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Gendered leisure time-use and its impact on cognitive function among older adults in rural China

Published online by Cambridge University Press:  18 March 2021

Huijun Liu
Affiliation:
Institute for Population and Development Studies, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China
Yaolin Pei*
Affiliation:
Rory Meyers College of Nursing, New York University, New York, USA
Bei Wu
Affiliation:
Rory Meyers College of Nursing, New York University, New York, USA
*
*Corresponding author. Email: [email protected]

Abstract

Increasing evidence has shown that an active, socially engaged lifestyle in leisure time might protect older adults against the decline of cognitive function. It remains unclear, however, which types of leisure activities are more beneficial to maintain cognitive function, and whether there are gender differences in the association between leisure activities and cognitive function. We used a two-wave of panel data from 1,018 older adults aged 60 and older in rural China to examine the lag effects of different types of leisure activities on cognitive functioning and to identify the gender differences in their impacts on cognition in rural China. Ordinary least-squares regression models showed that high physical activities were associated with better cognitive function. High intensity of cognitive activities and engaging in physical activities have a protective effect on cognitive function among older men rather than older women. Further, we found that cognitive activities had a stronger effect on cognitive function among older men than older women. It is important to consider gender-specific intervention in leisure activities to maintain cognitive function among older adults.

Type
Article
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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References

Aartsen, MJ, Smits, CH, Van Tilburg, T, Knipscheer, KC and Deeg, DJ (2002) Activity in older adults: cause or consequence of cognitive functioning? A longitudinal study on everyday activities and cognitive performance in older adults. Journals of Gerontology: Psychological Sciences and Social Sciences 57B, P153P162.CrossRefGoogle Scholar
Agahi, N and Parker, MG (2008) Leisure activities and mortality: does gender matter? Journal of Aging and Health 20, 855871.CrossRefGoogle ScholarPubMed
Akbaraly, TN, Portet, F, Fustinoni, S, Dartigues, J-F, Artero, S, Rouaud, O, Touchon, J, Ritchie, K and Berr, C (2009) Leisure activities and the risk of dementia in the elderly: results from the Three-City Study. Neurology 73, 854861.CrossRefGoogle ScholarPubMed
Azevedo, MR, Araújo, CLP, Reichert, FF, Siqueira, FV, da Silva, MC and Hallal, PC (2007) Gender differences in leisure-time physical activity. International Journal of Public Health 52, 8.CrossRefGoogle ScholarPubMed
Bielak, AA (2010) How can we not ‘lose it’ if we still don't understand how to ‘use it’? Unanswered questions about the influence of activity participation on cognitive performance in older age – a mini-review. Gerontology 56, 507519.CrossRefGoogle ScholarPubMed
Buchman, A, Boyle, P, Yu, L, Shah, R, Wilson, R and Bennett, D (2012) Total daily physical activity and the risk of AD and cognitive decline in older adults. Neurology 78, 13231329.CrossRefGoogle ScholarPubMed
Burton, NW and Turrell, G (2000) Occupation, hours worked, and leisure-time physical activity. Preventive Medicine 31, 673681.CrossRefGoogle ScholarPubMed
Cao, J, Qian, D and Yang, F (2020) Socioeconomic disparities in leisure activities over the life course of the oldest-old in China. Australasian Journal on Ageing 39, e416e424.CrossRefGoogle ScholarPubMed
Chan, KY, Wang, W, Wu, JJ, Liu, L, Theodoratou, E, Car, J, Middleton, PL, Russ, TC, Deary, LJ, Campbell, H, Wang, W and Rudan, L (2013) Epidemiology of Alzheimer's disease and other forms of dementia in China, 1990–2010: a systematic review and analysis. The Lancet 381, 20162023.CrossRefGoogle ScholarPubMed
