{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T06:15:26Z","timestamp":1775024126408,"version":"3.50.1"},"reference-count":80,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: As life expectancy increases, chronic diseases have become more prevalent, often leading to poorer health in later years. Maintaining cognitive functioning is therefore essential for preserving independence in older adulthood. Within the framework of cognitive enrichment, research highlights the protective role of healthy lifestyles and engagement in social and intellectual activities on cognitive functioning. This study aimed to provide evidence of the moderator effect of diagnosis group (including healthy condition, dementia, Parkinson\u2019s, and stroke) on a predictive model of cognitive function. Methods: Data employed in this study came from the 9th wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) project, including 17,105 individuals aged 50 years and older from 27 European countries. Cognitive functioning was assessed through numeracy, temporal orientation, verbal fluency, and memory. Physical inactivity, social participation, intellectual activities, age, gender, and education were included as predictors. A measurement invariance routine across diagnostic groups was tested. Results: The model demonstrated excellent fit in the general sample and partial invariance across groups. Physical inactivity was negatively associated with numeracy in all groups, with stronger effects in clinical populations, particularly stroke and dementia. Intellectual activities were positively associated with numeracy across groups, with the largest effects observed in dementia. Temporal orientation, physical inactivity and intellectual activities showed significant associations mainly in clinical groups, whereas age demonstrated a consistent negative effect across all groups. Conclusions: Lifestyle factors show differential associations with cognitive domains depending on diagnostic condition. These findings support the heterogeneity of cognitive aging and highlight the importance of tailored, person-centered intervention strategies.<\/jats:p>","DOI":"10.3390\/jcm15072620","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T08:22:36Z","timestamp":1774858956000},"page":"2620","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Differential Effects of Lifestyle Indicators on Cognitive Functioning Across Healthy, Dementia, Parkinson\u2019s Disease, and Stroke Groups"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4272-558X","authenticated-orcid":false,"given":"Adri\u00e1n","family":"Garc\u00eda-Moll\u00e1","sequence":"first","affiliation":[{"name":"Department of Methodology of the Behavioral Sciences, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1207-4088","authenticated-orcid":false,"given":"Amparo","family":"Oliver","sequence":"additional","affiliation":[{"name":"Department of Methodology of the Behavioral Sciences, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3424-1668","authenticated-orcid":false,"given":"Jos\u00e9 M.","family":"Tom\u00e1s","sequence":"additional","affiliation":[{"name":"Department of Methodology of the Behavioral Sciences, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2026, February 10). Ageing and Health. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/ageing-and-health."},{"key":"ref_2","unstructured":"United Nations, Department of Economic and Social Affairs, Population Division (2026, February 10). World Population Prospects 2024: Methodology of the United Nations Population Estimates and Projections. Available online: https:\/\/population.un.org\/wpp\/assets\/Files\/WPP2024_Methodology-Report_Final.pdf."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Cheng, H., Luo, W., Si, S., Xin, X., Peng, Z., Zhou, H., Liu, H., and Yu, Y. (2022). Global trends in total fertility rate and its relation to National wealth, life expectancy and female education. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-13656-1"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s40520-025-03021-8","article-title":"Aging, longevity, and healthy aging: The public health approach","volume":"37","author":"Gianfredi","year":"2025","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1038\/s41392-022-01251-0","article-title":"Aging and aging-related diseases: From molecular mechanisms to interventions and treatments","volume":"7","author":"Guo","year":"2022","journal-title":"Signal Transduct. Target. Ther."