Sustainable Participation in Community Health Programs to Promote a Healthy Lifestyle and Prevent and Protect against Dementia among Rural Taiwanese Middle-Aged and Older Adults.

BACKGROUND: Resource and economic constraints limit access to health care in rural populations, and consequently, rates of chronic illnesses are higher in this population. Further, little is known about how rural populations adopt active and healthy lifestyle behavior for dementia prevention. OBJECTIVES: This study aimed to explore the impact of modification in lifestyle behaviors on changes in cognitive function among middle-aged and older adults living in a rural area of Taiwan. DESIGN: In this prospective longitudinal study, changes in lifestyle and cognitive function were compared between the experimental and control groups. SETTING: Six rural community care stations were randomly cluster sampled in southern Taiwan. PARTICIPANTS: A total of 155 participants were enrolled and classified into two groups according to their community activity participation rate (CAPR). The control group (n=68) had a CAPR < 1x/month, and the experimental group (n=87) had a CAPR ≥ 1x/month. MEASUREMENTS: Cognitive function of the participants was measured using the MMSE scale. Lifestyle behaviors were measured using a self-designed questionnaire based on the Transtheoretical Model. RESULTS: From 2018-2020, the experimental group successfully maintained a healthy lifestyle. The MMSE score in the experimental group was significantly higher in the 3rd year than that in the control group (25.37 vs 22.56, p < 0.001). CONCLUSIONS: Sustainable community participation and adopting a healthy lifestyle could effectively maintain the cognitive function of the study participants. However, more needs to be done to support rural older adults to maintain a healthy diet and control their weight.

Analysis of polarization dynamics by singularity decomposition method.

The driving point immittance (impedance or admittance) function is commonly used in electrical characterization of polarized materials and interfaces. The immittance function typically attenuates following a power function dependence on frequency. This fact has been recognized as a macroscopic dynamical property manifested by strongly interacting dielectric, viscoelastic and magnetic materials and interfaces between different conducting substances. Linear interfacial polarization processes which occur at metal electrode-electrolyte interfaces have been represented by the Fractional Power Pole [FPP] function in single or multiple stages. The FPP function is referred to as the Davidson-Cole function in the dielectrics literature. A related function widely used in mathematical modeling of dielectric and viscoelastic polarization dynamics is the Cole-Cole function. The fractional power factor which parametrizes the FPP or the Davidson-Cole function has been shown earlier to equal the logarithmic ratio of the locations of the pole-zero singularities. In this paper we first review a modified form of the singularity decomposition of the FPP function accomplished within a prescribed error range. The distribution spectrum and the corresponding simulation by a cascade R-C network, as opposed to the synthesis by a ladder R-C network, are readily obtained as the next step in the simulation. The method is then applied to decompose the Cole-Cole function; the pole-zero placement of the singularity function is determined and the equivalent cascade R-C network is synthesized.

Fractal dynamics of polarized bioelectrodes.

This study is concerned with mathematical modelling of the fundamental relationship which exists between the current density and the overpotential across the metal-solution interface in the linear range using methods of system theory enhanced by 'fractal' concepts. A primer for both 1/f-type scaling and 'anomalous' relaxation/dispersion concepts is provided followed by a brief review of the research history pertinent to the metal electrode polarization dynamics. Next, the 'fractal relaxation systems' approach is introduced to characterize systems which attenuate with a fractional power-low dependence on frequency through a 'scaling exponent'. The 'singularity structure' which is a scaling rational system function is proposed to expand fractal systems in terms of basic subsystems individually representing elementary exponential relaxations and collectively exhibiting scaling properties. We stres that the 'singularity structure' carries scaling information identical to the conventional 'distribution of relaxation times' function. 'Structure scale' and 'view scale' concepts are presented in the due course to streamline the analysis of scaling phenomena in general and the polarization impedance in particular. System theory-wise, the notable result is that the fractional power function attenuation, or equivalently, the logarithmic nature of the distribution function translates into the 'self-similar' pattern replication of the system singularities in the s-plane. The singularity arrangement is governed by a recursive rule solely based on the knowledge of the fractional power factor or the scaling exponent.