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老年人多维互联网使用与认知能力的关系:一项全国性横断面研究。

Multidimensional internet use related to cognitive performance in older persons: a nationwide cross-sectional study.

作者信息

Fan Yue, Wei Hua, Tao Qunshan

机构信息

School of Pharmaceutical Economics and Management, Anhui University of Traditional Chinese Medicine, Hefei, China.

出版信息

Front Public Health. 2024 Dec 16;12:1492331. doi: 10.3389/fpubh.2024.1492331. eCollection 2024.

Abstract

INTRODUCTION

The internet has been increasingly recognized as a potential driver for enhancing cognitive functioning in older adults; however, the mechanisms underlying this relationship remain insufficiently understood in the literature. This study aimed to investigate the associations between different dimensions of internet use-activity, device, and frequency-and cognitive performance in older adults.

METHODS

This cross-sectional study utilized data from the fourth wave of the China Health and Retirement Longitudinal Study (CHARLS), involving a nationally representative sample of 17,676 participants aged 60 years and above. Multiple linear regression analyses were conducted to explore the relationship between MIU and cognitive ability. To explore the moderating effect of age on the relationship between internet use and cognitive functioning, the population was divided into upper (over 75 years) and lower (under 75 years) age groups.

RESULTS

The analysis revealed a significant positive association between internet use and cognitive function. Specifically, MIU were found to contribute positively to cognitive performance. Subgroup analyses showed that participants aged 60-75 years benefited more from internet use, whereas those over 75 years exhibited a weaker association, indicating a potential decline in the cognitive benefits with advancing age.

CONCLUSION

According to the results of the present study, MIU significantly increased the cognitive ability of older adult individuals. Additionally, MIU strongly influences components of cognitive functioning, including language, attention, calculation ability, orientation, memory. However, aging may weaken the relationship between MIU and cognitive ability.

摘要

引言

互联网日益被视为提升老年人认知功能的潜在驱动力;然而,文献中对这种关系背后的机制仍了解不足。本研究旨在调查老年人互联网使用的不同维度——活动、设备和频率——与认知表现之间的关联。

方法

这项横断面研究利用了中国健康与养老追踪调查(CHARLS)第四轮的数据,涉及全国代表性样本中17676名60岁及以上的参与者。进行了多元线性回归分析,以探讨互联网使用频率(MIU)与认知能力之间的关系。为了探讨年龄对互联网使用与认知功能关系的调节作用,将人群分为高龄组(75岁以上)和低龄组(75岁以下)。

结果

分析显示互联网使用与认知功能之间存在显著正相关。具体而言,发现互联网使用频率对认知表现有积极贡献。亚组分析表明,60 - 75岁的参与者从互联网使用中受益更多,而75岁以上的参与者关联较弱,表明随着年龄增长,认知益处可能会下降。

结论

根据本研究结果,互联网使用频率显著提高了老年人的认知能力。此外,互联网使用频率强烈影响认知功能的组成部分,包括语言、注意力、计算能力、定向、记忆。然而,衰老可能会削弱互联网使用频率与认知能力之间的关系。

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A rationale and framework for addressing physician cognitive impairment.解决医师认知障碍的基本原理和框架。
Front Public Health. 2023 Aug 25;11:1245770. doi: 10.3389/fpubh.2023.1245770. eCollection 2023.

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