Skip to main content
Top
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Research

The association between the diversity of online activities on smartphones and cognitive function among middle-aged and elderly Chinese adults

Authors: Qian Chen, Haoqiang Ji, Qingxin Shang

Published in: BMC Public Health | Issue 1/2024

Login to get access

Abstract

Background

Many studies have shown that using smartphones can improve cognitive function, but no studies have shown the effect of the diversity of online activities on cognitive function. Therefore, this study explores the association between the diversity of online activity on smartphones and cognitive function among middle-aged and elderly Chinese adults.

Methods

A total of 13,347 Chinese middle-aged and elderly participants were used in the final analysis. Multivariate linear regression models were used to explore the relationships among the frequency of smartphone use, number of online activities, various activities, and cognitive function.

Results

We found that 2,143 respondents (16.1%) used smartphones, and the top three online activities were watching news (80.3%), posting moments (72.4%), and chatting (68.0%) among all smartphone users to access the internet. After adjusting for all covariates, we found that the increase in the frequency of smartphone use and the number of online activities were correlated with a higher cognitive score. Moreover, some online activities, such as watching news (β:0.5, 95% CI:0.2–0.8), posting moments (β:0.4, 95% CI:0.2–0.7) playing games (β:0.3, 95% CI:0.03–0.6) and making mobile payments (β:0.3, 95% CI:0.1–0.5) were independently associated with good cognitive function.

