The mediational role of physical activity, social contact and stroke on the association between age, education, employment and dementia in an Asian older adult population
Abdin, E Chong, S.A Peh, C.X Vaingankar, J.A Chua, B.Y Verma, S Jeyagurunathan, A Shafie, S Subramaniam, M
Abdin, E
Chong, S.A
Peh, C.X
Vaingankar, J.A
Chua, B.Y
Jeyagurunathan, A
Shafie, S
Subramaniam, M
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Alternative Title
Abstract
Background: Our study aimed to investigate the pathways by which socio-demographic factors, modifiable health and lifestyle risk factors influence each other, and subsequently, lead to dementia. Methods: We used data from the Well-being of the Singapore Elderly study, a nationally representative survey of the older adult population aged 60 years and above in Singapore. Dementia diagnosis was established using 10/66 dementia criteria. Structural equation modelling (SEM) without latent variable was applied to confirm the hypothesized model. Results: The results of SEM supported the hypothesized model (χ 2 = 14.999, df = 10, p = 0.132). The final model showed that those aged 75-84 years and 85 years and over (vs. 60-74 years), having no formal education, who had completed primary or secondary education (vs. completed tertiary), who were homemakers and retired (vs. paid work), and with a history of stroke were directly associated with higher odds of having dementia, while those who had more frequent contact with friends and neighbors as well as being physically active were directly associated with lower odds of having dementia diagnosis. The study also found that physical activity, more frequent contact with friends and stroke played a significant role as mediators in these relationships. The overall pathways model explained 57.7% of the variance in dementia. Conclusion: Our results suggest that physical activity, social contact and stroke were potential mediators in the relationship between age, education, employment and dementia. Intervention programmes focusing on physical activity such as exercise and social contact may be useful in reducing the risk of dementia among older adults. © 2017 The Author(s).
Keywords
adult, age, aged, Article, cerebrovascular accident, dementia, dementia assessment, demography, disease association, disease predisposition, educational status, elderly care, employment status, female, health status, human, lifestyle, male, medical history, middle aged, pensioner, physical activity, risk factor, Singapore, social behavior, social status, very elderly, Alzheimer disease, Asian continental ancestry group, educational status, employment, ethnology, exercise, health survey, human relation, psychology, statistics, statistics and numerical data, Stroke, Aged, Aged, 80 and over, Alzheimer Disease, Asian Continental Ancestry Group, Educational Status, Employment, Exercise, Female, Health Surveys, Humans, Interpersonal Relations, Male, Middle Aged, Risk Factors, Singapore, Statistics as Topic, Stroke
Source Title
BMC Psychiatry
Publisher
Series/Report No.
Collections
Rights
Attribution 4.0 International
Date
2017
DOI
10.1186/s12888-017-1272-8
Type
Article