Chen, N and Tsai, C-TL (2020) Rural–urban divide and the social stratification in leisure participation in China: application of multiple hierarchy stratification perpective. Applied Research in Quality of Life 15, 15351548.CrossRefGoogle Scholar
Choi, Y, Park, S, Cho, KH, Chun, SY and Park, EC (2016) A change in social activity affect cognitive function in middle-aged and older Koreans: analysis of a Korean longitudinal study on aging (2006–2012). International Journal of Geriatric Psychiatry 31, 912919.CrossRefGoogle Scholar
Cong, Z and Silverstein, M (2011) Intergenerational exchange between parents and migrant and nonmigrant sons in rural China. Journal of Marriage and Family 73, 93104.CrossRefGoogle Scholar
Ding, D, Zhao, Q, Guo, Q, Meng, H, Wang, B, Luo, J, Mortimer, JA, Borenstein, AR and Hong, Z (2015) Prevalence of mild cognitive impairment in an urban community in China: a cross-sectional analysis of the Shanghai Aging Study. Alzheimer's and Dementia 11, 300309.CrossRefGoogle Scholar
Ding, C, Song, C, Yuan, F, Zhang, Y, Feng, G, Chen, Z and Liu, A (2018) The physical activity patterns among rural Chinese adults: data from China national nutrition and health survey in 2010–2012. International Journal of Environmental Research and Public Health 15, 941.CrossRefGoogle Scholar
Etgen, T, Sander, D, Huntgeburth, U, Poppert, H, Förstl, H and Bickel, H (2010) Physical activity and incident cognitive impairment in elderly persons: the INVADE study. Archives of Internal Medicine 170, 186193.CrossRefGoogle ScholarPubMed
Fagot, D, Chicherio, C, Albinet, CT, André, N and Audiffren, M (2019) The impact of physical activity and sex differences on intraindividual variability in inhibitory performance in older adults. Aging, Neuropsychology, and Cognition 26, 123.CrossRefGoogle ScholarPubMed
Fancourt, D and Steptoe, A (2018) Cultural engagement predicts changes in cognitive function in older adults over a 10 year period: findings from the English Longitudinal Study of Ageing. Scientific Reports 8:10226.CrossRefGoogle Scholar
Fratiglioni, L, Paillard-Borg, S and Winblad, B (2004) An active and socially integrated lifestyle in late life might protect against dementia. The Lancet Neurology 3, 343353.CrossRefGoogle ScholarPubMed
Fu, C, Li, Z and Mao, Z (2018) Association between social activities and cognitive function among the elderly in China: a cross-sectional study. International Journal of Environmental Research and Public Health 15, 231.CrossRefGoogle ScholarPubMed
Hamer, M and Stamatakis, E (2014) Prospective study of sedentary behavior, risk of depression, and cognitive impairment. Medicine and Science in Sports and Exercise 46, 718-723.CrossRefGoogle ScholarPubMed
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. Journals of Gerontology: Psychological Sciences and Social Sciences 75B, 1120.CrossRefGoogle Scholar
Herzog, AR and Wallace, RB (1997) Measures of cognitive functioning in the AHEAD Study. Journals of Gerontology: Psychological Sciences and Social Sciences 52B, 3748.CrossRefGoogle Scholar
Ip, P-K (2009) Well-being of nations – a cross-cultural perspective. Social Indicators Research 91, 13.CrossRefGoogle Scholar
Iwasa, H, Yoshida, Y, Kai, I, Suzuki, T, Kim, H and Yoshida, H (2012) Leisure activities and cognitive function in elderly community-dwelling individuals in Japan: a 5-year prospective cohort study. Journal of Psychosomatic Research 72, 159164.CrossRefGoogle ScholarPubMed
Jia, J, Wang, F, Wei, C, Zhou, A, Jia, X, Li, F, Tang, M, Chu, L, Zhou, Y, Zhou, C, Cui, Y, Wang, Q, Wang, W, Yin, P, Hu, N, Zuo, X, Song, H, Qin, W, Wu, L, Li, D, Jia, L, Song, J, Han, Y, Xing, Y, Yang, P, Li, Y, Qiao, Y, Tang, Y, Lv, J and Dong, X (2014) The prevalence of dementia in urban and rural areas of China. Alzheimer's and Dementia 10, 19.CrossRefGoogle Scholar
Lam, J and García-Román, J (2020) Solitary day, solitary activities, and associations with well-being among older adults. Journals of Gerontology: Psychological Sciences and Social Sciences 75B, 15851596.CrossRefGoogle Scholar
Lee, AT, Richards, M, Chan, WC, Chiu, HF, Lee, RS and Lam, LC (2018) Association of daily intellectual activities with lower risk of incident dementia among older Chinese adults. JAMA Psychiatry 75, 697703.CrossRefGoogle ScholarPubMed