Discussion

In the middle-aged and elderly population, smartphone use plays an important role in cognitive function. Considering the increasing prevalence of smartphones among middle-aged and elderly individuals, this study can provide references and insights for health education and in-depth scientific research related to internet usage.
Literature
1.
go back to reference Zeng Y, Feng QS, Hesketh T, Christensen K, Vaupel JW. Survival, disabilities in activities of daily living, and physical and cognitive functioning among the oldest-old in China: a cohort study. Lancet. 2017;389(10079):1619–29.CrossRefPubMedPubMedCentral Zeng Y, Feng QS, Hesketh T, Christensen K, Vaupel JW. Survival, disabilities in activities of daily living, and physical and cognitive functioning among the oldest-old in China: a cohort study. Lancet. 2017;389(10079):1619–29.CrossRefPubMedPubMedCentral
2.
go back to reference Bureau SS. China Statistical Yearbook 2021. Beijing: China Statistics Press; 2021. Bureau SS. China Statistical Yearbook 2021. Beijing: China Statistics Press; 2021.
3.
4.
go back to reference Liu Z, Albanese E, Li S, Huang Y, Ferri CP, Yan F, Sousa R, Dang W, Prince M. Chronic disease prevalence and care among the elderly in urban and rural Beijing, China - a 10/66 Dementia Research Group cross-sectional survey. BMC Public Health. 2009;9:394.CrossRefPubMedPubMedCentral Liu Z, Albanese E, Li S, Huang Y, Ferri CP, Yan F, Sousa R, Dang W, Prince M. Chronic disease prevalence and care among the elderly in urban and rural Beijing, China - a 10/66 Dementia Research Group cross-sectional survey. BMC Public Health. 2009;9:394.CrossRefPubMedPubMedCentral
5.
go back to reference 2022 Alzheimer’s disease facts and figures. Alzheimer’s & dementia: the journal of the Alzheimer’s Association 2022, 18(4):700–789. 2022 Alzheimer’s disease facts and figures. Alzheimer’s & dementia: the journal of the Alzheimer’s Association 2022, 18(4):700–789.
6.
go back to reference Jin YZ, Jing MX, Ma XC. Effects of Digital device ownership on Cognitive decline in a Chinese middle-aged and Elderly Population: longitudinal observational study. J Med Internet Res. 2019;21(7):9.CrossRef Jin YZ, Jing MX, Ma XC. Effects of Digital device ownership on Cognitive decline in a Chinese middle-aged and Elderly Population: longitudinal observational study. J Med Internet Res. 2019;21(7):9.CrossRef
7.
go back to reference Hui VKY, Wong CYF, Ma EKY, Ho FYY, Chan CS. Treating depression with a smartphone-delivered self-help cognitive behavioral therapy for insomnia: study protocol for a parallel group randomized controlled trial. Trials. 2020;21(1):12.CrossRef Hui VKY, Wong CYF, Ma EKY, Ho FYY, Chan CS. Treating depression with a smartphone-delivered self-help cognitive behavioral therapy for insomnia: study protocol for a parallel group randomized controlled trial. Trials. 2020;21(1):12.CrossRef
8.
go back to reference Yuan MQ, Chen J, Zhou Z, Yin JH, Wu JL, Luo ML, Wang LX, Fang Y. Joint associations of smartphone use and gender on multidimensional cognitive health among community-dwelling older adults: a cross-sectional study. BMC Geriatr. 2019;19:10.CrossRef Yuan MQ, Chen J, Zhou Z, Yin JH, Wu JL, Luo ML, Wang LX, Fang Y. Joint associations of smartphone use and gender on multidimensional cognitive health among community-dwelling older adults: a cross-sectional study. BMC Geriatr. 2019;19:10.CrossRef
9.
go back to reference Scullin MK, Jones WE, Phenis R, Beevers S, Rosen S, Dinh K, Kiselica A, Keefe FJ, Benge JF. Using smartphone technology to improve prospective memory functioning: a randomized controlled trial. J Am Geriatr Soc. 2022;70(2):459–69.CrossRefPubMed Scullin MK, Jones WE, Phenis R, Beevers S, Rosen S, Dinh K, Kiselica A, Keefe FJ, Benge JF. Using smartphone technology to improve prospective memory functioning: a randomized controlled trial. J Am Geriatr Soc. 2022;70(2):459–69.CrossRefPubMed
10.
go back to reference Center CINI. The 47rd statistical report on Internet Development in China. In. Beijing China. Internet Network Information Center; 2021. Center CINI. The 47rd statistical report on Internet Development in China. In. Beijing China. Internet Network Information Center; 2021.
11.
go back to reference Shors TJ, Anderson ML, Curlik DM, Nokia II. Use it or lose it: how neurogenesis keeps the brain fit for learning. Behav Brain Res. 2012;227(2):450–8.CrossRefPubMed Shors TJ, Anderson ML, Curlik DM, Nokia II. Use it or lose it: how neurogenesis keeps the brain fit for learning. Behav Brain Res. 2012;227(2):450–8.CrossRefPubMed
12.
go back to reference Clark VP, Parasuraman R. Neuroenhancement: enhancing brain and mind in health and in disease. NeuroImage. 2014;85:889–94.CrossRefPubMed Clark VP, Parasuraman R. Neuroenhancement: enhancing brain and mind in health and in disease. NeuroImage. 2014;85:889–94.CrossRefPubMed
13.
