TY - JOUR
T1 - Leisure Activities and All-Cause Mortality Among the Chinese Oldest-Old Population
T2 - A Prospective Community-Based Cohort Study
AU - Li, Zhi Hao
AU - Zhang, Xi Ru
AU - Lv, Yue Bin
AU - Shen, Dong
AU - Li, Fu Rong
AU - Zhong, Wen Fang
AU - Huang, Qing Mei
AU - Wu, Xian Bo
AU - Zeng, Yi
AU - Gao, Xiang
AU - Shi, Xiao Ming
AU - Mao, Chen
N1 - Funding Information:
The Chinese Longitudinal Healthy Longevity Study (CLHLS), which provided the data analyzed in this paper, is jointly supported by the National Natural Sciences Foundation of China (81573207, 71233001, 71490732, and 81573247), and the US National Institute of Aging (2P01AG031719 and 3P01AG031719-07S1). This work was also supported by the National Key Research and Development Program of China (2018YFC2000400) and the Construction of High-level University of Guangdong (C1050008 and C1051007). The funders played no role in the study design or implementation; data collection, management, analysis, or interpretation; manuscript preparation, review, or approval; or the decision to submit the manuscript for publication.
Publisher Copyright:
© 2019 AMDA – The Society for Post-Acute and Long-Term Care Medicine
PY - 2020/6
Y1 - 2020/6
N2 - Objective: To investigate associations between leisure activities, examining each activity separately and in combination, and all-cause mortality among the Chinese oldest-old (≥80 years) population. Design: Prospective cohort study. Setting: Community-living, the oldest-old from 22 provinces in China. Participants: We included 30,070 Chinese individuals aged ≥80 years (mean age: 92.7 years) from the Chinese Longitudinal Healthy Longevity Survey from 1998 to 2014. Measurements: Cox proportional hazards models were used to estimate relationships between leisure activities and all-cause mortality, adjusting for covariates including sociodemographic and lifestyle factors, self-reported medical history, and other potential confounders. Results: During 110,278 person-years of follow-up, 23,661 deaths were documented. Participants who engaged in watching TV or listening to the radio, playing cards or mah-jong, reading books or newspapers, gardening, keeping domestic animals or pets, or attending religious activities “almost every day” had a significantly lower mortality risk (adjusted hazard ratios ranged from 0.82 to 0.89; P <.01 for all) than did participants who “never” engaged in those activities. Furthermore, engagement in multiple leisure activities was associated with a reduced risk of all-cause mortality (P for the trend <.001). Conclusions and implications: Frequent participation in leisure activities might help decrease the risk of death in the Chinese oldest-old population. This finding has important implications for public health policy and encourages the incorporation of a broad range of leisure activities into the daily lives of oldest-old individuals.
AB - Objective: To investigate associations between leisure activities, examining each activity separately and in combination, and all-cause mortality among the Chinese oldest-old (≥80 years) population. Design: Prospective cohort study. Setting: Community-living, the oldest-old from 22 provinces in China. Participants: We included 30,070 Chinese individuals aged ≥80 years (mean age: 92.7 years) from the Chinese Longitudinal Healthy Longevity Survey from 1998 to 2014. Measurements: Cox proportional hazards models were used to estimate relationships between leisure activities and all-cause mortality, adjusting for covariates including sociodemographic and lifestyle factors, self-reported medical history, and other potential confounders. Results: During 110,278 person-years of follow-up, 23,661 deaths were documented. Participants who engaged in watching TV or listening to the radio, playing cards or mah-jong, reading books or newspapers, gardening, keeping domestic animals or pets, or attending religious activities “almost every day” had a significantly lower mortality risk (adjusted hazard ratios ranged from 0.82 to 0.89; P <.01 for all) than did participants who “never” engaged in those activities. Furthermore, engagement in multiple leisure activities was associated with a reduced risk of all-cause mortality (P for the trend <.001). Conclusions and implications: Frequent participation in leisure activities might help decrease the risk of death in the Chinese oldest-old population. This finding has important implications for public health policy and encourages the incorporation of a broad range of leisure activities into the daily lives of oldest-old individuals.
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U2 - 10.1016/j.jamda.2019.08.003
DO - 10.1016/j.jamda.2019.08.003
M3 - Article
C2 - 31588027
AN - SCOPUS:85072777394
VL - 21
SP - 713-719.e2
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
SN - 1525-8610
IS - 6
ER -