{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T07:57:28Z","timestamp":1781337448440,"version":"3.54.1"},"reference-count":44,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTJR: Occupational Therapy Journal of Research"],"abstract":"<jats:p>\n                    Lifestyle research on cognitive health has been largely unidirectional and cross-sectional, with limited attention to multidimensional and bidirectional relationships; this study examines longitudinal associations in middle- and older adults. Data from the Korean Longitudinal Study of Aging (2006\u20132020) included physiological and psychosocial lifestyle factors and cognition assessed by the Korean version of the Mini-Mental State Examination (K-MMSE). Analyses used Mplus 8.9 with cross-lagged panel model (CLPM) and random intercept CLPM (RI-CLPM), adjusting for sex, age, smoking, drinking, and disability. CLPM showed significant lagged effects of lifestyle on cognition across waves (\u03b2 = .010 to .013,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01), with intermittent reverse effects (\u03b2 = .013 to .015,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .05). The RI-CLPM confirmed a stable effect of lifestyle on cognition (\u03b2 = .013 to .017,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .05), whereas effects from cognition to lifestyle were mixed and nonsignificant (\u03b2 = \u2212.054 to .034,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &gt; .05). A multidimensional lifestyle was associated with cognitive maintenance, whereas cognitive decline shows variable influences on lifestyle.\n                  <\/jats:p>","DOI":"10.1177\/15394492261452169","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T06:03:47Z","timestamp":1781071427000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bidirectional Association Between Lifestyle and Cognitive Function in Aging Adults"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2325-0374","authenticated-orcid":false,"given":"Young-Myoung","family":"Lim","sequence":"first","affiliation":[{"name":"Woosuk University, Wanju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1041-2266","authenticated-orcid":false,"given":"Ji-Hyuk","family":"Park","sequence":"additional","affiliation":[{"name":"Yonsei University, Wonju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Bloomberg M. 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