ArticleJournal of epidemiology and community health2019
Comparison of physical and social risk-reducing factors for the development of disability in older adults: a population-based cohort study.
Article in Journal of epidemiology and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 28 citations in OpenAlex.
- Measuring physical activity over the life course: cross-cultural validation and measurement properties of the lifetime total physical activity questionnaire for Brazilian older adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026Article
- State Racism Index and physical function: The REasons for Geographic and Racial Differences in Stroke (REGARDS) study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Impact of disability and selected factors on the quality of life in the older people in southeastern Poland - a cross-sectional study.BMC public health · 2026Article
- Cultural Engagement Is Related to Decelerated Physiological Age: Doubly Robust Estimations in a National Cohort Study.Annals of the New York Academy of Sciences · 2026Article
- Public libraries and functional disability: A cohort study of Japanese older adults.SSM - population health · 2025Article
- Leisure engagement in older age is related to objective and subjective experiences of aging.Nature communications · 2024Article
- Article
- Receptive and participatory arts engagement and subsequent healthy aging: Evidence from the Health and Retirement Study.Social science & medicine (1982) · 2023Article
- Associations of Social, Cultural, and Community Engagement With Health Care Utilization in the US Health and Retirement Study.JAMA network open · 2023Article
- Latent Classification Analysis of Leisure Activities and Their Impact on ADL, IADL and Cognitive Ability of Older Adults Based on CLHLS (2008-2018).International journal of environmental research and public health · 2023Article
- Effects of participatory 'A'rt-Based Activity On 'Health' of Older Community-Dwellers: results from a randomized control trial of the Singapore A-Health Intervention.Frontiers in medicine · 2023Article
- Frequency of leisure activity engagement and health functioning over a 4-year period: a population-based study amongst middle-aged adults.BMC public health · 2022Article
- Secular trends in functional abilities, health and psychological well-being among community-dwelling 75- to 95-year-old cohorts over three decades in Helsinki, Finland.Scandinavian journal of public health · 2022Article
- Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities.International journal of environmental research and public health · 2022Article
- Evidence that dog ownership protects against the onset of disability in an older community-dwelling Japanese population.PloS one · 2022Article
- Health-related factors leading to disabilities in Korea: Survival analysis.Frontiers in public health · 2022Article
- Factors associated with mobility decrease leading to disability: a cross-sectional nationwide study in Japan, with results from 8681 adults aged 20-89 years.BMC geriatrics · 2021Article
- Participation in Social Activities and Relationship between Walking Habits and Disability Incidence.Journal of clinical medicine · 2021Article
- How leisure activities affect health: a narrative review and multi-level theoretical framework of mechanisms of action.The lancet. Psychiatry · 2021Review
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundConsiderations of modifiable risk factors for the development of disability in older age have traditionally focused on physical activity. However, there is increasing evidence that psychological, social, and cognitive factors also help to maintain functional independence. This study compared the protective associations between physical and social activities and disability onset.
methodsWe analysed data from 5434 adults aged 50+ years tracked biennially from 2004/2005 to 2016/2017, measuring self-reported difficulty in carrying out any basic activities of daily living (ADLs) or instrumental ADLs. Exposures included mild, moderate and vigorous physical activity, frequency of socialising with friends/family, cultural engagement (eg, going to the theatre/museums/concerts), and participation in community groups.
resultsOver the 12-year follow-up, 1945 adults developed disability. Using Cox proportional hazards regression models adjusted for all identified demographic and health-related variables, vigorous exercise or activity once a month or more (HR 0.82, 95% CI 0.71 to 0.96), moderate exercise or activity more than once a week (HR 0.81, 95% CI 0.67 to 0.97) or cultural engagement once or twice a year or more (HR 0.84, 95% CI 0.73 to 0.97) were associated with a lower hazard of developing disability. Other exposures did not show independent protective associations. Results were robust to sensitivity analyses considering reverse causality and exploring the potential confounding role of time-invariant factors, such as socioeconomic status.
conclusionThese results suggest the importance of either developing multimodal interventions to protect against disability and promote healthy ageing or promoting greater physical and social engagement with existing community activities among older adults.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.