Attendance showed positive indirect relationships with physical function ( = 0.11 , p < 0.05 ) , basic and advanced lower extremity function ( = 0.10 , p < 0.05 / = 0.09 , p < 0.05 ) , and mental health ( = 0.05 , p < 0.05 ) , and a negative indirect relationship with body mass index ( = -0.06 , p < 0.05 ) .