Chen Mao1, Zhi-Hao Li1, Yue-Bin Lv2, Xiang Gao3, Virginia Byers Kraus4, Jin-Hui Zhou2, Xian-Bo Wu1, Wan-Ying Shi2, Fu-Rong Li1, Si-Min Liu5, Zhao-Xue Yin6, Yi Zeng7,8, Xiao-Ming Shi2. 1. Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China. 2. National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China. 3. Nutritional Epidemiology Lab, Pennsylvania State University, Philadelphia. 4. Duke Molecular Physiology Institute and Division of Rheumatology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina. 5. Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island. 6. Division of Non-Communicable Disease Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, China. 7. Center for the study of Aging and Human Development and the Geriatric Division of School of Medicine, Duke University, Durham, North Carolina. 8. Center for Study of Healthy Aging and Development Studies, Peking University, Beijing, China.
Abstract
BACKGROUND: Little is known about the role of specific leisure activities in affecting cognitive functions. We aim to examine the associations of specific leisure activities with the risk of cognitive impairment among oldest-old people in China. METHODS: This community-based prospective cohort study included 10,741 cognitively normal Chinese individuals aged 80 years or older (median age 88 years) from the Chinese Longitudinal Healthy Longevity Survey. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). Cox proportional hazards models were utilized to estimate the effects of specific leisure activities on cognitive impairment outcome. RESULTS: During a median follow-up time of 3.4 years (41,760 person-years), 2,894 participants developed cognitive impairment. Compared to those who "never" engaged in watching TV or listening to radio, reading books or newspapers, and playing cards or mah-jong, those who engaged in such activities "almost every day" reduced their risk of cognitive impairment, the fully-adjusted hazard ratios were 0.56 (0.51-0.61), 0.64 (0.53-0.78), and 0.70 (0.56-0.86), respectively. The association between the risk of cognitive impairment and watching TV and listening to the radio, playing cards or mah-jong, and reading books or newspapers were stronger among those who had two or more years of education. Moreover, the association between risk of cognitive impairment and watching TV and listening to radio was stronger in men than in women. CONCLUSIONS: In conclusion, a greater frequency of TV watching or radio listening, reading books or newspapers, and playing cards or mah-jong may decrease the risk of cognitive impairment among the oldest-old.
BACKGROUND: Little is known about the role of specific leisure activities in affecting cognitive functions. We aim to examine the associations of specific leisure activities with the risk of cognitive impairment among oldest-old people in China. METHODS: This community-based prospective cohort study included 10,741 cognitively normal Chinese individuals aged 80 years or older (median age 88 years) from the Chinese Longitudinal Healthy Longevity Survey. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). Cox proportional hazards models were utilized to estimate the effects of specific leisure activities on cognitive impairment outcome. RESULTS: During a median follow-up time of 3.4 years (41,760 person-years), 2,894 participants developed cognitive impairment. Compared to those who "never" engaged in watching TV or listening to radio, reading books or newspapers, and playing cards or mah-jong, those who engaged in such activities "almost every day" reduced their risk of cognitive impairment, the fully-adjusted hazard ratios were 0.56 (0.51-0.61), 0.64 (0.53-0.78), and 0.70 (0.56-0.86), respectively. The association between the risk of cognitive impairment and watching TV and listening to the radio, playing cards or mah-jong, and reading books or newspapers were stronger among those who had two or more years of education. Moreover, the association between risk of cognitive impairment and watching TV and listening to radio was stronger in men than in women. CONCLUSIONS: In conclusion, a greater frequency of TV watching or radio listening, reading books or newspapers, and playing cards or mah-jong may decrease the risk of cognitive impairment among the oldest-old.
Authors: Allen T C Lee; Marcus Richards; Wai C Chan; Helen F K Chiu; Ruby S Y Lee; Linda C W Lam Journal: JAMA Psychiatry Date: 2018-07-01 Impact factor: 21.596
Authors: Qi Gao; Emma Zang; Jun Bi; Robert Dubrow; Sarah R Lowe; Huashuai Chen; Yi Zeng; Liuhua Shi; Kai Chen Journal: Environ Int Date: 2022-01-01 Impact factor: 9.621