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A panel analysis of the Mahjong card game and social activity with sleep-related measurements among Chinese older adults

Abstract

Scientific research on the benefits of the Mahjong card game and social activity for sleep remains limited among older adults in China, although these two leisure behaviors are common among Chinese older adults. This study aims to examine this topic of interest in a single research effort. Applying panel data from the Chinese Longitudinal Healthy Longevity Survey from 4718 participants, a nationally representative sample, multivariable logistic regressions were performed to investigate the effects of the Mahjong card game and social activity on quality of sleep and recommended hours of sleep duration daily (between 7 and 8 h of sleep) among Chinese older adults. Of the study sample, approximately 62% of older adults reported good quality of sleep, but only 38% of them slept within the recommended range. Non-gamers had lower odds of reporting good quality of sleep (adjusted odds ratio [AOR] = 0.75, 95% CI 0.62, 0.90, p < 0.01), compared with daily Mahjong card gamers. Participation of social activity was not associated with sleep quality. Less frequent participation in social activity was positively associated with recommended hours of sleep duration daily, but there was no significant difference between older adults who did not participate in social activity at all and those who participated daily. The study results suggest that playing the Mahjong card game is associated with better sleep quality among older adults. However, the effect of social activity on sleep-related measurements should be investigated further. The effect of social activity and sleep quality remains inconclusive.

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Acknowledgements

Data used for this research were provided by the “Chinese Longitudinal Healthy Longevity Survey” (CLHLS) managed by the Center for Healthy Aging and Development Studies, Peking University. CLHLS is supported by funds from the U.S. National Institutes on Aging (NIA), China Natural Science Foundation, China Social Science Foundation, and United Nations Population Fund. We thank research participants and researchers for their efforts in collecting the CLHLS data.

Funding

The authors of the present study did not receive any funding resources for this publication and research.

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Contributions

YCC and YHL contributed equally to this research. YCC and YHL conducted statistical analysis and conceived study design; YCC, YHL, and MS prepared the manuscript; MS and CTL critically revised the manuscript; and CTL provided technical support.

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Correspondence to Yen-Han Lee.

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The authors declare no conflict of interest.

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The authors used only secondary data sets in the public domain for this present study and data analyses. Hence, Institutional Review Board (IRB) approval was not required.

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Lee, YH., Chang, YC., Shelley, M. et al. A panel analysis of the Mahjong card game and social activity with sleep-related measurements among Chinese older adults. Sleep Biol. Rhythms 18, 109–119 (2020). https://doi.org/10.1007/s41105-019-00249-6

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Keywords

  • Oldest old
  • Sleep
  • Mahjong
  • Social activity
  • China