Evidence map›Paper›PMID 41981471›Full record

ArticleBMC geriatrics2026

Play together with grandchildren: a potential useful strategy for promoting healthy aging suggested by the evidence of 1,293 Chinese older adults.

Hongbiao Chen, Yuan Fang, Fengjuan Chen, Qinyi Wu, Siyu Chen, Shaojian Xu, Lixian Su, He Cao, Zixin Wang

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hongbiao Chen *Longhua District Centre for Disease Control and Prevention, Shenzhen, Guangdong, China.
Yuan Fang *Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China.
Fengjuan Chen *Dapeng District Centre for Disease Control and Prevention, Shenzhen, Guangdong, China.
Qinyi Wu *Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Siyu ChenCentre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Shaojian XuLonghua District Centre for Disease Control and Prevention, Shenzhen, Guangdong, China.
Lixian SuFutian District Maternal and Child Health Hospital, Shenzhen, Guangdong, China.
He CaoLonghua District Centre for Disease Control and Prevention, Shenzhen, Guangdong, China.
Zixin WangCentre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China. wangzx@cuhk.edu.hk.

Funding

District-level Scientific Research Project of Medical and Health Institutions in Longhua District 2024075Shenzhen Municipal Government Research Projects JCYJ20240813145001003
6 · The paper itself

Abstract

backgroundChina is one of the countries with the most serious aging problem. Although intergenerational activities are evident to benefit older adults’ wellbeing, the co-participation in physical activity (Co-PA) with grandchildren and its relationships with psychosocial outcomes in older people has been rarely reported under the Chinese context. This study investigated the level of different types of Co-PA with grandchildren among older adults aged 60 years or above and the associations between Co-PA levels and loneliness, attitudes toward aging, and family harmony.

methodsThis is a secondary analysis of a cross-sectional survey conducted between August and October 2024 in Shenzhen, China. Participants of the original survey were residents aged ≥ 60 years with administrative health records in community health centers. Multistage random sampling was used. Ten community health centers were first randomly selected. Each selected community center then randomly selected 200 administrative health records of residents aged ≥ 60 years. A sub-sample of 1,293 participants with at least one grandchild aged < 18 years were included in the analysis. Multilevel (level 1: individual participants; level 2: community health centers) multivariable linear regression models were fitted.

resultsThe proportion of participants who performed the following Co-PA with grandchildren at least once per week was 69.7% for walking and cycling in the free time, 48.6% for playing sports, 46.3% for going to park, playground or beach, 41.8% for going to indoor recreational centre, and 35.4% for participating in sports competitions. Higher frequency of performing the aforementioned types of Co-PA and any type of Co-PA were associated with more positive attitudes toward aging (adjusted β: 0.98 to 1.47, all p < 0.001) and better family harmony (adjusted β: 0.27 to 0.56, all p < 0.001). However, the association between Co-PA and loneliness was non-significant.

conclusionsThis study supports that intergenerational Co-PA may serve as a new strategy for promoting healthy aging in Chinese older people. Future efforts may be put on development of proper Co-PA programs, which may benefit both elders and children. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

ExerciseGrandparentsHealth PromotionHealthy AgingIntergenerational RelationsPlay and PlaythingsAgedAged, 80 and overChildChinaCross-Sectional StudiesFemaleHumansLonelinessMaleMiddle AgedAttitude towards agingFamily harmonyIntergenerationLonelinessOlder peoplePhysical activity

Identifiers

PMID41981471
PMCPMC13200448

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.