Abstract
Engaging in activities has been found beneficial overall to individuals’ well-being. What has not been systemically tested with large sample data is whether such benefits diminish at very old ages. This study uses the Chinese Longitudinal Health Longevity Survey (CLHLS) between 2002 and 2008 to test how the effect of engaging in activities on mortality changes by age among the elderly. Approximately half of the 16,064 people aged 65 and over interviewed in 2002 died within the following six-years. Two types of activities are examined: customary physical activities, such as such as doing housework and gardening, and social activities, such as playing cards and attending organized activities. The Cox model is applied to analyze the hazards of mortality. Both physical and social activities are found to reduce the hazards of mortality for the whole sample and both activities showed a negative interaction effect with age. As age increases, their beneficial effects decrease. These patterns are also evident in the sub-sample analysis by age and gender. Although many studies have shown the beneficial effect of engaging in activities for individuals’ well-being, as is well reported in the media, these results suggest a diminishing effect at old ages.
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References
Adams, K. B., Leibbrandt, S., & Moon, H. (2011). A critical review of the literature on social and leisure activity and wellbeing in later life. Ageing & Society, 31, 683–712.
Allison, P. (1984). Event history analysis. Thousand Oaks: Sage Publications.
American College of Sports Medicine. (1998). American College of Sports Medicine position stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Medicine Science in Sports Exercise, 30, 975–991.
Anderson, L. B., Schnohr, P., Schroll, M., et al. (2000). All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Archive of Internal Medicine, 160, 1621–1628.
Arem, H., Moore, S. C., Patel, A., Hartge, P., de Gonzalez, A. B., Visvanathan, K., Campbell, P. T., Freeman, M., Weiderpass, E., Adami, H. O., Linet, M. S., Lee, I. M., & Matthews, C. E. (2015). Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship. Journal of American Medical Association, 175, 959–967.
Bagiella, E., Hong, V., & Sloan, R. P. (2005). Religious attendance as a predictor of survival in the EPESE cohorts. International. Journal of Epidemiology, 34, 443–451.
Baltes, M. (1996). The Psychology of the oldest-old: the Fourth Age. Current Opinion in Psychiatry, 11, 411–415.
Baltes, P. B. (1997). On the incomplete architecture of human ontogeny: selection, optimization, and compensation as foundation of developmental theory. American Psychologist, 52, 366–380.
Baltes, M. M., & Carstensen, L. L. (1996). The process of successful ageing. Aging& Society, 16, 397–422.
Baltes, P. B., & Smith, J. (2003). New frontiers in the future of aging: from successful aging of the young old to the dilemmas of the fourth age. Gerontology, 49, 123–135.
Bath, P. A., & Deeg, D. (2005). Social engagement and health outcomes among older people: introduction to a special section. European Journal of Ageing, 2, 24–30.
Beckett, M., Goldman, N., Weinstein, M., et al. (2002). Social environment, life challenge, and health among the elderly in Taiwan. Social Science & Medicine, 55, 191–209.
Berkman, L. F., Glass, T., Brissete, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51, 843–857.
Besson, H., Ekelund, U., Brage, S., Luben, R., Bingham, S., Khaw, K. T., & Wareham, N. J. (2008). Relationship between subdomains of total physical activity and mortality. Medicine Science in Sports Exercise, 40, 1909–1915.
Bowling, A., & Grundy, E. (2009). Differentials in mortality up to 20 years after baseline interview among older people in East London and Essex. Age & Ageing, 38, 51–55.
Brown, W. J., McLaughlin, D., Leung, J., McCaul, K. A., Flicker, L., Almeida, O. P., Hankey, G. J., Lopez, D., & Dobson, A. J. (2012). Physical activity and all-cause mortality in older women and men. British Journal Sports Medicine, 46, 664–668.
Bucksch, J. (2005). Physical activity of moderate intensity in leisure time and the risk of all case mortality. British Journal of Sports and Medicine, 39, 632–638.
Bygren, L. O., Konlaan, B. B., & Johansson, S. E. (1996). Attendance at cultural events, reading books or periodicals, and making music or singing in a choir as determinants for survival: Swedish interview survey of living conditions. British Medical Journal, 313, 1577–1580.
Carstensen, L. L. (1991). Selectivity theory: social activity in life-span context. Annual Review of Gerontology and Geriatrics, 11, 195–217.
Carstensen, L. L. (1992). Social and emotional patterns in adulthood: support for socioemotional selectivity theory. Psychology and Aging, 7, 331–338.
Cohen-Mansfield, J. (2011). The Shifting Baseline Theory of Well-Being: Lessons from Across the Aging Spectrum. In L. W. Poon & J. Cohen-Mansfiled (Eds.), Understanding Well-being in the Oldest Old (pp. 46–64). Cambridge: Cambridge University Press.
Cornman, J. C., Goldman, N., Glei, D. A., Weinstein, M., & Chang, M. (2003). Social ties and perceived support: two dimensions of social relationships and health among the elderly in Taiwan. Journal of Aging and Health, 15(616), 644.
