Social Participation and Cognitive Decline Among Community-dwelling Older Adults: A Community-based Longitudinal Study
Abstract
Objective To examine whether social participation (SP) by older individuals is associated with cognitive decline (CD). Method Participants were community-dwelling older adults aged 65 or older with both independent activities of daily living and normal cognitive performance at baseline (2,768 men and 3,325 women). CD was evaluated using the Cognitive Performance Scale. Logistic regression analysis stratified by gender was used to examine CD in relation to SP, with nonparticipation as reference. Age, family, body mass index, pensions, comorbidities, medications, alcohol, smoking, depression, self-rated health, and instrumental activities of daily living were used as covariates. Results During the 3-year follow-up, 16.7% of eligible participants reported CD. After covariate adjustments, greater social group participation was associated with CD prevention for women only. Lessened negative CD effects were found in respondents active in these particular types of social outlets: neighborhood associations (odds ratio = 0.81, 95% confidence interval = 0.66-0.99) and local event groups (0.79, 0.63-0.99) for men, and hobby groups (0.70, 0.54-0.91) and volunteer groups (0.66, 0.45-0.96) for women. Discussion Our results suggest that greater social group participation prevents CD in women, while the beneficial effect of each type of SP on cognition differs between genders. Determining which types of social groups are best for community-dwelling older people's participation based on gende…
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Women may be more likely to engage in frequent social activity and are more likely to maintain close relationships and wider social networks than men.
“Considering gender differences is particularly important given that women may be more likely to engage in frequent social activity and are more likely to maintain close relationships and wider social networks than men [50, 97, 134–136].”
From Social Isolation and Cognitive Function in Later Life: A Systematic Review and Meta-Analysis (2019) · cites this paper as [97]
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- Authors
- Tomioka, K., Kurumatani, N., & Hosoi, H.
- Affiliations
- Nara Medical University (JP)
- Corresponding author
- Tomioka, Kimiko
- ORCID
- Tomioka, Kimiko
- Venue
- The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-05-18
- Volume
- 73
- Issue
- 5
- Pages
- gbw059
- ISSN
- 1079-5014 (ISSN-L)
- 1758-5368
- OpenAlex
- W2395116472
- Cited by
- 165
- References
- 8
- Citations by year
- 2026: 6 · 2025: 21 · 2024: 35 · 2023: 21 · 2022: 15 · 2021: 22 · 2020: 17 · 2019: 8 · 2018: 6 · 2017: 10 · 2016: 4
- FWCI
- 8.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journals of Gerontology Series B (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Nara Medical University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- social participation (health and rehabilitation), cognitive decline, community-dwelling older adults, gender differences, social group participation, neighborhood associations, hobby groups, volunteer groups, cognitive aging
- MeSH terms
- Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Female, Humans, Longitudinal Studies, Male, Risk Factors, Sex Factors, Logistic Models, Independent Living, Social Participation, Cognitive Dysfunction
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