ArticleBMC geriatrics2021
Cognitive leisure activity and all-cause mortality in older adults: a 4-year community-based cohort.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 23 citations in OpenAlex.
- Socioeconomic status and intrinsic capacity trajectories among middle-aged and older adults in China: mediating role of cognitive leisure activities.The journal of nutrition, health & aging · 2026Article
- Assessment Tools, Interventions, and Biopsychosocial Factors Associated With Physical Activity in Older Adults: A Scoping Review.Nursing research and practice · 2026Review
- Mediating role of psychological resilience in the relationship between leisure-time activities and long-term mortality in older adults.BMC geriatrics · 2025Article
- Association of changes in overall and specific leisure activities with long-term all-cause mortality in older adults: a nationwide cohort study.Journal of global health · 2025Article
- Relationship between leisure activity and depression in Chinese older adults: chain mediating effect of diet and cognition.BMC geriatrics · 2025Article
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- Development and content validity of the evaluation of multidimensional functioning and risks in aging scale.PeerJ · 2025Article
- Social isolation and likelihood of becoming centenarians: evidence from the Chinese longitudinal healthy longevity survey.BMC geriatrics · 2024Article
- The mediating role of individual evaluation, anxiety, and depression in the association between leisure activity and cognitive function among Chinese older adults.Scientific reports · 2024Article
- Association of cognitive reserve with transitions across cognitive states and death in older adults: A 15-year follow-up study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- The effects of cognitive leisure activities on frailty transitions in older adults in China: a CHARLS-Based longitudinal study.BMC public health · 2024Article
- Effect of social participation on the trajectories of activities of daily living disability among community-dwelling older adults: a 7-year community-based cohort.Aging clinical and experimental research · 2024Article
- Longitudinal associations between the frequency of playing Mahjong and cognitive functioning among older people in China: evidence from CLHLS, 2008-2018.Frontiers in public health · 2024Article
- The high burden of symptoms associated with cognitive impairment in lung cancer patients: A latent class analysis.Asia-Pacific journal of oncology nursing · 2023Article
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Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCognitive leisure activity, such as reading, playing mahjong or cards and computer use, is common among older adults in China. Previous studies suggest a negative correlation between cognitive leisure activity and cognitive impairment. However, the relationship between cognitive leisure activity and all-cause mortality has rarely been reported.
objectivesThis study aims to explore the relationships between cognitive leisure activity and all-cause mortality in a community-based older people cohort in China.
methodsThe current study sample comprised 4003 community residents aged ≥60 y who were enrolled in June 2015, and were followed up every year from 2015 to 2018. Reading, playing mahjong or cards and computer use were measured by questionnaires and summed into a cognitive leisure activity index (CLAI) score. Time-Dependent Cox Regression Model and Kaplan-Meier survival analysis were used to examine the association of cognitive leisure activity with all-cause mortality.
resultsDuring the 4-year follow-up of 4003 participants, 208 (5.2%) deaths were registered. Of all participants, 66.8, 26.7, 6.1 and 0.35% reported CLAI scores of 0, 1, 2 and 3, respectively. A strong association was noted between the CLA score and all-cause mortality (adjusted hazard ratio [HR] = 0.72, 95% confidence intervals [CI]: 0.54-0.97, P = 0.028). Stratified analysis suggested that a higher CLAI score was significantly associated with a decreased risk of all-cause mortality mainly among those who were male, aged ≥80 y, cognitively impaired, and not diagnosed with cancer (P < 0.05).
conclusionCognitive leisure activity was positively associated with reduced risk of death from all cause among the older people in major city of China, which helped promote a comprehensive understanding of health characteristics at advanced ages.
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