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Cognitive Functioning Mediates the Association of Cognitive Reserve with Health-Related Quality of Life

doi: 10.3390/su14020826
handle: 10400.13/5250
We investigated whether the relations of the cognitive reserve markers education and cognitive level of work to the physical and the mental component of health-related quality of life (HRQoL) were mediated via cognitive functioning in a large sample of 701 older adults (mean age = 70.36 years, SD = 6.87). HRQoL was measured with the 12-item Short-Form Health Survey. To measure cognitive functioning, we used the COGTEL, which is a cognitive test battery assessing prospective memory, verbal short-term memory, verbal long-term memory, working memory, verbal fluency, and inductive reasoning, combined into a composite score. Individuals reported information on their education and their main profession during their working life. Mediation analyses showed that better cognitive functioning mediated the association of higher values in the cognitive reserve markers (longer education and a high cognitive level of work) with higher HRQoL. In conclusion, the present study suggests that the sustainability of cognitive functioning in old age with the help of cognitive reserve is fundamental for the sustainability of quality of life, presumably particularly for the mental HRQoL component.
- University of Lisbon Portugal
- Instituto de Tecnologias Interativas Portugal
- University of Madeira Portugal
- Swiss National Science Foundation Switzerland
- University of the State of Amazonas Brazil
Health-related quality of life, Well-being, Old age, Cognitive reserve, TJ807-830, ., TD194-195, Cognitive functioning, cognitive health, cognitive functioning, Renewable energy sources, Education, Profession, well-being, GE1-350, Cognitive health, Environmental effects of industries and plants, Cognitive abilities, info:eu-repo/classification/ddc/150, info:eu-repo/classification/ddc/618.97, health-related quality of life, cognitive abilities, Environmental sciences, Faculdade de Ciências Sociais, Mental health, mental health, health-related quality of life; well-being; mental health; cognitive health; cognitive functioning; cognitive abilities; cognitive reserve; education; profession; old age
Health-related quality of life, Well-being, Old age, Cognitive reserve, TJ807-830, ., TD194-195, Cognitive functioning, cognitive health, cognitive functioning, Renewable energy sources, Education, Profession, well-being, GE1-350, Cognitive health, Environmental effects of industries and plants, Cognitive abilities, info:eu-repo/classification/ddc/150, info:eu-repo/classification/ddc/618.97, health-related quality of life, cognitive abilities, Environmental sciences, Faculdade de Ciências Sociais, Mental health, mental health, health-related quality of life; well-being; mental health; cognitive health; cognitive functioning; cognitive abilities; cognitive reserve; education; profession; old age
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).4 popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.Top 10% influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Average impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Average visibility views 19 download downloads 13 - 19views13downloads
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