ArticleJournal of global health2025
Impact of changes in leisure activities on incident disability among older adults: a nationwide cohort study.
Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: As research has shown that participation in leisure activities (LAs) is closely related to health outcomes in later life, we explored the associations between dynamic changes in LAs and disability in activities of daily living (ADL) in older people. Methods: We enrolled 11627 older adults free of disability from six waves in the Chinese Longitudinal Healthy Longevity Survey (1998, 2000, 2002, 2005, 2008, and 2011). All participants completed two consecutive LAs measurements (including six typical activities) in the first two waves and were divided into four categories according to the patterns of change: sustained low LA (n = 2931), LA increase (n = 1729), LA decrease (n = 1802), and sustained high LA (n = 5169). Incident ADL disability was identified using a total Katz index <6 points during each follow-up until 2018. We used Cox proportional hazard regressions to test the association between changes in LAs and disability, with demographic characteristics, health behaviours, and chronic diseases included as covariates. Results: During 51991.85 person-years of follow-up, 3717 participants developed ADL disability. Compared with the sustained low group, the adjusted hazard ratio (aHR) of disability for the sustained high group, LA increase group, and LA decrease group were 0.62 (95% CI = 0.57-0.69), 0.66 (95% CI = 0.59-0.74), and 1.01 (95% CI = 0.91-1.11), respectively. Specifically, increased participation in outdoor activities, keeping domestic animals or pets, and playing cards or mahjong were factors associated with a lower risk of disability. The main results remained stable in the subgroup and sensitivity analyses. Conclusion: Maintaining high participation and increasing participation in LAs are associated with a lower risk of ADL disability in community-dwelling older individuals. Therefore, promoting participation in LAs represents a practical strategy to prevent ADL disability, thereby contributing to healthy ageing.
Indexed as
Identifiers
What OpenQuestion holds
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.