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2144","DOI":"10.1016\/S0140-6736(12)61690-0","article-title":"Healthy life expectancy for 187 countries, 1990-2010: A systematic analysis for the Global Burden Disease Study 2010","volume":"380","author":"Salomon","year":"2012","journal-title":"Lancet"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1183\/09031936.00059814","article-title":"Ageing and the epidemiology of Multimorbidity","volume":"44","author":"Divo","year":"2014","journal-title":"Eur. Respir. J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1016\/j.jamda.2017.03.008","article-title":"\u201cHealthy Aging\u201d Concepts and Measures","volume":"18","author":"Michel","year":"2017","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1675","DOI":"10.1007\/s11136-020-02425-5","article-title":"Mild cognitive impairment and quality of life in the oldest old: A closer look","volume":"29","author":"Hussenoeder","year":"2020","journal-title":"Qual. Life Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1007\/s10072-021-05142-0","article-title":"Functional autonomy in dementia of the Alzheimer\u2019s type, mild cognitive impairment, and healthy aging: A meta-analysis","volume":"42","author":"Altieri","year":"2021","journal-title":"Neurol. Sci."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1055\/s-0035-1555115","article-title":"The Impact of Age on Cognition","volume":"36","author":"Murman","year":"2015","journal-title":"Semin. Hear."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1002\/ana.25711","article-title":"Normative Cognitive Decline in Old Age","volume":"87","author":"Wilson","year":"2020","journal-title":"Ann. Neurol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.cger.2013.07.002","article-title":"Normal Cognitive Aging","volume":"29","author":"Harada","year":"2013","journal-title":"Clin. Geriatr. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1093\/bmb\/ldp033","article-title":"Age-associated cognitive decline","volume":"92","author":"Deary","year":"2009","journal-title":"Br. Med. Bull."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Salari, N., Lotfi, F., Abdolmaleki, A., Heidarian, P., Rasoulpoor, S., Fazeli, J., Najafi, H., and Mohammadi, M. (2025). The global prevalence of mild cognitive impairment in geriatric population with emphasis on influential factors: A systematic review and meta-analysis. BMC Geriatr., 25.","DOI":"10.1186\/s12877-025-05967-w"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Li, W., Sun, L., and Xiao, S. (2020). Prevalence, Incidence, Influence Factors, and Cognitive Characteristics of Amnestic Mild Cognitive Impairment Among Older Adult: A 1-Year Follow-Up Study in China. Front. Psychiatry, 11.","DOI":"10.3389\/fpsyt.2020.00075"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1177\/1533317518791401","article-title":"Mild Cognitive Impairment in Clinical Practice: A Review Article","volume":"33","author":"Jongsiriyanyong","year":"2018","journal-title":"Am. J. Alzheimer\u2019s Dis. Other Dement."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1038\/s41591-024-03340-9","article-title":"Lifetime risk and projected burden of dementia","volume":"31","author":"Fang","year":"2025","journal-title":"Nat. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"105995","DOI":"10.1016\/j.neubiorev.2024.105995","article-title":"Dementia subtypes and suicidality: A systematic review and meta-analysis","volume":"169","author":"Nuzum","year":"2025","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1097\/01.JGP.0000310780.04465.13","article-title":"Mild Cognitive Impairment and Everyday Function: Evidence of Reduced Speed in Performing Instrumental Activities of Daily Living","volume":"16","author":"Wadley","year":"2008","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1093\/ageing\/afj054","article-title":"Complex activities of daily living in mild cognitive impairment: Conceptual and diagnostic issues","volume":"35","author":"Perneczky","year":"2006","journal-title":"Age Ageing"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s13195-015-0099-0","article-title":"Mild cognitive impairment and deficits in instrumental activities of daily living: A systematic review","volume":"7","author":"Jekel","year":"2015","journal-title":"Alzheimer\u2019s Res. Ther."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1080\/13803395.2011.614598","article-title":"An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment","volume":"34","author":"Gold","year":"2012","journal-title":"J. Clin. Exp. Neuropsychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/S1474-4422(18)30295-3","article-title":"Global, regional, and national burden of Parkinson\u2019s disease, 1990\u20132016: A systematic analysis for the Global Burden of Disease Study 2016","volume":"17","author":"Dorsey","year":"2018","journal-title":"Lancet Neurol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e080952","DOI":"10.1136\/bmj-2024-080952","article-title":"Projections for prevalence of Parkinson\u2019s disease and its driving factors in 195 countries and territories to 2050: Modelling study of Global Burden of Disease Study 2021","volume":"388","author":"Su","year":"2025","journal-title":"BMJ"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1136\/jnnp.2006.112367","article-title":"Cognitive impairment in Parkinson\u2019s