Changes in Leisure Activities and Dimensions of Depressive Symptoms in Later Life: A 12-Year Follow-Up

Chao, Shiau-Fang

doi:10.1093/geront/gnu052

Cited by 49 publications

(42 citation statements)

References 52 publications

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“…Participating in new activities later in life can be particularly satisfying and meaningful, potentially leading to favorable late-life outcomes [47]. A 12-year follow-up study in Taiwan also indicated that, among elderly adults, engagement in a variety of activities was more beneficial than participation in any single type of activity [48]. Thus, the inverse association between intellectual activities and prefrailty/frailty only in women may have been due to new activities they performed.…”

Section: Discussionmentioning

confidence: 99%

Associations of lifestyle activities and a heathy diet with frailty in old age: a community-based study in Singapore

Xiu

et al. 2020

Aging

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Frailty is an age-related state characterized by a reduced physiological reserve, and is associated with adverse health outcomes in the elderly. We analyzed the data from 895 adults aged 60 years and above, and investigated the relationships between midlife and late-life social activities, intellectual activities, working hours, and dietary habits and frailty status. Participation in social or intellectual activities in late life was less prevalent among those who were frail than among those who were robust. A greater proportion of those who were frail had worked long hours in midlife. After adjustment for confounders, participating in social activities or intellectual activities in late life was associated with a reduced risk for prefrailty and frailty, while working long hours in midlife was associated with a higher risk for frailty. The risk of frailty decreased with increasing healthy diet scores in midlife and late life. When the results were stratified by gender, late-life participation in social activities and midlife or late-life participation in intellectual activities correlated negatively with prefrailty/frailty only in women. Our study suggests that social and intellectual activities are inversely associated with frailty status, but the association seems to differ based on gender. www.aging-us.com 289 AGING reduced, making individuals more vulnerable to stressors and adverse health outcomes such as falls, comorbidities, disabilities and mortality [2, 3]. Frailty is a dynamic process that can worsen or be reversed over time [4-8]. The identification of modifiable risk factors and protective factors for frailty is essential for healthcare planning and targeted intervention development. However, the factors associated with frailty are not well understood. Numerous studies have indicated that active participation in leisure activities [9, 10], social activities [11-16] or intellectual activities [17-20] can improve the cognitive reserve [9-11, 15, 17, 18], enhance mental health [13, 16], reduce functional disabilities [14, 20] and delay mortality [11, 12, 19]. On the other hand, working long hours (i.e., more than 40 hours per week or eight hours per day) appears to be associated with deleterious effects such as depression, anxiety, sleep disorders and coronary heart disease [21]. Despite the evidence that engagement in various lifestyle activities influences health outcomes, few studies have examined frailty as an outcome variable. Additionally, although the diet is a frequently studied lifestyle factor, its impact on frailty has not received much attention [22, 23]. Understanding the associations of health-related lifestyle factors with frailty could help healthcare providers formulate screening and delivery strategies for health and social care. In this study, we evaluated the associations of frailty status with midlife and latelife social activities, intellectual activities, working hours and dietary consumption patterns in a community-based sample of older adults in Singapore. RESULTS The final sampl...

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Section: Discussionmentioning

confidence: 99%

Associations of lifestyle activities and a heathy diet with frailty in old age: a community-based study in Singapore

Xiu

et al. 2020

Aging

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“…This was a surprise to our research team. Many studies have suggested a strong association between depression and older adults’ development of functional disabilities [ 8 , 46 , 47 ], including that LTA may decrease older adults’ depressive symptoms [ 4 , 48 – 50 ]. Our findings, however, suggest that LTA participation does not buffer this relationship.…”

Section: Discussionmentioning

confidence: 99%

“…Encouraging older adults to explore their interests and participate in LTA or, if already engaging in LTA, to increase their LTA participation, may be an important strategy for maintaining health in future aging societies. Past research studies have encouraged older adults to participate in more varied types of LTA for better mental health and quality of life [ 50 ]. Our study’s findings add that engagement in a wider variety of LTA is crucial for older adults' GFD development, and especially for those with specific sociodemographic characteristics, to experience a slower progression in functional disability and lead to successful aging.…”

Section: Discussionmentioning

confidence: 99%

Leisure time activities as mediating variables in functional disability progression: An application of parallel latent growth curve modeling

Chen

et al. 2018

PLoS ONE

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ObjectivesThe aims of this study were to investigate (1) whether and (2) the extent to which Taiwanese older adults’ leisure time activity (LTA) trajectories mediated the potential association between their sociodemographic factors and their functional disability trajectories.MethodsLongitudinal data from four waves of the Taiwan Longitudinal Study on Aging (TLSA), collected between 1996 and 2007, were used for analysis (N = 3,429). Parallel-process latent growth curve modeling was adopted to evaluate the process by which LTA mediated between sociodemographic factors (age, gender, education, self-rated health, comorbidities, and depression) and the outcome process of functional disabilities.ResultsWhen mediated by baseline level of LTA, five sociodemographic factors—age, gender, education level, self-rated health, and number of comorbidities—had significant and negative mediating effects on baseline or change in functional disability, thus improving disability outcomes. However, four of the sociodemographic factors (age, education level, and number of comorbidities), when mediated through the rate of change in LTA, were found to have significant and positive mediating effects, which increased disability levels. The proportion of effects mediated by the LTA trajectory ranged from 0% to 194%.DiscussionThe large proportion of effects mediated through the LTA process underlines the importance of LTA to public health policy and health programs for older adults. The study’s findings shed light on how to better target populations of older adults to promote an active lifestyle and achieve more successful aging in late life in Asian countries.

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“…Inconsistent findings across studies may arise from differences in social engagement measures [8][9][10][11][12][13][14][15][16]. Combining multiple social activities into one measure makes it difficult to determine whether certain types of social engagement are more relevant to depression [17,18]. The association between social engagement and mental health also differs depending on forms of social engagement, and studies come to different conclusions on this front [19,20].…”

Section: Introductionmentioning

confidence: 99%

Social engagement and depressive symptoms: do baseline depression status and type of social activities make a difference?

Min¹,

Ailshire²,

Crimmins³

2016

Age Ageing

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Changes in Leisure Activities and Dimensions of Depressive Symptoms in Later Life: A 12-Year Follow-Up

Cited by 49 publications

References 52 publications

Associations of lifestyle activities and a heathy diet with frailty in old age: a community-based study in Singapore

Associations of lifestyle activities and a heathy diet with frailty in old age: a community-based study in Singapore

Leisure time activities as mediating variables in functional disability progression: An application of parallel latent growth curve modeling

Social engagement and depressive symptoms: do baseline depression status and type of social activities make a difference?

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