Abstract
Background
There has been growing attention on the role of leisure activities in older adult health outcomes. However, past health research has focused on specific, singular leisure activities, or examined a limited range of health outcomes.
Methods
This cross-sectional study uses data from the 2010 Sample Survey on Aged Population in Urban/Rural China (SSAPUR) to examine the relationship between different types of leisure activities and the health outcomes of older adults. The sample for this study included 845 older adults who responded to survey modules on activity engagement and health outcomes. Activity engagement was measured using items for three types of leisure activities (recreational, mental, and physical). Three types of health outcomes were evaluated: functional health, mental health, and subjective health. Independent t-tests and regression analyses were conducted to examine the associations between leisure activity engagements and health status.
Results
The respondents who reported greater leisure activity engagement were more likely to report better health outcomes. In adjusted analyses, higher mental (β = –0.392, p < 0.05) and physical (β = –0.999, p < 0.001) activity engagement were associated with better functional health, higher mental activity (β = –0.902, p < 0.01) and physical activity (β = –1.084, p < 0.001) engagement were associated with better mental health, while higher physical activity engagement was associated with better subjective health (β = 0.161, p < 0.01).
Conclusions
Engaging in mental and physical activities may be an important component of improved health outcomes among older adults. Based on these results, future research is needed to develop multi-component intervention programs that can encourage older adults to engage in leisure activities.
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Data availability statement
The datasets for this study will be available upon request.
References
Armstrong NM, Tom SE, Harrati A et al (2021) Longitudinal relationship of leisure activity engagement with cognitive performance among non-demented, community-dwelling older adults. The Gerontologist
Bai X, Lai DWL, Guo A (2016) Ageism and depression: Perceptions of older people as a burden in China. J Social Issues 72(1):26–46
Beyer AK, Wolff JK, Warner LM, Schüz B, Wurm S (2015) The role of physical activity in the relationship between self-perceptions of ageing and self-rated health in older adults. Psychol Health 30(6):671–685
Braveman P, Gottlieb L (2014) The social determinants of health: it's time to consider the causes of the causes. Public Health Rep 129(Suppl 2):19–31
China NHCotPsRo (2021) The 2020 National Aging Career Development Bulletin 2021. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=c794a6b1a2084964a7ef45f69bef5423
Chou C-H, Hwang C-L, Wu Y-T (2012) Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: a meta-analysis. Arch Phys Med Rehabil 93(2):237–244
Economist T. At 54 (2021) China’s average retirement age is too low 2021 https://www.economist.com/china/2021/06/22/chinas-average-retirement-age-is-ridiculously-low-54.
Fancourt D, Aughterson H, Finn S, Walker E, Steptoe A (2021) How leisure activities affect health: a narrative review and multi-level theoretical framework of mechanisms of action. Lancet Psychiat 8(4):329–339
Feng Q, Fong JH, Zhang W, Liu C, Chen H (2020) Leisure activity engagement among the oldest old in China, 1998-2018. Am J Public Health 110(10):1535–1537
Fong JH, Feng Q, Zhang W, Chen H (2022) Time trend analysis of leisure-time activity participation among young-old adults in China 2002-2018. BMC Public Health 22(1):417
Gibson HJSJF (2012) Leisure and aging : theory and practice. Human Kinetics, Champaign
Halaweh H, Willén C, Svantesson U (2017) Association between physical activity and physical functioning in community-dwelling older adults. European Journal of Physiotherapy. 19(1):40–47
Han S (2021) Physical activity and self-rated health: role of contexts. Psychol Health Med 26(3):347–358
Hassing LB (2020) Gender differences in the association between leisure activity in adulthood and cognitive function in old age: a prospective longitudinal population-based study. J Gerontol B Psychol Sci Soc Sci 75(1):11–20
Henning GA-O, Stenling A, Bielak AA-O et al (n.d.) Towards an active and happy retirement? Changes in leisure activity and depressive symptoms during the retirement transition. (1364-6915 (Electronic))
Ihle A, Gouveia ÉR, Gouveia BR et al (2017) The role of leisure activities in mediating the relationship between physical health and well-being: differential patterns in old and very old age. Gerontology 63(6):560–571
Jenkin CR, Eime RM, Westerbeek H, O’Sullivan G, van Uffelen JGZ (2017) Sport and ageing: a systematic review of the determinants and trends of participation in sport for older adults. BMC Public Health 17(1):976
Lee Y, Chi I, Palinkas LA (n.d.) Retirement, leisure activity engagement, and cognition among older adults in the United States. (1552-6887 (Electronic))
Lehman BJ, David DM, Gruber JA (2017) Rethinking the biopsychosocial model of health: Understanding health as a dynamic system. Social Person Psychol Compass 11(8):e12328
Levy B (2009) Stereotype Embodiment:A Psychosocial Approach to Aging. Current Direct Psychol Sci 18(6):332–336
Li J, Hsu CC, Lin CT (2019) Leisure participation behavior and psychological well-being of elderly adults: an empirical study of Tai Chi Chuan in China. Int J Environ Res Public Health 16(18)
Li ZH, Zhang XR, Lv YB et al (2020) Leisure activities and all-cause mortality among the chinese oldest-old population: a prospective community-based cohort study. J Am Med Dir Assoc 21(6):713–719.e712