disease","volume":"78","author":"Verbaan","year":"2007","journal-title":"J. Neurol. Neurosurg. Psychiatry"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1038\/nrneurol.2017.27","article-title":"Cognitive decline in Parkinson disease","volume":"13","author":"Aarsland","year":"2017","journal-title":"Nat. Rev. Neurol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1038\/s41572-021-00280-3","article-title":"Parkinson disease-associated cognitive impairment","volume":"7","author":"Aarsland","year":"2021","journal-title":"Nat. Rev. Dis. Primers"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1007\/s10072-017-3154-8","article-title":"Cognitive and behavioral disorders in Parkinson\u2019s disease: An update. I: Cognitive impairments","volume":"39","author":"Papagno","year":"2018","journal-title":"Neurol. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e200334","DOI":"10.1212\/CPJ.0000000000200334","article-title":"Cognitive Symptoms in Cross-Sectional Parkinson Disease Cohort Evaluated by Human-in-the-Loop Machine Learning and Natural Language Processing","volume":"14","author":"Purks","year":"2024","journal-title":"Neurol. Clin. Pract."},{"key":"ref_31","first-page":"2076942","article-title":"Cognition Deficits in Parkinson\u2019s Disease: Mechanisms and Treatment","volume":"2020","author":"Fang","year":"2020","journal-title":"Park. Dis."},{"key":"ref_32","first-page":"183","article-title":"Progression of Cognitive Decline in Parkinson\u2019s Disease","volume":"8","author":"Roheger","year":"2018","journal-title":"J. Park. Dis."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e344","DOI":"10.1161\/STR.0000000000000211","article-title":"Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals from the American Heart Association\/American Stroke Association","volume":"50","author":"Powers","year":"2019","journal-title":"Stroke"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"449","DOI":"10.15585\/mmwr.mm7320a1","article-title":"Prevalence of Stroke\u2014Behavioral Risk Factor Surveillance System, United States, 2011\u20132022","volume":"73","author":"Imoisili","year":"2024","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1016\/S1474-4422(10)70164-2","article-title":"Predictors and assessment of cognitive dysfunction resulting from ischaemic stroke","volume":"9","author":"Gottesman","year":"2010","journal-title":"Lancet Neurol."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Tynterova, A., Perepelitsa, S., and Golubev, A. (2022). Personalized Neurophysiological and Neuropsychological Assessment of Patients with Left and Right Hemispheric Damage in Acute Ischemic Stroke. Brain Sci., 12.","DOI":"10.3390\/brainsci12050554"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Basagni, B., Malloggi, S., Polito, C., Pellicciari, L., Campagnini, S., Pancani, S., Mannini, A., Gemignani, P., Salvadori, E., and Marignani, S. (2024). MoCA Domain-Specific Pattern of Cognitive Impairment in Stroke Patients Attending Intensive Inpatient Rehabilitation: A Prospective Study. Behav. Sci., 14.","DOI":"10.3390\/bs14010042"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Bumbea, A.-M., Glavan, D.G., Vasile, R.-C., Rotaru-Zavaleanu, A.D., Gre\u0219i\u021b\u0103, A., Surugiu, R., Dinescu, S.N., Burlaco, I., and Aldea, M. (2025). Cognitive Impairment and Psychological Morbidity Among Stroke Survivors in Rehabilitation: A Cross-Sectional Analysis. J. Clin. Med., 14.","DOI":"10.3390\/jcm14217735"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Killin, L.O.J., Starr, J.M., Shiue, I.J., and Russ, T.C. (2016). Environmental risk factors for dementia: A systematic review. BMC Geriatr., 16.","DOI":"10.1186\/s12877-016-0342-y"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1093\/ageing\/afv151","article-title":"The risk of overweight\/obesity in mid-life and late life for the development of dementia: A systematic review and meta-analysis of longitudinal studies","volume":"45","author":"Pedditizi","year":"2016","journal-title":"Age Ageing"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e022846","DOI":"10.1136\/bmjopen-2018-022846","article-title":"Combining modifiable risk factors and risk of dementia: A systematic review and meta-analysis","volume":"9","author":"Peters","year":"2019","journal-title":"BMJ Open"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e1651","DOI":"10.1212\/WNL.0000000000200929","article-title":"Leisure Activities and the Risk of Dementia","volume":"99","author":"Su","year":"2022","journal-title":"Neurology"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"2508","DOI":"10.1056\/NEJMoa022252","article-title":"Leisure Activities and the Risk of Dementia in the Elderly","volume":"348","author":"Verghese","year":"2003","journal-title":"New Engl. J. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1159\/000452276","article-title":"An International Evaluation of Cognitive Reserve and Memory Changes in Early Old Age in 10 European Countries","volume":"48","author":"Cadar","year":"2017","journal-title":"Neuroepidemiology"},{"key":"ref_45","first-page":"e12470","article-title":"Education and cognitive function among older adults in Brazil and Mexico","volume":"15","author":"Avila","year":"2023","journal-title":"Alzheimer\u2019s Dement. Diagn. Assess. Dis. Monit."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Zhong, T., Li, S., Liu, P., Wang, Y., and Chen, L. (2024). The impact of education and occupation on cognitive impairment: A cross-sectional study in China. Front. Aging Neurosci., 16.","DOI":"10.3389\/fnagi.2024.1435626"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1002\/alz.13459","article-title":"Profiles of lifestyle health behaviors and cognitive decline in older adults","volume":"20","author":"Halloway","year":"2023","journal-title":"Alzheimer\u2019s Dement"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"2672","DOI":"10.1161\/STR.0b013e3182299496","article-title":"Vascular Contributions to Cognitive Impairment and Dementia","volume":"42","author":"Gorelick","year":"2011","journal-title":"Stroke"},{"key":"ref_49","first-page":"3962","article-title":"Cognitive Reserve and Brain Maintenance: Orthogonal Concepts in Theory and Practice","volume":"27","author":"Habeck","year":"2016","journal-title":"Cereb. Cortex"},{"key":"ref_50","first-page":"3","article-title":"Evidence-based occupational therapy for people with dementia and their families: What clinical practice guidelines tell us and implications for practice","volume":"64","author":"Dyer","year":"2016","journal-title":"Aust. Occup. Ther. J."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1055\/s-0039-1683408","article-title":"A Comprehensive Update on Treatment of Dementia","volume":"39","author":"Tisher","year":"2019","journal-title":"Semin. Neurol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e229048","DOI":"10.1136\/bcr-2018-229048","article-title":"An individualised, non-pharmacological treatment strategy associated with an improvement in neuropsychiatric symptoms in a man with dementia living at home","volume":"12","author":"Carter","year":"2019","journal-title":"BMJ Case Rep."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"46","DOI":"10.7748\/ns.30.7.46.s47","article-title":"Person-centred care for people with dementia: Kitwood reconsidered","volume":"30","author":"Mitchell","year":"2015","journal-title":"Nurs. Stand."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1017\/S095925980400108X","article-title":"What is person-centred care in dementia?","volume":"13","author":"Brooker","year":"2003","journal-title":"Rev. Clin. Gerontol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000490851","article-title":"Cognitive Therapy for Dementia Patients: A Systematic Review","volume":"46","author":"Carrion","year":"2018","journal-title":"Dement. Geriatr. Cogn. Disord."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/S1474-4422(09)70045-6","article-title":"Caring for Aged Dementia Care Resident Study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: A cluster-randomised trial","volume":"8","author":"Chenoweth","year":"2009","journal-title":"Lancet Neurol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1016\/j.neuropsychologia.2009.03.004","article-title":"Cognitive reserve","volume":"47","author":"Stern","year":"2009","journal-title":"Neuropsychologia"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1093\/ije\/dyt088","article-title":"Data Resource Profile: The Survey of Health, Ageing and Retirement in Europe (SHARE)","volume":"42","author":"Brandt","year":"2013","journal-title":"Int. J. Epidemiol."},{"key":"ref_59","unstructured":"SHARE-ERIC (2024). Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 9, The Survey of Health, Ageing and Retirement in Europe."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"104891","DOI":"10.1016\/j.archger.2022.104891","article-title":"The role of social and intellectual activity participation in older adults\u2019 cognitive function","volume":"107","author":"Oliver","year":"2023","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","article-title":"Mini-mental state","volume":"12","author":"Folstein","year":"1975","journal-title":"J. Psychiatr. Res."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1080\/00207590500345542","article-title":"Cognitive testing toward the future: The example of Semantic Verbal Fluency (ANIMALS)","volume":"41","author":"Ardila","year":"2006","journal-title":"Int. J. Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1080\/01688638008403788","article-title":"Verbal fluency in aging and dementia","volume":"2","author":"Rosen","year":"1980","journal-title":"J. Clin. Neuropsychol."},{"key":"ref_64","unstructured":"Muth\u00e9n, L.K., and Muth\u00e9n, B.O. (2017). Mplus User\u2019s Guide: Statistical Analysis with Latent Variables, User\u2019s Guide, Muth\u00e9n & Muth\u00e9n. [8th ed.]