Evidence map›Paper›PMID 42065169›Full record

ArticleMedicine2026

Exploring the relationship between BMI and cognitive function in older adults: The mediating role of recreational physical activity.

Zheng Zhang, Juan Li

Abstract read
In one paragraph

Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Zheng ZhangDepartment of Sports Science, Yancheng Institute of Technology, Yancheng, China.
Juan LiDepartment of Sports Science, Hanyang University, AnSan, South Korea.ORCID 0009-0004-0841-8839

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigates the associations among body mass index (BMI), recreational physical activity, and cognitive function in older adults, and examines whether recreational physical activity mediates the association between BMI and cognitive function. This cross-sectional study used data from 1213 adults aged 60 years and older from the 2011 to 2014 National Health and Nutrition Examination Survey. Multiple linear regression analyses were performed to evaluate the associations among BMI, recreational physical activity, and cognitive function. Mediation analysis was conducted to assess the mediating effect of recreational physical activity. Models were adjusted for age, sex, ethnicity, and smoking status. BMI was negatively associated with cognitive function in the fully adjusted model (β = -0.0074, 95% confidence interval [CI]: -0.0144 to -0.0004, P = .038). Recreational physical activity was positively associated with cognitive function (β = 0.0002, 95% CI: 0.0000-0.0003, P < .005), whereas BMI was negatively associated with recreational physical activity (β = -9.08, 95% CI: -12.80 to -5.36, P < .001). Recreational physical activity partially mediated the association between BMI and cognitive function, accounting for 16.95% of the total effect (P = .0320). Among older adults, higher BMI was associated with lower cognitive function, and recreational physical activity partially mediated this association.

Indexed as

Body Mass IndexCognitionExerciseRecreationAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysBMIcognitive functioncross-sectional studyNHANESrecreational physical activity

Identifiers

PMID42065169
PMCPMC13138406

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.