Lloyd KM, Auld CJ (2002) The role of leisure in determining quality of life: issues of content and measurement. Social Indicators Res 57(1):43–71
Marr CA-O, Vaportzis E, Niechcial MA-O, Dewar M, Gow AJ (n.d.) Measuring activity engagement in old age: An exploratory factor analysis. (1932-6203 (Electronic))
Menec VH, Chipperfield JG (1997) Remaining active in later life. The role of locus of control in seniors' leisure activity participation, health, and life satisfaction. J Aging Health 9(1):105–125
Middleton LE, Ventura MI, Santos-Modesitt W, Poelke G, Yaffe K, Barnes DE (2018) The Mental Activity and eXercise (MAX) trial: effects on physical function and quality of life among older adults with cognitive complaints. Contemp Clin Trials 64:161–166
Monden C (2014) Subjective health and subjective well-being. In: Michalos AC (ed) Encyclopedia of quality of life and well-being research. Springer, Dordrecht, pp 6423–6426
Newman DB, Tay L, Diener E (2014) Leisure and subjective well-being: a model of psychological mechanisms as mediating factors. J Happiness Stud 15(3):555–578
Paggi ME, Jopp D, Hertzog C (2016) The importance of leisure activities in the relationship between physical health and well-being in a life span sample. Gerontology 62(4):450–458
Peluso MA, Guerra de Andrade LH (2005) Physical activity and mental health: the association between exercise and mood. Clinics (Sao Paulo) 60(1):61–70
Petersen CB, Bekker-Jeppesen M, Aadahl M, Lau CJ (2021) Participation in recreational activities varies with socioeconomic position and is associated with self-rated health and well-being. Prev Med Reports 24:101610
Prevention CfDCa (n.d.) About Mental Health 2021. https://www.cdc.gov/mentalhealth/learn/index.htm
Schuch FB, Vancampfort D (2021) Physical activity, exercise, and mental disorders: it is time to move on. Trends Psychiat Psychother 43(3):177–184
Shah KN, Lin FV, Yu F, McMahon JM (2017) Activity engagement and physical function in old age sample. Arch Gerontol Geriatr 69:55–60
Sheikh JI, Yesavage JA (1986) Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist: J Aging Mental Health 5(1-2):165–173
Södergren M, Sundquist J, Johansson S-E, Sundquist K (2008) Physical activity, exercise and self-rated health: a population-based study from Sweden. BMC Public Health 8(1):352
Stiglic N, Viner RM (2019) Effects of screentime on the health and well-being of children and adolescents: a systematic review of reviews. BMJ Open 9(1):e023191
Su B, Shen X, Wei Z (2006) Leisure Life in Later Years: Differences between Rural and Urban Elderly Residents in China. J Leisure Res 38(3):381–397
Su X, Huang X, Jin Y, Wan S, Han Z (2018) The relationship of individual social activity and cognitive function of community Chinese elderly: a cross-sectional study. Neuropsychiatr Dis Treat 14:2149–2157
Teraž K, Pišot S, Šimunic B, Pišot R (2022) Does an active lifestyle matter? A longitudinal study of physical activity and health-related determinants in older adults iFront Public Health ;10
Wang Y, Li Z, Fu C (2021) Urban-rural differences in the association between social activities and depressive symptoms among older adults in China: a cross-sectional study. BMC Geriatrics 21(1):569
Wei J, Zhang J, Deng Y, Sun L, Guo P (2018) Suicidal ideation among the Chinese elderly and its correlates: a comparison between the rural and urban populations. Int J Environ Res Public Health 15(3)
Wilcox S, Castro C, King AC, Housemann R, Brownson RC (2000) Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. J Epidemiol Commun Health 54(9):667
Wilson IB, Cleary PD (1995) Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. Jama 273(1):59–65
Wion RA-OX, Fazeli PA-O, Vance DE (n.d.) The association between leisure activity engagement and health-related quality of life in middle-aged and older people with HIV. LID - gnab172 [pii] LID - 10.1093/geront/gnab172 [doi]. (1758-5341 (Electronic))
World Health Organization (n.d.). Ageing and health 2021 https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Wuorela M, Lavonius S, Salminen M, Vahlberg T, Viitanen M, Viikari L (2020) Self-rated health and objective health status as predictors of all-cause mortality among older people: a prospective study with a 5-, 10-, and 27-year follow-up. BMC Geriatrics 20(1):120
XinhuaNet (2020) China's Jiangsu faces severely aging population. http://www.news.cn/english/2020-11/01/c_139482772.htm
Yesavage JA, Brink TL, Rose TL et al (1982) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17(1):37–49
Zimmer Z, Lin HS (1996) Leisure activity and well-being among the elderly in Taiwan: testing hypotheses in an Asian setting. J Cross Cult Gerontol 11(2):167–186
Funding
This study was funded by the Major Project of Philosophy and Social Science Research in Colleges and Universities of Jiangsu Province (grant number: 2022SJYB0236).
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YG and AG contributed to study conception and design. Material preparation and analysis were performed by YG, SA, and AG. The first draft of the manuscript was written by YG. All authors commented on previous versions of the article. All authors contributed to the article and approved the submitted version.
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Gu, Y., Ali, S.H. & Guo, A. The association between leisure activity engagement and functional health, mental health, and subjective health among Chinese older adults. J Public Health (Berl.) (2023). https://doi.org/10.1007/s10389-023-02094-x
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DOI: https://doi.org/10.1007/s10389-023-02094-x