{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T09:10:17Z","timestamp":1788945017613,"version":"build-2803163510"},"reference-count":56,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000053","name":"National Eye Institute","doi-asserted-by":"publisher","award":["R01EY034479"],"award-info":[{"award-number":["R01EY034479"]}],"id":[{"id":"10.13039\/100000053","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R61AG089063"],"award-info":[{"award-number":["R61AG089063"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Sensory loss is associated with increased dementia risk, yet the underlying mechanisms remain unclear. This longitudinal study examined the association between self-reported sensory difficulty (vision, hearing, dual), social and physical activity, and dementia risk among older U.S. adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were drawn from the 2015-2020 National Health and Aging Trends Study (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 6,295). Discrete-time survival mediation models with a structural equation modeling-based approach were estimated to examine the associations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Dementia incidence was highest among those with dual sensory difficulty (21.8%), followed by visual (18.8%) and hearing (13.2%) difficulties. Visual difficulty and dual sensory difficulty were associated with decreased social activities and incident dementia in subsequent waves. Social activity, but not physical activity, significantly mediated the visual difficulty-dementia link and the dual sensory difficulty-dementia link.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Older adults with sensory difficulty were at a higher risk of incident dementia. Future research should investigate other factors underlying the sensory loss-dementia link.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08982643251364364","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T11:00:26Z","timestamp":1754046026000},"page":"491-503","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sensory Difficulty, Social and Physical Activity, and Dementia Risk Among Older Adults"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8999-638X","authenticated-orcid":false,"given":"Shu","family":"Xu","sequence":"first","affiliation":[{"name":"University of Michigan"},{"name":"University of Massachusetts Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Burr","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Song","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua R.","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"University of Michigan"},{"name":"University of Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,1]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2011.0252"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.13809"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-032013-182510"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnr051"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00392-0"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glab103"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.54.3.165"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glu207"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264315614006"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glab157"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-180501"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0163278713512124"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14308"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glr087"},{"key":"e_1_3_5_16_1","volume-title":"National health and aging trends study user guide: Rounds 1-13 beta release","author":"Freedman V. 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