The Role of Cognitive Performance in Older Europeans’ General Health: Insights from Relative Importance Analysis

This study explores the role of cognitive performance in the general health of older Europeans aged 50 and over, focusing on gender differences, using data from 336,500 respondents in the sixth wave of the Survey of Health, Aging, and Retirement in Europe (SHARE). Cognitive functioning was assessed through self-rated reading and writing skills, orientation in time, numeracy, memory, verbal fluency, and word-list learning. General health status was estimated by constructing a composite index of physical and mental health-related measures, including chronic diseases, mobility limitations, depressive symptoms, self-perceived health, and the Global Activity Limitation Indicator. Participants were classified into good or poor health status, and logistic regression models assessed the predictive significance of cognitive variables on general health, supplemented by a relative importance analysis to estimate relative effect sizes. The results indicated that males had a 51.1% lower risk of reporting poor health than females, and older age was associated with a 4.0% increase in the odds of reporting worse health for both genders. Memory was the strongest predictor of health status (26% of the model <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><msup><mrow><mi>R</mi></mrow><mrow><mn>2</mn></mrow></msup></mrow></semantics></math></inline-formula>), with a greater relative contribution than the other cognitive variables. No significant gender differences were found. While this study estimates the odds of reporting poorer health in relation to gender and various cognitive characteristics, adopting a lifespan approach could provide valuable insights into the longitudinal associations between cognitive functioning and health outcomes.