Gu, D. (2008). General data assessment of the Chinese longitudinal healthy longevity survey in 2002. In Y. Zeng, D. Poston, D. A. Vlosky, & D. Gu (Eds.), Healthy longevity in China: demographic, socioeconomic, and psychological dimensions (pp. 39–59). Dordrecht: Springer Publisher.
Gu, D., & Dupre, M. E. (2008). Assessment of reliability of mortality and morbidity in the 1998–2002 CLHLS waves. In Y. Zeng, D. Poston, D. A. Vlosky, & D. Gu (Eds.), Healthy longevity in China: demographic, socioeconomic, and psychological dimensions (pp. 101–119). Dordrecht: Springer Publisher.
Holmes, W. R., & Joseph, J. (2011). Social participation and health aging: a neglected, significant protective factor for chronic non communicable conditions. Global Health, 7, 43–50.
Hsu, H. C. (2007). Does social participation by the elderly reduce mortality and cognitive impairment? Aging & Mental Health, 11, 699–707.
Johnson, C. L., & Barer, B. M. (1997). Life beyond 85 Years. New York: Springer Publishing Company.
Lang, F. R., & Carstensen, L. L. (1994). Close emotional relationships in later life: further support for proactive aging in the social domain. Psychology and Aging, 9, 315–324.
Lee, T., Lipnicki, D. M., Crawford, J. D., Henry, J. D., Troller, J. N., Ames, D., Wright, M. J., Sachdev, P. S., & Research Team, O. A. T. S. (2014). Leisure activity, health, medical correlates of neurocognitive performance among monozygotic twins: the older Australian twins study. Journal of Gerontology, series B, 69, 514–522.
Lee, I. M., & Paffenbarger, R. S. (2000). Associations of light, moderate, and vigorous intensity physical activity with longevity. The Harvard Alumni Health Study. American Journal of Epidemiology, 151, 293–299.
Lee, I. M., & Skerrett, P. J. (2001). Physical activity and all-cause mortality: what is the dose-response relation? Medicine and Science in Sports and Exercise, 33(6 Suppl), S459–S471.
Lennartsson, C., & Silverstein, M. (2001). Does engagement with life enhance survival of elderly people in Sweden? The role of social and leisure activities. The Journals of Gerontology, 56B, S335–S342.
Lindsted, K. D., Tonstad, S., & Kuzma, J. W. (1991). Self-report of physical activity and patterns of mortality in seventh-day Adventist men. Journal of Clinical Epidemiology, 44, 355–364.
Lollgen, H., Bockenhoff, A., & Knapp, G. (2009). Physical activity an all-cause mortality: an updated meta-analysis with different intensity categories. International Journal of Sports Medicine, 30, 213–224.
Maier, H., & Klumb, P. L. (2005). Social participation and survival at older ages: is the effect driven by activity content or context? European Journal of Ageing, 2, 31–39.
Matthews, C. E., Jurj, A. L., Shu, X., Li, H. L., Yang, G., Li, Q., Gao, Y. T., & Zheng, W. (2007). Influence of exercise, walking, cycling, and overall nonexercise physical activity on mortality in Chinese women. American Journal of Epidemiology, 165, 1343–1350.
McCallum, J., Shadbolt, B., & Wang, D. (1994). Self-rated health and survival: a 7-year follow-up study of Australian elderly. American Journal of Public Health, 84, 1100–1106.
Moore, S. C., Patel, A. V., Matthews, C. E., de Gonzalez, A. B., Park, Y., Katki, H. A., Linet, M. S., Weiderpass, E., Visvanathan, K., Hlzisourer, K. J., Thun, M., Gapstur, S. M., Hartge, P., & Lee, I. M. (2012). Leisure time physical activity of moderate to vigorous intensity and mortality: a large pooled cohort analysis. PLoS Medicine, 9, e1001335. doi:10.1371/journal.pmed.1001335.
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. B., Macera, C. A., & Castaneda-Sceppa, C. (2007). Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Medicine Science in Sports Exercise, 39, 1435–1445.
Oman, D., Kurata, J. H., Strawbridge, W. J., et al. (2002). Religious attendance and cause of death over 31 years. International Journal of Psychiatry in Medicine, 32, 69–89.
Peeters, G., Dobson, A. J., Deeg, D. J. H., & Brown, W. J. (2013). A life-course perspective on physical functioning in women. Bulletin of World Health Organization, 91, 661–670.
Reddigan, J. I., Ardern, C. I., Riddell, M. C., & Kuk, J. L. (2011). Relation of physical activity to cardiovascular disease mortality and the influence of cardiometabolic risk factors. American Journal of Cardiology, 108, 1426–1431.
Rodriguez-Laso, A., Zunzunegui, M. V., & Otero, A. (2007). The effect of social relationships on survival in elderly residents of a southern European community: a cohort study. BMC Geriatrics. doi:10.1186/1471-2318-7-19.
Rowe, G., Tremblay, M. S., & Manuel, D. G. (2005). Can We make time for physical activity? Simulating Effects of Daily Physical Activity on Mortality. Epidemiology Research International. doi:10.1155/2012/304937.