go back to reference Bhatt CR, Benke G, Smith CL, Redmayne M, Dimitriadis C, Dalecki A, Macleod S, Sim MR, Croft RJ, Wolfe R et al. Use of mobile and cordless phones and change in cognitive function: a prospective cohort analysis of Australian primary school children. Environ Health 2017, 16. Bhatt CR, Benke G, Smith CL, Redmayne M, Dimitriadis C, Dalecki A, Macleod S, Sim MR, Croft RJ, Wolfe R et al. Use of mobile and cordless phones and change in cognitive function: a prospective cohort analysis of Australian primary school children. Environ Health 2017, 16.
14.
go back to reference Al-khlaiwi TM, Habib SS, Meo SA, Alqhtani MS, Ogailan AA. The association of smart mobile phone usage with cognitive function impairment in Saudi adult population. Pakistan J Med Sci. 2020;36(7):1628–33. Al-khlaiwi TM, Habib SS, Meo SA, Alqhtani MS, Ogailan AA. The association of smart mobile phone usage with cognitive function impairment in Saudi adult population. Pakistan J Med Sci. 2020;36(7):1628–33.
15.
go back to reference Hunsaker A, Hargittai E. A review of internet use among older adults. New Media Soc. 2018;20(10):3937–54.CrossRef Hunsaker A, Hargittai E. A review of internet use among older adults. New Media Soc. 2018;20(10):3937–54.CrossRef
16.
go back to reference Nowland R, Necka EA, Cacioppo JT. Loneliness and Social Internet Use: pathways to reconnection in a Digital World? Perspect Psychol Sci. 2018;13(1):70–87.CrossRefPubMed Nowland R, Necka EA, Cacioppo JT. Loneliness and Social Internet Use: pathways to reconnection in a Digital World? Perspect Psychol Sci. 2018;13(1):70–87.CrossRefPubMed
17.
go back to reference Zhao Y, Hu Y, Smith JP, Strauss J, Yang G. Cohort Profile: the China Health and Retirement Longitudinal Study (CHARLS). Int J Epidemiol. 2014;43(1):61–8.CrossRefPubMed Zhao Y, Hu Y, Smith JP, Strauss J, Yang G. Cohort Profile: the China Health and Retirement Longitudinal Study (CHARLS). Int J Epidemiol. 2014;43(1):61–8.CrossRefPubMed
18.
go back to reference Ji H, Du L, Sun M, Duan Y, Xu J, Wu R, Chen X, Pan Y, Chen Y, Zhou L. Association between solid fuel use and cognitive decline among middle-aged and elderly Chinese adults: a longitudinal study. Sci Rep. 2021;11(1):3634.CrossRefPubMedPubMedCentralADS Ji H, Du L, Sun M, Duan Y, Xu J, Wu R, Chen X, Pan Y, Chen Y, Zhou L. Association between solid fuel use and cognitive decline among middle-aged and elderly Chinese adults: a longitudinal study. Sci Rep. 2021;11(1):3634.CrossRefPubMedPubMedCentralADS
19.
go back to reference Yang X, Pan A, Gong J, Wen Y, Ye Y, Wu JH, Pan X-F, Yang C-X. Prospective associations between depressive symptoms and cognitive functions in middle-aged and elderly Chinese adults. J Affect Disord. 2020;263:692–7.CrossRefPubMed Yang X, Pan A, Gong J, Wen Y, Ye Y, Wu JH, Pan X-F, Yang C-X. Prospective associations between depressive symptoms and cognitive functions in middle-aged and elderly Chinese adults. J Affect Disord. 2020;263:692–7.CrossRefPubMed
20.
go back to reference Center CINI. The 43rd Statistical Report on Internet Development in China. In. Beijing; 2019. Center CINI. The 43rd Statistical Report on Internet Development in China. In. Beijing; 2019.
21.
go back to reference Hong YA, Zhou Z, Fang Y, Shi LY. The Digital Divide and Health Disparities in China: evidence from a National Survey and Policy implications. J Med Internet Res. 2017;19(9):13.CrossRef Hong YA, Zhou Z, Fang Y, Shi LY. The Digital Divide and Health Disparities in China: evidence from a National Survey and Policy implications. J Med Internet Res. 2017;19(9):13.CrossRef
22.
go back to reference Lampit A, Hallock H, Valenzuela M. Computerized cognitive training in cognitively healthy older adults: a systematic review and meta-analysis of effect modifiers. PLoS Med. 2014;11(11):e1001756.CrossRefPubMedPubMedCentral Lampit A, Hallock H, Valenzuela M. Computerized cognitive training in cognitively healthy older adults: a systematic review and meta-analysis of effect modifiers. PLoS Med. 2014;11(11):e1001756.CrossRefPubMedPubMedCentral
23.
go back to reference Corbett A, Owen A, Hampshire A, Grahn J, Stenton R, Dajani S, Burns A, Howard R, Williams N, Williams G, et al. The Effect of an Online Cognitive Training Package in healthy older adults: an Online Randomized Controlled Trial. J Am Med Dir Assoc. 2015;16(11):990–7.CrossRefPubMed Corbett A, Owen A, Hampshire A, Grahn J, Stenton R, Dajani S, Burns A, Howard R, Williams N, Williams G, et al. The Effect of an Online Cognitive Training Package in healthy older adults: an Online Randomized Controlled Trial. J Am Med Dir Assoc. 2015;16(11):990–7.CrossRefPubMed
24.
go back to reference Li W, Cui YF, Gong Q, Zhu ZH. Association of Smartphone Use Duration with Physical Fitness among University students: Focus on Strength and Flexibility. Int J Environ Res Public Health. 2022;19(12):9.CrossRef Li W, Cui YF, Gong Q, Zhu ZH. Association of Smartphone Use Duration with Physical Fitness among University students: Focus on Strength and Flexibility. Int J Environ Res Public Health. 2022;19(12):9.CrossRef
