Association of changes in overall and specific leisure activities with long-term all-cause mortality in older adults: a nationwide cohort study

• DOI: 10.7189/jogh.15.04119
• Publication Date: 2025-05-16T10:31:33Z
• Authors: Chi Zhang; Anying Bai; Yuting Kang; Yushan Zhang; Jianliang Zhao; Hong Shi; Ji Shen
• Keywords: Association (psychology)

Leisure activities (LAs) are vital for healthy ageing and linked to lower mortality risk in older adults. However, most previous longitudinal studies have assessed LAs at only one time point. We aimed explore the impact of dynamic changes on subsequent all-cause among enrolled 21 262 adults who had participated six waves Chinese Longitudinal Healthy Longevity Survey (CLHLS) 1998, 2000, 2002, 2005, 2008, 2011. All participants completed two consecutive assessments (including seven typical activities) during first (mean interval = 2.72 years (standard deviation 0.08)); we further followed them up until 2018, i.e. beyond 2011 CLHLS. divided into five categories according change pattern LAs: stable low (low-low), moderate (moderate-moderate), high (high-high), increase (low-moderate, low-high, moderate-high), decrease (high-moderate, high-low, moderate-low). used a Cox proportional hazard model test association between mortality, including demographic characteristics, health behaviours, disease history as covariates. documented 15 065 death events 80 045.39 person-years follow-up. Compared with group, adjusted ratios (aHRs) group were 1.27 (95% confidence (CI) 1.21-1.35) 0.66 CI 0.62-0.71), respectively. An was associated (aHR 0.83; 95% 0.78-0.88), while higher 1.05; 1.01-1.09). The protective effect premature more pronounced men than women. main results remained subgroup sensitivity analyses. Maintaining increasing participation leisure significantly reduced community-dwelling individuals our sample.