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Longitudinal Engagement in Modifiable Lifestyle Behaviors and Racial–Ethnic Differences in Dementia Risk

Bibliographic Data

ID6432459
AuthorsRoger Wong (0000-0002-2243-1990, SUNY Upstate Medical University, corresponding author), Tatiana Mikhailova (0000-0003-3300-8896, SUNY Upstate Medical University), D Hudson (0000-0003-1385-5887, Washington University in St. Louis), Sojung Park (0000-0002-1381-7736, Brown School, Washington University in St Louis, St Louis, MO, USA), Shenyang Guo (0000-0003-3643-6415, Brown School, Washington University in St Louis, St Louis, MO, USA)
Year2025
Volume37
Issue3-4_suppl
Pages22S-31S
Publication date2025-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/08982643241308938
PMID40123186
OpenAlexW4408775261
LanguageEN
Citations received2
References cited37

Objectives The objective was to examine racial–ethnic differences in longitudinal engagement for lifestyle behaviors and moderating role of race–ethnicity between lifestyle behaviors and dementia risk. Methods We analyzed 2011–2021 National Health and Aging Trends Study data, a nationally representative U.S. sample of 6155 White, Black, Hispanic, and Asian older adults aged 65+. Cox models regressed dementia on the interaction between lifestyle behaviors (physical activity, smoking, and social contacts) and race–ethnicity. Results Only smoking was associated with about a 45% higher dementia risk (aHR = 1.45, 95% CI = 1.11–1.89). On average, Black and Hispanic respondents exhibited less frequent physical activity and social contacts, along with more frequent smoking. There was one significant interaction; more social contacts were associated with lower dementia risk among Asian respondents (aHR = 0.16, 95% CI = 0.05–0.55). Discussion Racial–ethnic differences in lifestyle behaviors should be considered when addressing dementia disparities. Future research needs to explore the relationship between social contacts and lower dementia risk among Asian older adults

Dementia · Disease · Ethnic group · Longitudinal study · Dementia and Cognitive Impairment Research · Demography · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Psychology · Gerontology

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Unique citing works2
Citations per year2
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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