Leisure Participation and Cognitive Impairment Among Healthy Older Adults in China

Author:

Zhang Wei1ORCID,Feng Qiushi2,Fong Joelle H.3,Chen Huashuai4ORCID

Affiliation:

1. Department of Sociology, University of Hawai‘i at Mānoa, Honolulu, HI, USA

2. Department of Sociology & Centre for Family and Population Research, National University of Singapore, Singapore

3. Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore

4. School of Business, Xiangtan University, Xiangtan, China

Abstract

Leisure participation is beneficial to various health outcomes. This study examined a comprehensive list of leisure activities in relation to incidence of cognitive impairment among healthy older adults (65+) in China. Using data from the 2002 to 2018 Chinese Longitudinal Healthy Longevity Survey, we found that most of the leisure activities were protective of cognitive decline and three leisure activities (watching TV, doing housework, and playing cards/mah-jong) stood out as the most important ones. Additionally, our results revealed subgroup variations in the association between leisure participation and cognitive function: Leisure activities such as reading newspapers/books (not significant for the illiterate), gardening (not significant for the illiterate), and regular exercise (not significant for the rural residents) had different effects across different demographic social groups. Our findings suggest that intervention programs designed to prevent cognitive decline for older adults should consider subgroup and cultural variations in order to yield the best outcomes.

Funder

Research Grant of Lifelong Education for Aging Productively (LEAP) in Singapore

State Laboratory of Sub-tropical Architecture of China

Natural Science Foundation of Hunan China

Social Science Foundation of Hunan China

HSS Seed Fund

Glaxo Smith Kline-Economic Development Board (Singapore) Trust Fund

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Health (social science),Social Psychology

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