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Relationship between mobile phone and internet usage and subjective and objective cognitive functions in middle-aged and elderly people
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Xiao-yu ZHANG1, Qi WANG1, Chun-ying FU1, Zhong-xuan WANG1, Lu-yi ZHANG1, Xiang LI1, Dong-shan ZHU1, 2
Modern Preventive Medicine | 2025, 52(14) : 2613 - 2618
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Modern Preventive Medicine | 2025, 52(14): 2613-2618
Health and Social Behavior
Relationship between mobile phone and internet usage and subjective and objective cognitive functions in middle-aged and elderly people
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Xiao-yu ZHANG1, Qi WANG1, Chun-ying FU1, Zhong-xuan WANG1, Lu-yi ZHANG1, Xiang LI1, Dong-shan ZHU1, 2
Affiliations
  • Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China
Published: 2025-07-25 doi: 10.20043/j.cnki.MPM.202501175
Outline
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Objective

To explore the relationship between smartphones usage, internet usage and subjective, objective cognitive functions.

Methods

Multi-stage cluster random sampling method was used to select 45-70 year old permanent residents from 7 sample villages in Pingyin County, Shandong Province who meet the standards. The subjective cognitive decline-questionnaire 9 (SCD-Q9) and the montreal cognitive assessment basic scale (MoCA-B) were used to evaluate the subjective and objective cognitive functions, respectively. The logistic regression model was used to calculate the odds ratio (OR) and 95% confidence interval (95% CI) of the relationship between smartphones usage, internet usage and subjective, objective cognitive function. Furthermore, the non-linear relationship between smartphones usage, internet usage and cognitive function scores was explored.

Results

This study included 1 654 participants. Compared with those who did not use mobile phones, those who used mobile phones had a 42% lower risk of experiencing abnormal objective cognitive scores (OR=0.58, 95% CI: 0.46-0.73), and the risk of abnormal objective cognitive scores was relatively low when using a mobile phone for less than or equal to 2 hours per day or more than 2 hours per day (0.65, 0.51-0.82; 0.69, 0.55-0.88). Compared to those who did not use the internet, internet users had a 41% lower risk of experiencing abnormal objective cognitive scores (0.59, 0.47-0.74), and people who spent less than 1 hour online or more than 2 hours online had a lower risk of experiencing abnormal objective cognitive scores compared to those who spent less than or equal to 1 hour online (0.65, 0.52-0.83; 0.66, 0.52-0.83). Nonlinear correlation showed that as the duration of mobile phone use and internet usage gradually increased, the objective cognitive score showed a trend of first increasing and then decreasing.

Conclusion

People who use mobile phones and the internet have a lower risk of experiencing objective cognitive score abnormalities. As the duration of mobile phone use and internet usage increases, the objective cognitive score shows a non-linear trend of first increasing and then decreasing. Overuse of mobile phones and the internet (such as>5.5 h/d) may have adverse effects on cognitive function.

Subjective cognitive function  /  Objective cognitive function  /  Smartphone  /  Internet use
Xiao-yu ZHANG, Qi WANG, Chun-ying FU, Zhong-xuan WANG, Lu-yi ZHANG, Xiang LI, Dong-shan ZHU. Relationship between mobile phone and internet usage and subjective and objective cognitive functions in middle-aged and elderly people[J]. Modern Preventive Medicine, 2025 , 52 (14) : 2613 -2618 . DOI: 10.20043/j.cnki.MPM.202501175
Year 2025 volume 52 Issue 14
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Article Info
doi: 10.20043/j.cnki.MPM.202501175
  • Receive Date:2025-01-10
  • Online Date:2026-03-16
  • Published:2025-07-25
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  • Received:2025-01-10
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Affiliations
    Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China
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表12种不同金属材料的力学参数

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Number of
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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