Urban Neighbourhood Environments, Cardiometabolic Health and Cognitive Function: A National Cross-Sectional Study of Middle-Aged and Older Adults in Australia

Population ageing and urbanisation are global phenomena that call for an understanding of the impacts of features of the urban environment on older adults’ cognitive function. Because neighbourhood characteristics that can potentially have opposite effects on cognitive function are interdependent, they need to be considered in conjunction. Using data from an Australian national sample of 4141 adult urban dwellers, we examined the extent to which the associations of interrelated built and natural environment features and ambient air pollution with cognitive function are explained by cardiometabolic risk factors relevant to cognitive health. All examined environmental features were directly and/or indirectly related to cognitive function via other environmental features and/or cardiometabolic risk factors. Findings suggest that dense, interconnected urban environments with access to parks, blue spaces and low levels of air pollution may benefit cognitive health through cardiometabolic risk factors and other mechanisms not captured in this study. This study also highlights the need for a particularly fine-grained characterisation of the built environment in research on cognitive function, which would enable the differentiation of the positive effects of destination-rich neighbourhoods on cognition via participation in cognition-enhancing activities from the negative effects of air pollutants typically present in dense, destination-rich urban areas.

Investigating psychological characteristics of self-regulation in schoolchildren with cognitive disorders

Introduction. The authors investigate psychological characteristics of self-regulation in primary schoolchildren with cognitive impairments. The purpose of the article is to identify key determinants of the manifestation of self-regulation as the leading mechanism of adaptation. The results obtained can contribute to developing psychological support programs within school conditions and facilitate adaptive strategies of behavior and components of self-regulation. Materials and Methods. The methodological foundations of the research included leading positions of psychology about the formation of the behavior of children with cognitive disabilities. The research was carried out in the logic of the ascertaining psychological and educational experiment; the material obtained from the collection of empirical data was analyzed and generalized. The sample consisted of 456 schoolchildren aged between 8 and 11 years, who were divided into three groups: NID (normal intellectual development), MR (mental retardation) and MID (mild intellectual disability). The data obtained were interpreted and subjected to statistical analysis using various methods of mathematical and statistical processing: the reliability of differences according to statistical criteria, the F * angular transformation, the criterion for comparing the distribution of Pearson χ2 levels, correlation analysis, and the method of correlation pleiades. Results. The research findings include identifying the main psychological characteristics of self-regulation in primary schoolchildren with cognitive impairment. The research data enabled to develop self-regulation skills in schoolchildren with cognitive impairment. The results obtained are considered as a socio-psychological resource for improving cognitive health in primary schoolchildren. Conclusions. The study concludes that after identifying the psychological characteristics of self-regulation in primary schoolchildren with impaired cognitive health, it is possible to develop programs of psychological assistance for educational settings. The research data can be used within educational settings teaching children with cognitive disabilities to increase the effectiveness of classroom and extracurricular activities and their successful integration into society.

Behavioral Interventions in Long-Term Care Facilities during the COVID-19 Pandemic: A Case Study

During the COVID-19 pandemic, long-term care (LTC) centers have adopted a series of measures that have affected the physical and cognitive health of patients. The routines of the patients, as well as the interventions of professionals, have been altered. In the case presented here, our aim was to explain the effect that the strong confinement due to the spread of the first COVID-19 wave in Spain had on a 75-year-old resident in an LTC center, with cognitive and behavioral symptomatology compatible with a diagnosis of mixed dementia, as well as the measures that the center adopted to manage the lockdown situation in the best possible way, including personalized attention protocols and a video call program. Different nosological hypotheses are also raised using a semiological analysis, including the analysis of the initial and continuation diagnostic protocols, as well as the therapeutic options.

Exergaming to improve physical, psychological and cognitive health among home office workers: A COVID-19 pandemic commentary

BACKGROUND: The COVID-19 pandemic has resulted in increased sedentary behaviour and poorer health among office workers. Exergaming is a technology-driven mode of exercise that can improve health while physically distancing. OBJECTIVE: The purpose of this commentary was to explain the benefits of exergaming on physical function, psychological health, and cognition among office workers. RESULTS: Exergaming improves these health outcomes, reduces pain, and decreases the risk for chronic disease. It is easily accessible on smart devices and can be performed both indoors and outdoors. CONCLUSIONS: Twenty-one minutes of exergaming per day can improve health outcomes and reduce the risk of pain and disease. Employers and policy-makers should consider promoting exergaming among office workers.

How the Spouse's Retirement Affects the Cognitive Health of Individuals in China: A Fresh Evidence From the Perspective of Social Interaction

Background: With the rapid aging of global population, the health consequences of retirement reform are debated greatly. However, most previous studies are limited to the effects on individual themselves, and pay scant attention to the social interaction between individuals and their spouse which may induce the social multiplier effect of retirement. Driven by the practical and academic motives, this study investigates the impacts of the spouse's retirement on the individual's cognitive health among Chinese dual-earner couples.Methods: We first build a simultaneous-equations model. Then, using the data from the 2010 to 2018 China Family Panel Studies (CFPS), we choose the fixed-effects model and adopt the fuzzy regression discontinuity design method to analyze. Besides, we check the validity and robustness of the results. Finally, we employ the mediating effect model to explore the mechanisms.Results and Conclusions: The spouse's retirement has significantly negative direct and indirect effect on individual cognitive health. Husbands' retirement has a stronger adverse spillover effect than wives' retirement, and wives' cognitive health is more vulnerable to the social interaction effect. The direct spillover effect of husbands' retirement is −0.503 and that of wives' retirement is −0.312, the indirect spillover effect of husbands' retirement is −0.36 and that of wives' retirement is −0.279. In addition to the social interaction effect of cognition between the couples, we also find that the decrease in household income is an important mechanism, and that the increased exercise frequency can somewhat mitigate the adverse spillover effect.

Design and evaluation of a cognitive health education pilot program according to the RE-AIM framework

Objective Most formats of currently used community-based health education for cognitive impairment prevention are limited to one-way communication, such as distributing leaflets, pasting posters, or holding a lecture, and they lack comprehensive evaluation. Here we aim to design, test, and evaluate a novel pilot cognitive health education program combined with psychosocial interventions (CHECPI). Methods We designed the CHECPI program and tested it among adults aged 60 and over in an aging-friendly community in 2018. Multidimensional cognitive functions were measured by the Montreal Cognitive Assessment (MoCA) before and three months after the CHECPI program. Quantitative and qualitative analyses were performed based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate the program. Wilcoxon signed-rank tests were used to assess changes in multidimensional cognitive functions. Results The CHECPI program was comprised of 12 courses and introduced 5 kinds of psychosocial interventions. Reach: 28 older adults participated in the program, of whom most were female (n = 22) and younger elderly with an average age of 65.32 years. Effectiveness: 19 participants finished≥6 courses as well as the follow-up survey. Although their MoCA scores did not improve significantly, they had increased their visuospatial ability significantly (with the average score increasing by 0.42). Adoption: the community officers, lecturers, and participants highly recommended the program, but they agreed that the lack of professional instructors may hinder its popularization. Implementation: the program was implemented in full accordance with the pre-program design. Maintenance: three months after the program, 17 participants had maintained at least one of the seven healthy behaviors that were introduced in the program. Conclusions Younger female elderly were more willing to participate in the program. It enhanced participants’ visuospatial ability, but a sufficient number of professional instructors are crucial for large-scale promotion.