25.
go back to reference Wang Z, Zhou R, Shah P. Spaced cognitive training promotes training transfer. Front Hum Neurosci 2014, 8. Wang Z, Zhou R, Shah P. Spaced cognitive training promotes training transfer. Front Hum Neurosci 2014, 8.
26.
go back to reference Hirjak D, Henemann GM, Schmitgen MM, Gotz L, Wolf ND, Kubera KM, Sambataro F, Lemenager T, Koenig J, Wolf RC. Cortical surface variation in individuals with excessive smartphone use. Dev Neurobiol. 2022;82(4):277–87.CrossRefPubMed Hirjak D, Henemann GM, Schmitgen MM, Gotz L, Wolf ND, Kubera KM, Sambataro F, Lemenager T, Koenig J, Wolf RC. Cortical surface variation in individuals with excessive smartphone use. Dev Neurobiol. 2022;82(4):277–87.CrossRefPubMed
27.
go back to reference Fabio RA, Stracuzzi A, Lo Faro R. Problematic smartphone Use leads to behavioral and cognitive self-control deficits. Int J Environ Res Public Health. 2022;19(12):13.CrossRef Fabio RA, Stracuzzi A, Lo Faro R. Problematic smartphone Use leads to behavioral and cognitive self-control deficits. Int J Environ Res Public Health. 2022;19(12):13.CrossRef
28.
go back to reference Wesselman LM, Hooghiemstra AM, Schoonmade LJ, de Wit MC, van der Flier WM, Sikkes SA. Web-based Multidomain Lifestyle Programs for Brain Health: Comprehensive Overview and Meta-Analysis. JMIR Ment Health. 2019;6(4):e12104.CrossRefPubMedPubMedCentral Wesselman LM, Hooghiemstra AM, Schoonmade LJ, de Wit MC, van der Flier WM, Sikkes SA. Web-based Multidomain Lifestyle Programs for Brain Health: Comprehensive Overview and Meta-Analysis. JMIR Ment Health. 2019;6(4):e12104.CrossRefPubMedPubMedCentral
30.
go back to reference Malezieux M, Klein AS, Gogolla N. Neural circuits for emotion. Annu Rev Neurosci. 2023;46:211–31.CrossRefPubMed Malezieux M, Klein AS, Gogolla N. Neural circuits for emotion. Annu Rev Neurosci. 2023;46:211–31.CrossRefPubMed
31.
go back to reference Morikawa M, Lee SY, Makino K, Bae S, Chiba I, Harada K, Tomida K, Katayama O, Shimada H. Association of social isolation and smartphone use on cognitive functions. Arch Gerontol Geriatr. 2022;101:7.CrossRef Morikawa M, Lee SY, Makino K, Bae S, Chiba I, Harada K, Tomida K, Katayama O, Shimada H. Association of social isolation and smartphone use on cognitive functions. Arch Gerontol Geriatr. 2022;101:7.CrossRef
32.
go back to reference Huang H, Cheng CY. The benefits of Video games on Brain cognitive function: a systematic review of functional magnetic resonance Imaging studies. Appl Sciences-Basel 2022, 12(11). Huang H, Cheng CY. The benefits of Video games on Brain cognitive function: a systematic review of functional magnetic resonance Imaging studies. Appl Sciences-Basel 2022, 12(11).
33.
go back to reference Dale G, Joessel A, Bavelier D, Green CS. A new look at the cognitive neuroscience of video game play. Ann N Y Acad Sci. 2020;1464(1):192–203.CrossRefPubMedADS Dale G, Joessel A, Bavelier D, Green CS. A new look at the cognitive neuroscience of video game play. Ann N Y Acad Sci. 2020;1464(1):192–203.CrossRefPubMedADS
34.
go back to reference Engelhardt CR, Saults JS, Vasquez EA, King BE, Bartholow BD. PSYCHOPHYSIOLOGICAL EVIDENCE FOR VIOLENT VIDEO GAMES IMPAIRING COGNITIVE CONTROL. Psychophysiology. 2009;46:101–S101. Engelhardt CR, Saults JS, Vasquez EA, King BE, Bartholow BD. PSYCHOPHYSIOLOGICAL EVIDENCE FOR VIOLENT VIDEO GAMES IMPAIRING COGNITIVE CONTROL. Psychophysiology. 2009;46:101–S101.
35.
go back to reference Ma QG, Wang ML, He YJ, Tan YL, Zhang LZ. Does mobile payment change consumers’ perception during payment process? - An ERP study. Neurosci Lett 2021, 762. Ma QG, Wang ML, He YJ, Tan YL, Zhang LZ. Does mobile payment change consumers’ perception during payment process? - An ERP study. Neurosci Lett 2021, 762.
36.
go back to reference Qi S, Sun Y, Yin P, Zhang H, Wang Z. Mobile phone Use and Cognitive Impairment among Elderly Chinese: a National Cross-sectional Survey Study. Int J Environ Res Public Health 2021, 18(11). Qi S, Sun Y, Yin P, Zhang H, Wang Z. Mobile phone Use and Cognitive Impairment among Elderly Chinese: a National Cross-sectional Survey Study. Int J Environ Res Public Health 2021, 18(11).
37.
go back to reference Hsieh MH, Ho CH, Lee IC. Effects of smartphone numeric keypad designs on performance and satisfaction of elderly users. Int J Ind Ergon. 2022;87:9.CrossRef Hsieh MH, Ho CH, Lee IC. Effects of smartphone numeric keypad designs on performance and satisfaction of elderly users. Int J Ind Ergon. 2022;87:9.CrossRef
Metadata
Title
The association between the diversity of online activities on smartphones and cognitive function among middle-aged and elderly Chinese adults
Authors
Qian Chen
Haoqiang Ji
Qingxin Shang
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-17932-0

Other articles of this Issue 1/2024

BMC Public Health 1/2024 Go to the issue