Relationship Between Internet Use and Cognitive Function Among Middle-Aged and Older Chinese Adults: 5-Year Longitudinal Study
2024

Internet Use and Cognitive Function in Older Chinese Adults

Sample size: 12770 publication 10 minutes Evidence: high

Author Information

Author(s): Cahill Naomi, Leung Tiffany, Azizan Azliyana, Soluoku Talha, Chen Bowen, Yang Chun, Ren Shanshan, Li Penggao, Zhao Jin

Primary Institution: Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

Hypothesis

This study aims to explore the association between internet use and age-related cognitive decline among middle-aged and older Chinese adults.

Conclusion

The use of the internet by individuals aged 45 years and older is associated with a reduced risk of cognitive decline.

Supporting Evidence

  • Participants using the internet had higher cognitive assessment scores than nonusers.
  • Persistent internet users had a lower incidence of neurodegenerative diseases compared to nonusers.
  • Increased frequency of internet use was associated with greater cognitive benefits.
  • Cell phones provided more cognitive protection than computers for internet users.
  • Internet use mediated 34.2% of the urban-rural cognitive gap.

Takeaway

Using the internet can help older people think better and may keep their brains healthy as they age.

Methodology

Data from 12,770 dementia-free participants aged ≥45 years were analyzed using fixed effects models and multiple regression analyses.

Potential Biases

Potential bias due to loss to follow-up and unmeasured confounders.

Limitations

The study may not represent all older adults in China, as it did not include those in nursing homes or hospitals.

Participant Demographics

Participants were aged 45 years and older, with a majority being married, more educated, and living in urban areas.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 0.391-0.710

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.2196/57301

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