100小时的参与者增加了0.10,P = 0.052;参与志愿活动至少100小时的参与者增加了0.12,P = 0.018),较高水平的认知活动有所增加(参与志愿活动至少100小时的参与者增加了0.13,P < 0.001)。2008年和2012年较高水平的认知活动与后续轮次较高的认知功能相关(分别为β = 0.66和β = 0.60,P < 0.001)。
志愿活动是一种可改变的活动,可以增加以增强老年人的认知功能,主要通过增加认知活动来介导。