Lee, Y, Chi, I and Palinkas, LA (2019) Widowhood, leisure activity engagement, and cognitive function among older adults. Aging and Mental Health 23, 771780.CrossRefGoogle ScholarPubMed
Lennartsson, C and Silverstein, M (2001) Does engagement with life enhance survival of elderly people in Sweden? The role of social and leisure activities. Journals of Gerontology: Psychological Sciences and Social Sciences 56B, S335S342.CrossRefGoogle Scholar
Leung, GT, Fung, AW, Tam, CW, Lui, VW, Chiu, HF, Chan, W and Lam, LC (2010) Examining the association between participation in late-life leisure activities and cognitive function in community-dwelling elderly Chinese in Hong Kong. International Psychogeriatrics 22, 213.CrossRefGoogle ScholarPubMed
Li, S, Song, L and Feldman, M (2009) Intergenerational support and subjective health of older people in rural China: a gender-based longitudinal study. Australasian Journal on Ageing 28, 8186.CrossRefGoogle ScholarPubMed
Livingston, G, Sommerlad, A, Orgeta, V, Costafreda, SG, Huntley, J, Ames, D, Ballard, C, Banerjee, S, Burns, A, Cohen-Mansfield, J, Cooper, C, Fox, N, Gitlin, LN, Howard, R, Kales, HC, Larson, EB, Ritchie, K, Rockwood, K, Sampson, E, Samus, Q, Schneider, LS, Selbæk, G, Teri, L and Mukadam, N (2017) Dementia prevention, intervention, and care. The Lancet 390, 26732734.CrossRefGoogle ScholarPubMed
, J, Fu, W and Liu, Y (2016) Physical activity and cognitive function among older adults in China: a systematic review. Journal of Sport and Health Science 5, 287296.CrossRefGoogle ScholarPubMed
Luo, MS and Chui, EWT (2018) Gender division of household labor in China: cohort analysis in life course patterns. Journal of Family Issues 39, 31533176.CrossRefGoogle Scholar
Malhotra, C, Chan, A, Matchar, D, Seow, D, Chuo, A and Do, YK (2013) Diagnostic performance of short portable mental status questionnaire for screening dementia among patients attending cognitive assessment clinics in Singapore. Annals of the Academy of Medicine Singapore 42, 315319.Google Scholar
Mao, C, Li, Z-H, Lv, Y-B, Gao, X, Kraus, VB, Zhou, J-H, Wu X-B, Shi W-Y, Li F-R, Liu S-M, Yin Z-X, Zeng Y and Shi X-M. (2020) Specific leisure activities and cognitive functions among the oldest-old: the Chinese Longitudinal Healthy Longevity Survey. Journals of Gerontology: Biomedical Sciences and Medical Sciences 75A, 739746.CrossRefGoogle Scholar
National Bureau of Statistics of China (2010) China Statistical Yearbook: 2010. Beijing: China Statistics Press.Google Scholar
O'Neill, C and Dogra, S (2016) Different types of sedentary activities and their association with perceived health and wellness among middle-aged and older adults: a cross-sectional analysis. American Journal of Health Promotion 30, 314322.CrossRefGoogle ScholarPubMed
Pan, C-W, Wang, X, Ma, Q, Sun, H-P, Xu, Y and Wang, P (2015) Cognitive dysfunction and health-related quality of life among older Chinese. Scientific Reports 5: 17301.Google Scholar
Pepin, JR, Sayer, LC and Casper, LM (2018) Marital status and mothers’ time use: childcare, housework, leisure, and sleep. Demography 55, 107133.CrossRefGoogle ScholarPubMed
Pfeiffer, E (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society 23, 433441.CrossRefGoogle Scholar
Rundek, T and Bennett, DA (2006) Cognitive leisure activities, but not watching TV, for future brain benefits. Neurology 66, 794-795.CrossRefGoogle Scholar
Sabbath, EL, Matz-Costa, C, Rowe, JW, Leclerc, A, Zins, M, Goldberg, M and Berkman, LF (2016) Social predictors of active life engagement: a time-use study of young-old French adults. Research on Aging 38, 864893.CrossRefGoogle ScholarPubMed
Salthouse, TA (1991) Theoretical Perspective on Cognitive Aging. Hillsdale, NJ: Erlbaum.Google Scholar
Schnohr, P, Scharling, H and Jensen, JS (2003) Changes in leisure-time physical activity and risk of death: an observational study of 7,000 men and women. American Journal of Epidemiology 158, 639644.CrossRefGoogle ScholarPubMed
