Abstract
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.
| Original language | English (US) |
|---|---|
| Journal | Journal of the American Medical Directors Association |
| DOIs | |
| State | Accepted/In press - Jan 1 2019 |
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All Science Journal Classification (ASJC) codes
- Nursing(all)
- Health Policy
- Geriatrics and Gerontology
Cite this
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Leisure Activities and All-Cause Mortality Among the Chinese Oldest-Old Population : A Prospective Community-Based Cohort Study. / Li, Zhi Hao; Zhang, Xi Ru; Lv, Yue Bin; Shen, Dong; Li, Fu Rong; Zhong, Wen Fang; Huang, Qing Mei; Wu, Xian Bo; Zeng, Yi; Gao, Xiang; Shi, Xiao Ming; Mao, Chen.
In: Journal of the American Medical Directors Association, 01.01.2019.Research output: Contribution to journal › Article
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
PY - 2019/1/1
Y1 - 2019/1/1
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.
UR - http://www.scopus.com/inward/record.url?scp=85072777394&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072777394&partnerID=8YFLogxK
U2 - 10.1016/j.jamda.2019.08.003
DO - 10.1016/j.jamda.2019.08.003
M3 - Article
C2 - 31588027
AN - SCOPUS:85072777394
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
SN - 1525-8610
ER -