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Leisure activities, education, and cognitive impairment in Chinese older adults: a population-based longitudinal study.

Publication ,  Journal Article
Zhu, X; Qiu, C; Zeng, Y; Li, J
Published in: Int Psychogeriatr
May 2017

BACKGROUND: We examine the association between leisure-time activities and the risk of developing cognitive impairment among Chinese older people, and further investigate whether the association varies by educational level. METHODS: This follow-up study included 6,586 participants (aged 79.5 ± 9.8 years, range 65-105 years, 51.7% female) of the Chinese Longitudinal Healthy Longevity Survey who were aged ≥65 years and were free of cognitive impairment in 2002. Incident cognitive impairment was defined at the 2005 or 2008/2009 survey following an education-based cut-off on the adapted Chinese version of Mini-Mental State Examination (MMSE). Participation in cognitive activities (e.g. reading) and non-exercise physical activity (e.g. housework) was assessed by a self-reported scale. Cox proportional hazard models were employed to examine the association of leisure activities with incident cognitive impairment while controlling for age, gender, education, occupation, residence, physical exercise, smoking, drinking, cardiovascular diseases and risk factors, negative well-being, and physical functioning, and baseline MMSE score. RESULTS: During a five-year follow-up, 1,448 participants developed incident cognitive impairment. Overall, a high level of participation in leisure activities was associated with a 41% decreased risk of cognitive impairment compared to low-level engagement in leisure activities after controlling for age, gender, education, and other confounders. Moreover, there was a significant interaction between leisure activity and educational level, such that the beneficial effect of leisure activities on cognitive function was larger in educated elderly than their uneducated counterparts, and only educated elderly benefited from cognitive activities. CONCLUSIONS: Late-life leisure activities protect against cognitive impairment among elderly Chinese people, and the protective effects are more profound for educated elderly.

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Published In

Int Psychogeriatr

DOI

EISSN

1741-203X

Publication Date

May 2017

Volume

29

Issue

5

Start / End Page

727 / 739

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Risk Factors
  • Psychiatric Status Rating Scales
  • Proportional Hazards Models
  • Male
  • Longitudinal Studies
  • Linear Models
  • Leisure Activities
  • Humans
  • Geriatrics
 

Citation

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Zhu, X., Qiu, C., Zeng, Y., & Li, J. (2017). Leisure activities, education, and cognitive impairment in Chinese older adults: a population-based longitudinal study. Int Psychogeriatr, 29(5), 727–739. https://doi.org/10.1017/S1041610216001769
Zhu, Xinyi, Chengxuan Qiu, Yi Zeng, and Juan Li. “Leisure activities, education, and cognitive impairment in Chinese older adults: a population-based longitudinal study.Int Psychogeriatr 29, no. 5 (May 2017): 727–39. https://doi.org/10.1017/S1041610216001769.
Zhu, Xinyi, et al. “Leisure activities, education, and cognitive impairment in Chinese older adults: a population-based longitudinal study.Int Psychogeriatr, vol. 29, no. 5, May 2017, pp. 727–39. Pubmed, doi:10.1017/S1041610216001769.
Journal cover image

Published In

Int Psychogeriatr

DOI

EISSN

1741-203X

Publication Date

May 2017

Volume

29

Issue

5

Start / End Page

727 / 739

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Risk Factors
  • Psychiatric Status Rating Scales
  • Proportional Hazards Models
  • Male
  • Longitudinal Studies
  • Linear Models
  • Leisure Activities
  • Humans
  • Geriatrics