Schooler, C (1987) Psychological effects of complex environments during the life span: a review and theory. In Schooler, C and Schaie, KW (eds), Cognitive Functioning and Social Structure Over the Life Course. Norwood, NJ: Ablex, pp. 2449.Google Scholar
Schooler, C and Mulatu, MS (2001) The reciprocal effects of leisure time activities and intellectual functioning in older people: a longitudinal analysis. Psychology and Aging 16, 466482.CrossRefGoogle ScholarPubMed
Simone, PM and Haas, AL (2013) Frailty, leisure activity and functional status in older adults: relationship with subjective well being. Clinical Gerontologist 36, 275293.CrossRefGoogle Scholar
Sturman, MT, Morris, MC, de Leon, CFM, Bienias, JL, Wilson, RS and Evans, DA (2005) Physical activity, cognitive activity, and cognitive decline in a biracial community population. Archives of Neurology 62, 17501754.CrossRefGoogle Scholar
Su, B, Shen, X and Wei, Z (2006) Leisure life in later years: differences between rural and urban elderly residents in China. Journal of Leisure Research 38, 381397.CrossRefGoogle Scholar
Tomioka, K, Kurumatani, N and Hosoi, H (2018) Social participation and cognitive decline among community-dwelling older adults: a community-based longitudinal study. Journals of Gerontology: Psychological Sciences and Social Sciences 73B, 799806.Google Scholar
Tsai, H and Chang, F (2019) Associations of exercise, nutritional status, and smoking with cognitive decline among older adults in Taiwan: results of a longitudinal population-based study. Archives of Gerontology and Geriatrics 82, 133138.CrossRefGoogle ScholarPubMed
Verghese, J, Lipton, RB, Katz, MJ, Hall, CB, Derby, CA, Kuslansky, G, Ambrose AF, Sliwinski M, and Buschke H et al. (2003) Leisure activities and the risk of dementia in the elderly. New England Journal of Medicine 348, 25082516.CrossRefGoogle ScholarPubMed
Ver Ploeg, M, Altonji, J, Bradburn, N, DaVanzo, J, Nordhaus, W and Samaniego, F (2000) Time-use Measurement and Research: Report of a Workshop. Washington, DC: National Academies Press.Google Scholar
Wang, H-X, Jin, Y, Hendrie, HC, Liang, C, Yang, L, Cheng, Y, Unverzagt, FW, Ma, F, Hall, KS, Murrell, JR, Li P, Bian, J, Pei, J-J, Gao, S and Kritchevsky, S (2013) Late life leisure activities and risk of cognitive decline. Journals of Gerontology: Biomedical Sciences and Medical Sciences 68A, 205213.CrossRefGoogle Scholar
Welch, DC and West, RL (1999) The short portable mental status questionnaire: assessing cognitive ability in nursing home residents. Nursing Research 48, 329332.CrossRefGoogle ScholarPubMed
Willey, JZ, Gardener, H, Caunca, MR, Moon, YP, Dong, C, Cheung, YK, Sacco, RL, Mitchell, SVE and Wright, CB (2016) Leisure-time physical activity associates with cognitive decline: the Northern Manhattan Study. Neurology 86, 18971903.CrossRefGoogle ScholarPubMed
Xu, H, Dupre, ME, Gu, D and Wu, B (2017) The impact of residential status on cognitive decline among older adults in China: results from a longitudinal study. BMC Geriatrics 17, 107.CrossRefGoogle ScholarPubMed
Zhang, Z, Gu, D and Hayward, MD (2008) Early life influences on cognitive impairment among oldest old Chinese. Journals of Gerontology: Psychological Sciences and Social Sciences 63B, S25S33.CrossRefGoogle Scholar
Zhang, W, Feng, Q, Lacanienta, J and Zhen, Z (2017) Leisure participation and subjective well-being: exploring gender differences among elderly in Shanghai, China. Archives of Gerontology and Geriatrics 69, 4554.CrossRefGoogle ScholarPubMed
Zheng, J, Liu, J and An, R (2016) Functional limitation and cognitive impairment among 80+ year old Chinese. Australasian Journal on Ageing 35, 266272.CrossRefGoogle ScholarPubMed
Zhu, X, Qiu, C, Zeng, Y and Li, J (2017) Leisure activities, education, and cognitive impairment in Chinese older adults: a population-based longitudinal study. International Psychogeriatrics 29, 727739.CrossRefGoogle ScholarPubMed
Zunzunegui, M-V, Alvarado, BE, Del Ser, T and Otero, A (2003) Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. Journals of Gerontology: Psychological Sciences and Social Sciences 58B, S93S100.CrossRefGoogle Scholar