Leisure Activities and All-Cause Mortality Among the Chinese Oldest-Old Population: A Prospective Community-Based Cohort Study

Zhi Hao Li, Xi Ru Zhang, Yue Bin Lv, Dong Shen, Fu Rong Li, Wen Fang Zhong, Qing Mei Huang, Xian Bo Wu, Yi Zeng, Xiang Gao, Xiao Ming Shi, Chen Mao

Research output: Contribution to journalArticle

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 languageEnglish (US)
JournalJournal of the American Medical Directors Association
DOIs
StateAccepted/In press - Jan 1 2019

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Leisure Activities
Cohort Studies
Mortality
Population
Gardening
Newspapers
Pets
Domestic Animals
Public Policy
Health Policy
Radio
Proportional Hazards Models
Life Style
Reading
China
Public Health
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Nursing(all)
  • Health Policy
  • Geriatrics and Gerontology

Cite this

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. / Leisure Activities and All-Cause Mortality Among the Chinese Oldest-Old Population : A Prospective Community-Based Cohort Study. In: Journal of the American Medical Directors Association. 2019.
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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.",
author = "Li, {Zhi Hao} and Zhang, {Xi Ru} and Lv, {Yue Bin} and Dong Shen and Li, {Fu Rong} and Zhong, {Wen Fang} and Huang, {Qing Mei} and Wu, {Xian Bo} and Yi Zeng and Xiang Gao and Shi, {Xiao Ming} and Chen Mao",
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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 journalArticle

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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

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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.

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