Ross, C. E., & Zhang, W. (2008). Education and psychological distress among older Chinese. Journal of Aging and Health, 20, 273–289.
Sabia, S., Dugravot, A., Kivimaki, M., Brunner, E., Shipley, M. J., & Singh-Manoux, A. (2012). Effect of intensity and type of physical activity on mortality: results from the Whitehall II cohort study. American Journal of Public Health, 102, 698–704.
Saczynski, J. S., Jonsdottir, M. K., Sigurdsson, S., Eiriksdottir, G., Jonsson, P. V., Garcia, M. E., Kjartansson, O., van Buchem, M. A., Gudnason, V., & Launer, L. J. (2008). White matter lesions and cognitive performance: the role of cognitively complex leisure activity. The Journals of Gerontology, 63A, 848–854.
Samitz, G., Egger, M., & Zwahlen, M. (2011). Domains of physical activity and all-cause mortality: systematic review and dose–response meta-analysis of cohort studies. International Journal of Epidemiology, 40, 1382–1400.
Seeman, T. E. (2000). Health promoting effects of friends and family on health outcomes in older adults. American Journal of Health Promotion, 14, 362–370.
Singh, M. A. (2002). Exercise comes of age: rationale and recommendations for a geriatric exercise prescription. Journals of Gerontology, series A, 57, M262–M282.
Sorman, D. E., Sundstrom, A., Ronnlund, M., Adolfsson, R., & Nilsson, L. (2014). Leisure activity in old age and risk of dementia: a 15-year prospective study. Journal of Gerontology, series B, 69, 493–501.
Sun, R., & Liu, Y. (2006). Mortality of the oldest old in China: the role of social and solitary customary activities. Journal of Aging and Health, 18, 37–55.
Sun, F., Park, N. S., Klemmack, D. L., Roff, L. L., & Li, Z. (2009). Predictors of physical functioning trajectories among Chinese oldest old adults: rural and urban differences. International Journal of Aging & Human Development, 69, 181–199.
Sundquist, K., Qvist, J., Sundquist, J., & Johansson, S. (2004). Frequent and occasional physical activity in the elderly: a 12-year follow-up study of mortality. American Journal of Preventive Medicine, 27, 22–27.
Taaffe, D. R., Irie, F., Masaki, K. H., Abbott, R. D., Petrovitch, H., Ross, G. W., & White, L. R. (2008). Physical activity, physical function, and incident dementia on elderly men: the Honolulu-Asia aging study. The Journals of Gerontology, 63A, 529–535.
United Nations, Department of Economic and Social Affairs, Population Division. (2015). World population ageing 2015. New York: United Nations.
Veenstra, G., & Patterson, A. C. (2012). Capital relations and health: mediating and moderating effects of cultural, economic, and social capitals on mortality in Alameda County, California. International Journal of Health Service, 42, 277–291.
Wilkins, K. (2003). Social support and mortality in seniors. Health Reports, 14, 21–33.
Woodcock, J., Franco, O. H., Orsini, N., & Roberts, I. (2011). Non-vigorous physical activity and all-cause mortality: systematic review and meta-analysis of cohort studies. International Journal of Epidemiology, 40, 121–138.
Yeager, D. M., Glei, D. A., Au, M., et al. (2006). Religious involvement and health outcomes among older persons in Taiwan. Social Science Medicine, 63, 2228–2241.
Zeng, Y., & Gu, D. (2008). Reliability of age reporting among the Chinese oldest-old in the CLHLS data sets. In I. Y. Zeng, D. Poston, D. A. Vlosky, & D. Gu (Eds.), Healthy longevity in China: demographic, socioeconomic, and psychological dimensions (pp. 61–79). Dordrecht: Springer Publisher.
Zeng, Y., Gu, D., & George, L. (2011). Religious participation and mortality among older Chinese adults. Research on Aging, 33, 51–83. doi:10.1177/0164027510383584.
Zeng, Y., Gu, D., Purser, J., Hoenig, H., & Christakis, N. (2010). Associations of environmental factors with elderly health and mortality in China. American Journal of Public Health, 100, 298–305.
Zeng, Y., & Vaupel, J. W. (2002). Functional capacity and self-evaluation of health and life of oldest old in China. Journal of Social Issues, 58, 733–748.
Zhang, W. (2008). Religious participation and mortality risk among the oldest old in China. The Journals of Gerontology Series B, 63, S293–S297.
Zhang, Z. (2006). Gender differentials in cognitive impairment and decline of the oldest old in China. Journal of Gerontology: Social Sciences, 61B, S107–S115.
Zunzunegui, M., Alvarado, B. E., Ser, T. D., & Otero, A. (2003). Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. The Journal of Gerontology, 58B, S93–100.
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The author thanks Dr. Sarah H. Matthews for her comments on this manuscript.
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Sun, R. Re-Examining the Role of Engaging in Activities: Does its Effect on Mortality Change by Age among the Chinese Elderly?. Ageing Int 42, 78–92 (2017). https://doi.org/10.1007/s12126-017-9282-x
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DOI: https://doi.org/10.1007/s12126-017-9282-x