Association between social activity frequency and overall survival in older people: results from the Chinese Longitudinal Healthy Longevity Survey (CLHLS)

Wang, Ziqiong; Zheng, Yi; Ruan, Haiyan; Li, Liying; Duan, Linjia; He, Sen

doi:10.1136/jech-2022-219791

Cited by 14 publications

(7 citation statements)

References 25 publications

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“…Prior studies have suggested that frequent participation in various social activities was significantly associated with prolonged overall survival in older people [ 19 , 23 ]. Our further analysis revealed variations in the significant associations between different categories of social participation and the trajectories of BADL and IADL disabilities.…”

Section: Discussionmentioning

confidence: 99%

“…For older people, social participation is regarded as an indicator of successful and healthy aging. Social participation, including leisure activities, meeting friends, and physical exercise, empirically promote older individuals' well-being, quality of life, and favorable health outcomes [17][18][19]. The existing literature indicates a specific association between social participation and ADL disability.…”

Section: Introductionmentioning

confidence: 99%

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Effect of social participation on the trajectories of activities of daily living disability among community-dwelling older adults: a 7-year community-based cohort

Wen,

Sun,

Huang

et al. 2024

Aging Clin Exp Res

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Introduction Studies examining the effects of social participation on activities of daily living (ADL) disability are still scarce. Aim To assess the reciprocal relationship between ADL disability trajectories and social participation among older Chinese people aged ≥ 60 years. Methods This study included 2976 participants aged ≥ 60 years in six waves of a community-based survey from 2015 to 2022. Basic activities of daily living (BADL) and instrumental activities of daily living (IADL) were used to assess the ADL disability in each survey. Social participation was assessed by involvement in four social activities and an extensive social participation score. Group-based trajectory modeling was used to identify potential heterogeneity in longitudinal changes over 7 years and explore associations between baseline predictors of group membership and these trajectories. Results Two BADL disability trajectories were identified: stable (94.8%) and increase (5.2%). Additionally, three IADL disability trajectories were distinguished: stable (73.2%), moderate (20.2%), and increase (6.6%). After controlling for the potential covariates, each point increase in the extensive social participation score correlated with a 17% decrease in the odds of older individuals belonging to the increase BADL trajectory group (OR = 0.83, 95% CI = 0.68–1.00). For IADL, it decreased the odds of being assigned to the moderate trajectory group by 16% (OR = 0.84, 95% CI = 0.75–0.95) and to the increase trajectory group by 23% (OR = 0.77, 95% CI = 0.64–0.93). Conclusions Higher levels of social participation among older individuals were more likely to be classified as stable trajectories in both BADL and IADL. Increased participation in social activities by community-dwelling elderly adults may promote healthy aging.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of social participation on the trajectories of activities of daily living disability among community-dwelling older adults: a 7-year community-based cohort

Wen,

Sun,

Huang

et al. 2024

Aging Clin Exp Res

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“…Numerous studies have demonstrated that regular PA can effectively reduce the risk of cardiovascular disease [ 9 ], osteoporosis [ 10 – 12 ], diabetes [ 13 , 14 ], falls [ 15 , 16 ], as well as prevent depression [ 17 , 18 ], dementia [ 19 , 20 ], anxiety disorders [ 21 , 22 ], and other mental illnesses [ 23 , 24 ]. Meanwhile, it has been proven that regular participation in social activities is significantly correlated with survival time [ 25 ]. PI is considered the fourth leading cause of death worldwide and is a major risk factor for non-communicable diseases (NCDs) [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Association of physical activity with socio-economic status and chronic disease in older adults in China: cross-sectional findings from the survey of CLASS 2020 after the outbreak of COVID-19

