ArticleJournal of multidisciplinary healthcare2025
ADL and Cognitive Function in Chinese Elderly: Mediating Role of Social Participation and Moderating Role of Intergenerational Support.
Article in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Frailty, trajectories of frailty, and cognitive impairment: evidence from five longitudinal cohort studies.BMC public health · 2026Article
- Changes in social health among older adults: a random intercept latent transition analysis from China.BMC geriatrics · 2026Article
- The association between internet use and cognition in older adults: empirical analysis based on CLASS 2023.Frontiers in psychology · 2026Article
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7 authors.
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Abstract
Purpose: This study aimed to explore the relationship between activities of daily living (ADL) and cognitive function in Chinese elderly, and to analyze in depth the mediating and moderating roles of social participation and children's intergenerational support in this relationship, in order to provide a reference basis for delaying cognitive decline in the elderly. Patients and Methods: Based on data from the 2020 wave of China Health and Retirement Longitudinal Survey (CHARLS 2020), this study included 5612 subjects aged 60 years and older, and extracted main variables such as demographic information, ADL, social participation, cognitive function, and children's intergenerational support. Descriptive statistics and Pearson's correlation analysis in SPSS 27.0 were used to analyze the relationship between the main variables, and regression and Bootstrap analysis in SPSS 27.0 PROCESS macro (Model 4 and Model 14) were further used to analyze the mediating and moderating effects. Results: Among Chinese elderly, ADL significantly positively correlated with social participation ( Conclusion: ADL can affect cognitive function directly or indirectly through social participation in elderly. Furthermore, children's intergenerational support plays a negative moderating role in this mechanism. Therefore, governments, hospitals, communities, and families should provide personalized intervention strategies for elderly to delay cognitive decline and promote healthy aging through early prevention of ADL impairment, promotion of social participation, and optimization of family support.
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