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

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5 Scopus citations


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)
Pages (from-to)713-719.e2
JournalJournal of the American Medical Directors Association
Issue number6
StatePublished - Jun 2020

All Science Journal Classification (ASJC) codes

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


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