Li,

Cui,

Pang

et al. 2024

BMC Public Health

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Background In 2021, China had a population of 264·01 million individuals over the age of 60, indicating a high prevalence of chronic diseases. Among older adults, physical inactivity (PI) is a significant risk factor for chronic diseases. However, few studies have been conducted on the correlation of physical activity (PA) with the economic status, geography and chronic disease risks in Chinese elderly. The objectives of this study were to better understand the distribution of PA among older adults in China and its relationship with economic status, geography, and chronic disease risks. Methods This study utilized data from the China Longitudinal Aging Social Survey (CLASS) in 2020, post-COVID-19. The study employed a stratified, multistage, probabilistic sampling approach and included 11,396 adults over the age of 59 from 28 provinces in China. Data on demographics, the duration and intensity of PA, history of diseases and personalized factors influencing PA were collected via structured interviews by researchers. In this study, we conducted a comprehensive analysis, employing a range of statistical methods including descriptive analysis, Wilcoxon rank-sum tests, Bayesian networks, and chi-square tests. Results The prevalence of PI among older adults over 59 in China is 28·82%. Significant regional differences were observed in the duration of PA at different intensities. Older adults residing in more economically developed areas were more likely to engage in moderate-to-vigorous physical activity (MVPA) and exhibited longer sedentary behavior. Economic status and urban-rural disparities consistently emerged as direct influential factors across all intensity types. Chronic disease risks were significantly lower in active older adults compared to inactive ones. Lack of social guidance, family support, and personal inclination towards sedentary behavior were the main personalized factors affecting PA among older adults, and these factors could be relatively easily modified. Conclusions Economic status, geography, and living areas (urban and rural) significantly influenced the distribution of physical activities in China. Particularly, economic status and living areas acted as direct factors. Older adults reaching the recommended standards for PA had significantly lower chronic disease risks, highlighting the importance of improving personalized factors which are crucial for promoting PA.

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“…[4] For the elderly, participation in social activities can not only alleviate depression and increase subjective well-being, but also reduce cognitive decline and disability rates, thereby improving their health and quality of life in later life. In addition, by examining the relationship between the frequency of social activities and overall survival among Chinese elderly, Wang et al [5] found that frequent participation in social activities may prolong overall life. Gao et al [6] found that social activities not only affect the initial level of depression, but also affect the trend of depression change.…”

Section: Introductionmentioning

confidence: 99%

The association between social activeness and frailty among the elderly in China - analysis based on 2018 CHARLS data

Li,

Cheng,

Cen

et al. 2023

Preprint

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Background Frailty is a common health problem in older adults and is associated with several adverse health outcomes, including reduced physical function, cognitive decline, and reduced quality of life. Social activity is thought to be a key factor in preventing or slowing the progression of frailty. This study aimed to examine the relationship between social activity and frailty in older adults in China. Methods For the analysis, we used 2018 data from the China Health and Retirement Longitudinal Study (CHARLS), which included 7,862 older adults aged ≥ 60 years. Social activeness was statistically calculated based on relevant questions in the CHARLS questionnaire, with the aim of quantifying the frequency and quality of participants' social interactions and activities. Participants' level of frailty was measured using a specific frailty index scale designed to assess physical, cognitive, and psychological frailty in older adults. To analyze the relationship between social activity and frailty, we used logistic regression models to assess associations and calculated odds ratios (OR) and 95% confidence intervals (CI). Results A total of 7862 older adults (60 years or older) were recruited for this study, of whom 827 had frailty. The median age of the participants was 68 years (interquartile range: 64–74 years), 4429 (56.3%) were female. After adjustment for the mixed factor, social activity and frailty were significantly negatively associated in the elderly (adjusted OR: 1.68; 95% CI: 1.36–2.07; P < 0.001). Compared with high social activity (3 points or more), the risk of medium and low social activity (0 to 2 points) is higher (aOR: 1.64; 95% CI: 1.38–1.95; P < 0.001; E-value = 2.17). Conclusions Social activity is a protective factor against frailty and may reduce the risk of frailty in older adults. By improving the social activeness of the elderly, the risk of frailty can be reduced.

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Association between social activity frequency and overall survival in older people: results from the Chinese Longitudinal Healthy Longevity Survey (CLHLS)

Cited by 14 publications

References 25 publications

Effect of social participation on the trajectories of activities of daily living disability among community-dwelling older adults: a 7-year community-based cohort

Effect of social participation on the trajectories of activities of daily living disability among community-dwelling older adults: a 7-year community-based cohort

Association of physical activity with socio-economic status and chronic disease in older adults in China: cross-sectional findings from the survey of CLASS 2020 after the outbreak of COVID-19

The association between social activeness and frailty among the elderly in China - analysis based on 2018 CHARLS data

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