ArticleBMC public health2024
The effects of cognitive leisure activities on frailty transitions in older adults in China: a CHARLS-Based longitudinal study.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Health-promotion can sustain leisure participation among persons 80 years and older: results from the randomised controlled trial elderly persons in the risk zone.BMC geriatrics · 2026Trial
- Compensatory Effects of Long-Term Care Insurance on Mental Health Among Rural Older Women: Evidence from China.Healthcare (Basel, Switzerland) · 2026Article
- Lifestyle enrichment through social and cognitive engagement in later life: its associations with frailty trajectories and risk over 11 years.GeroScience · 2026Article
- 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
- Leisure activity patterns and health vulnerability among older adults in China: a nationwide analysis of urban-rural differences based on CHARLS data.BMC geriatrics · 2026Article
- Association between cognitive leisure activities and symptoms of depression in Chinese middle-aged and older adults: A CHARLS cohort study from 2011 to 2018.Global mental health (Cambridge, England) · 2026Article
- Internet use and frailty in Chinese middle-aged and older adults: empirical evidence from CHARLS 2020.BMC public health · 2025Article
- The Frailty, Fitness, and Psychophysical/Social Condition of Community-Dwelling Older Adults-Analysis of 5-Year Longitudinal Data.Geriatrics (Basel, Switzerland) · 2025Article
- Article
- Sarcopenia and the frailty progression among Chinese: a longitudinal study.Frontiers in public health · 2025Article
- The multiple mediating roles of depression and grandchild care in the relationship between social participation and cognitive function among middle-aged and elderly Chinese: an empirical study based on CHARLS 2020 data.Frontiers in aging neuroscience · 2025Article
- TikTok, Bilibili, and Xiaohongshu as sources of information on frailty: Cross-sectional content analysis study.Digital healthArticle
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Abstract
backgroundIn an effort to identify factors associated with frailty transitions that trigger a significant difference in preventing and postponing the progression of frailty, questions regarding the role of cognitive leisure activities on various aspects of older adults' health were raised. However, the relationship between cognitive leisure activities and frailty transitions has rarely been studied.
methodsA total of 5367 older Chinese adults aged over 60 years from the China Health and Retirement Longitudinal Study (CHARLS) were selected as participants. The 2nd wave of the CHARLS in 2013 was selected as the baseline, and sociodemographic and health-related status baseline data were collected. The FRAIL Scale was used to measure frailty, while cognitive leisure activities were measured by the Cognitive Leisure Activity Index (CLAI) scores, which consisted of playing mahjong or cards, stock investment, and using the internet. After two years of follow-up, frailty transition from baseline was assessed at the 3rd wave of the CHARLS in 2015. Ordinal logistic regression analysis was used to examine the relationship between cognitive leisure activities and frailty transitions.
resultsDuring the two-year follow-up of 5367 participants, the prevalence of frailty that improved, remained the same and worsened was 17.8% (957/5367), 57.5% (3084/5367) and 24.7% (1326/5367), respectively. Among all participants, 79.7% (4276/5367), 19.6% (1054/5367), and 0.7% (37/5367) had CLAI scores of 0, 1, and 2 to 3, respectively. In the univariate analysis, there was a statistically significant association between a score of 2 to 3 on the Cognitive Leisure Activity Index and frailty transitions (odds ratio [OR] = 1.93, 95% CI 0.03 to 1.29, p = .04), while all other covariates were not significantly different across the three groups. After adjusting for covariates, participants with more cognitive leisure activities had a higher risk of frailty improvement than those without cognitive leisure activities (odds ratio [OR] = 1.99, 95% CI 1.05 to 3.76, p = .04).
conclusionsCognitive leisure activities were positively associated with the risk of frailty improvement in older adults, mainly when participating in multiple such activities. Older adults may be encouraged to participate in a wide variety of cognitive leisure activities to promote healthy aging.
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