."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Wang, J., and Wang, X. (2019). Structural Equation Modeling, Wiley.","DOI":"10.1002\/9781119422730"},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Finney, S.J., and DiStefano, C. (2013). Nonnormal and categorical data in structural equation modeling. Structural Equation Modeling: A Second Course, IAP Information Age Publishing. [2nd ed.].","DOI":"10.1108\/978-1-62396-246-320251015"},{"key":"ref_67","unstructured":"Kline, R.B. (2016). Principles and Practice of Structural Equation Modeling, The Guilford Press. [4th ed.]."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1037\/1082-989X.9.3.275","article-title":"Structural Equation Models of Latent Interactions: Evaluation of Alternative Estimation Strategies and Indicator Construction","volume":"9","author":"Marsh","year":"2004","journal-title":"Psychol. Methods"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/BF02291366","article-title":"Simultaneous Factor Analysis in Several Populations","volume":"36","year":"1971","journal-title":"Psychometrika"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1207\/S15328007SEM0902_5","article-title":"Evaluating goodness-of-fit indexes for testing measurement invariance","volume":"9","author":"Cheung","year":"2002","journal-title":"Struct. Equ. Model."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s10433-018-0486-z","article-title":"Social networks and social activities promote cognitive functioning in both concurrent and prospective time: Evidence from the SHARE survey","volume":"16","author":"Miceli","year":"2019","journal-title":"Eur. J. Ageing"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1186\/s13195-020-00691-6","article-title":"Associations between social and intellectual activities with cognitive trajectories in Chinese middle-aged and older adults: A nationally representative cohort study","volume":"12","author":"Li","year":"2020","journal-title":"Alzheimer\u2019s Res. Ther."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1080\/13607863.2015.1081152","article-title":"Social participation predicts cognitive functioning in aging adults over time: Comparisons with physical health, depression, and physical activity","volume":"21","author":"Bourassa","year":"2017","journal-title":"Aging Ment. Health"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.jshs.2021.05.003","article-title":"Comparative efficacy of various exercise interventions on cognitive function in patients with mild cognitive impairment or dementia: A systematic review and network meta-analysis","volume":"11","author":"Huang","year":"2022","journal-title":"J. Sport Health Sci."},{"key":"ref_75","first-page":"CD013856","article-title":"Physical exercise for people with Parkinson\u2019s disease: A systematic review and network meta-analysis","volume":"2024","author":"Ernst","year":"2024","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Wang, H., Li, D., Li, S., Zhang, X., Zang, W., Zhu, Y., Zhang, S., Xu, F., Xiao, Z., and Guo, K. (2025). Physical activity interventions for post-stroke cognitive recovery: A systematic review and network meta-analysis of comparative effects. Front. Neurol., 16.","DOI":"10.3389\/fneur.2025.1646328"},{"key":"ref_77","first-page":"CD005562","article-title":"Cognitive stimulation to improve cognitive functioning in people with dementia","volume":"2023","author":"Woods","year":"2023","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"e73140","DOI":"10.2196\/73140","article-title":"The Effectiveness of Computerized Cognitive Training in Patients With Poststroke Cognitive Impairment: Systematic Review and Meta-Analysis","volume":"27","author":"Gao","year":"2025","journal-title":"J. Med. Internet Res."},{"key":"ref_79","doi-asserted-by":"crossref","unstructured":"Gattoni, M.F., Gobbo, S., Feroldi, S., Salvatore, A., Navarro, J., Sorbi, S., and Saibene, F.L. (2025). Identification of Cognitive Training for Individuals with Parkinson\u2019s Disease: A Systematic Review. Brain Sci., 15.","DOI":"10.3390\/brainsci15010061"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1080\/0361073X.2013.808109","article-title":"Psychometric Limitations of the Mini-Mental State Examination Among Nondemented Older Adults: An Evaluation of Neurocognitive and Magnetic Resonance Imaging Correlates","volume":"39","author":"Spencer","year":"2013","journal-title":"Exp. Aging Res."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/7\/2620\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T04:16:04Z","timestamp":1775016964000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/7\/2620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,30]]},"references-count":80,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,4]]}},"alternative-id":["jcm15072620"],"URL":"https:\/\/doi.org\/10.3390\/jcm15072620","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,30]]}}}