Leisure activity and cognitive function among Chinese old adults: The multiple mediation effect of anxiety and loneliness

Li, Wenjun; Sun, Haiyan; Xu, Wen; Ma, Wenyuan; Yuan, Xin; Wu, Hao; Kou, Changgui

doi:10.1016/j.jad.2021.07.051

Cited by 40 publications

(28 citation statements)

References 43 publications

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“…First of all, a modified MMSE was used to measure the cognitive function of older adults in this study. Although the modified MMSE has been previously confirmed to have good validity and reliability [ 28 , 29 , 30 ], some differences exist between the modified MMSE and the original MMSE. Moreover, several covariates such as taking medications or not, nutritional status, diseases, and disorders, were not included during the statistical analysis, which may result in biases in the interpretation of results.…”

Section: Discussionmentioning

confidence: 99%

“…The MMSE was modified by the CLHLS study group to facilitate older adults’ better understanding and response. It has been widely used in previous studies and has been proven to have good validity and reliability [ 28 , 29 , 30 ]. The modified MMSE includes 12 items in 5 dimensions such as orientation (score ranges, 0–5), registration (score ranges, 0–3), attention and calculation (score ranges, 0–5), recall (score ranges, 0–3) and language (score ranges, 0–7).…”

Section: Methodsmentioning

confidence: 99%

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Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults

Wang

Liu

Zhao

2022

IJERPH

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Cognitive decline in older adults is a major public health threat. This study aimed to explore the association of participation in cards or mahjong with cognitive function in older adults. A total of 7308 older adults were selected from the 2018 Chinese Longitudinal Healthy Longevity Survey. A modified Mini-Mental State Examination (MMSE) was used to assess cognitive function. The participants were classified according to the frequency of playing cards or mahjong into the “regularly” (R) group, “occasionally” (O) group, or “never” (N) group. The results showed that older persons in the R group and O group had better cognitive function than those in the N group. Specifically, significant differences were found in attention and calculation, language, and total MMSE score between the R group and the N group. However, significant differences were not observed for adults aged 60–69 years old. Regression analysis indicated that playing cards or mahjong, together with age, educational level, sex, marital status, and occupation before age 60 could explain the cognitive function. The findings suggest that there is an association between participation in cards or mahjong and cognitive function in the population of Chinese older adults, and that the frequency of participation plays an important role in the association.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults

Wang

Liu

Zhao

2022

IJERPH

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“…Population aging is a global trend that likely occurs throughout the 21st century [ 1 ]. Most countries in the world, including China, are facing the severe challenge of population aging [ 2 ]. As the second largest global economy, China currently houses the world’s largest population of 1.4 billion (19.13% of the world population) and is rapidly transforming into an aging nation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Children’s Intergenerational Emotional Support and Subjective Well-Being among Middle-Aged and Elderly People in China: The Mediation Role of the Sense of Social Fairness

Liu

Miao

et al. 2021

IJERPH

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This study explored the relations between children’s intergenerational emotional support and subjective well-being (SWB) among Chinese middle-aged (45–60 years old) and elderly people (over 60 years old) and the mediation effect of the sense of social fairness between such associations. Using the 2017 Chinese General Social Survey dataset, a nationally representative survey, we selected 2413 middle-aged and elderly people who are 45 years and older, who suited the study requirements with 1097 males and 1316 females, which accounts for 45.5% and 54.5%, respectively. The average of age was 61.62 years old (SD = 10.45). The mediation analyses were conducted by multivariate regression and the SPSS macro PROCESS program. The results indicated that there was a significant association between children’s intergenerational emotional support and subjective well-being of middle-aged and elderly people (β = 0.0819, p < 0.001). Children’s intergenerational emotional support also had an indirect impact on subjective well-being through one path: the mediating role of the sense of social fairness (0.012). Direct effect (0.0699) and mediation effect (0.012) accounting for the total effect proportion was 85.35% and 14.65%, respectively. The findings may offer some meaningful implications for improving subjective well-being of middle-aged and elderly people. Future research should pay attention to the aforementioned factors with more detailed and comprehensive studies.

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“…The self-rated health status was assessed using the question “How do you feel about your health?” Self-rated quality-of-life was assessed using the question “How do you feel about your quality of life?” The emotional status was assessed with two questions: “Do you feel fearful or anxious?” and “Do you feel lonely and isolated?”. CMMSE was used to assess the cognitive function; in this study, the internal consistency of CMMSE was 0.808 ( 26 , 27 ).…”

Section: Methodsmentioning

confidence: 94%

Trajectories of physical functioning and its predictors in older adults: A 16-year longitudinal study in China

Zhao

Duan

Feng

et al. 2022

Front. Public Health

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ObjectiveMaintaining and delaying a decline in physical function in older adults is critical for healthy aging. This study aimed to explore trajectories, critical points of the trajectory changes, and predictors among older people in the Chinese community.DesignThis study was one with a longitudinal design performed in China.Setting and participantsThe target population was community-dwelling older adults aged over 65 years. A total of 2,503 older adults from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were included in this study.MethodsPhysical functioning was measured by instrumental activities of daily living (IADL). Population-based trajectory models were used to identify potential heterogeneity in longitudinal changes over 12 years and to investigate associations between baseline predictors and different trajectories for different cohort members using LASSO regression and logistic regression.ResultsFour trajectories of physical function were identified: slow decline (33.0%), poor function and moderate decline (8.1%), rapid decline (23.5%), and stable function (35.4%). Older age, male sex, worse self-reported health status, worse vision status, more chronic diseases, worse cognitive function, and a decreased frequency of leisure activity influenced changes in the trajectory of physical function. Having fewer teeth, stronger depressive symptoms, a lack of exercise, and reduced hearing may increase the rate of decline.Conclusion and implicationsFour trajectories of physical function were identified in the Chinese elderly population. Early prevention or intervention of the determinants of these trajectories can maintain or delay the rate of decline in physical function and improve healthy aging.

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Leisure activity and cognitive function among Chinese old adults: The multiple mediation effect of anxiety and loneliness

Cited by 40 publications

References 43 publications

Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults

Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults

Relationship between Children’s Intergenerational Emotional Support and Subjective Well-Being among Middle-Aged and Elderly People in China: The Mediation Role of the Sense of Social Fairness

Trajectories of physical functioning and its predictors in older adults: A 16-year longitudinal study in China

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