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Do mobility, cognitive functioning, and depressive symptoms mediate the association between social activity and mortality risk among older men and women?

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European Journal of Ageing : Volume 11, Issue 1, March 2014

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Do mobility, cognitive functioning, and depressive symptoms mediate the association between social activity and mortality risk among older men and women?

Content Provider	Springer Nature Link
Author	Katja, Pynnönen Timo, Törmäkangas Taina, Rantanen Tiina Mari, Lyyra
Copyright Year	2013
Abstract	Social activity and health correlate in old age, but less is known about what explains this association. The aim of this study was to investigate whether mobility, cognitive functioning, and depressive symptoms mediate the association between social activity and mortality risk, or whether they alternatively should be considered as prerequisites for social activity in older Finnish men and women. In 1988, 406 men and 775 women aged 65–84 years took part in face-to-face interviews about their health, socioeconomic status, and social activities. Confirmatory factor analyses were used to form latent variables describing collective and productive social activity. Latent variable models were used to investigate the possible pathways among social activity, mobility, cognitive functioning, depressive symptoms, and mortality risk. In the 21-year follow-up, 89 % of men and 81 % of women had died. Collective and productive social activity correlated with a lower risk for mortality among men and women. Part of the association between social activity and mortality was mediated by mobility. Cognitive functioning and depressive symptoms were not mediators in the association. Instead, good cognitive functioning and having less depressive symptoms were prerequisites for participating in collective social activity among men and women. Among men, good cognitive functioning, and among women, good cognitive functioning and having less depressive symptoms were prerequisites for productive social activity. The health-enhancing influences of social activity may be partly explained by better mobility among persons who are socially active. Moreover, social activity may maintain mobility and thus decreases mortality risk, as many social activities also include physical activity. Better cognitive functioning and having less depressive symptoms should be considered as prerequisites for participating in social activities.
Starting Page	121
Ending Page	130
Page Count	10
File Format	PDF
ISSN	16139372
Journal	European Journal of Ageing
Volume Number	11
Issue Number	2
e-ISSN	16139380
Language	English
Publisher	Springer Netherlands
Publisher Date	2013-10-01
Publisher Place	Dordrecht
Access Restriction	Subscribed
Subject Keyword	Interpersonal relations Mortality Mobility limitation Cognition Ageing Aging Demography Geriatrics/Gerontology Public Health Psychology
Content Type	Text
Resource Type	Article
Subject	Health (social science) Geriatrics and Gerontology

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Do mobility, cognitive functioning, and depressive symptoms mediate the association between social activity and mortality risk among older men and women?