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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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Autores principales: Solis-Urra, Patricio, Plaza-Diaz, Julio, Álvarez-Mercado, Ana Isabel, Rodríguez-Rodríguez, Fernando, Cristi-Montero, Carlos, Zavala-Crichton, Juan Pablo, Olivares-Arancibia, Jorge, Sanchez-Martinez, Javier, Abadía-Molina, Francisco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215290/
https://www.ncbi.nlm.nih.gov/pubmed/32290376
http://dx.doi.org/10.3390/ijerph17082619
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author Solis-Urra, Patricio
Plaza-Diaz, Julio
Álvarez-Mercado, Ana Isabel
Rodríguez-Rodríguez, Fernando
Cristi-Montero, Carlos
Zavala-Crichton, Juan Pablo
Olivares-Arancibia, Jorge
Sanchez-Martinez, Javier
Abadía-Molina, Francisco
author_facet Solis-Urra, Patricio
Plaza-Diaz, Julio
Álvarez-Mercado, Ana Isabel
Rodríguez-Rodríguez, Fernando
Cristi-Montero, Carlos
Zavala-Crichton, Juan Pablo
Olivares-Arancibia, Jorge
Sanchez-Martinez, Javier
Abadía-Molina, Francisco
author_sort Solis-Urra, Patricio
collection PubMed
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 p < 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.
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spelling pubmed-72152902020-05-18 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 Solis-Urra, Patricio Plaza-Diaz, Julio Álvarez-Mercado, Ana Isabel Rodríguez-Rodríguez, Fernando Cristi-Montero, Carlos Zavala-Crichton, Juan Pablo Olivares-Arancibia, Jorge Sanchez-Martinez, Javier Abadía-Molina, Francisco Int J Environ Res Public Health Article 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 p < 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. MDPI 2020-04-11 2020-04 /pmc/articles/PMC7215290/ /pubmed/32290376 http://dx.doi.org/10.3390/ijerph17082619 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Solis-Urra, Patricio
Plaza-Diaz, Julio
Álvarez-Mercado, Ana Isabel
Rodríguez-Rodríguez, Fernando
Cristi-Montero, Carlos
Zavala-Crichton, Juan Pablo
Olivares-Arancibia, Jorge
Sanchez-Martinez, Javier
Abadía-Molina, Francisco
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 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_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_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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215290/
https://www.ncbi.nlm.nih.gov/pubmed/32290376
http://dx.doi.org/10.3390/ijerph17082619
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