Prospective Study of Engagement in Leisure Activities and All-Cause Mortality Among Older Japanese Adults
| Title: | Prospective Study of Engagement in Leisure Activities and All-Cause Mortality Among Older Japanese Adults |
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| Authors: | Takaki Kobayashi, Yukako Tani, Shiho Kino, Takeo Fujiwara, Katsunori Kondo, Ichiro Kawachi |
| Source: | Journal of Epidemiology, Vol 32, Iss 6, Pp 245-253 (2022) |
| Publisher Information: | Japan Epidemiological Association, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Medicine (General) |
| Subject Terms: | aging, leisure activities, japan, older people, Medicine (General), R5-920 |
| More Details: | Background: Engagement in leisure activities among older people is associated with a lower risk of mortality. However, no studies have been conducted focusing on the difference of associations with mortality risk among multiple types of leisure activities. Methods: We examined prospectively the association of engagement in leisure activities with all-cause mortality in a cohort of older Japanese adults. The Japan Gerontological Evaluation Study included 48,216 participants aged 65 years or older. During a mean follow-up period of 5.6 years, we observed 5,575 deaths (11.6%). We investigated the total number of leisure activities, as well as combinations of 25 different leisure activities with Cox proportional hazards models, adjusting for potential confounding factors. Results: We found a linear relationship between the total number of leisure activities and mortality hazard (adjusted hazard ratio, 0.93; 95% CI, 0.92–0.95). Furthermore, engagement in leisure activities involving physical activity, as well as group-based interactions, showed the strongest associations with lowered mortality. By contrast, engagement in cultural leisure activities and solitary leisure activities were not associated with all-cause mortality. Conclusion: Although we cannot rule out residual confounding, our findings suggest that encouraging engagement in physically-active group-based leisure activities may promote longevity in older adults. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0917-5040 1349-9092 |
| Relation: | https://www.jstage.jst.go.jp/article/jea/32/6/32_JE20200427/_pdf; https://doaj.org/toc/0917-5040; https://doaj.org/toc/1349-9092 |
| DOI: | 10.2188/jea.JE20200427 |
| Access URL: | https://doaj.org/article/acd4c50dff254a848a3c3dae0e7d25f0 |
| Accession Number: | edsdoj.4c50dff254a848a3c3dae0e7d25f0 |
| Database: | Directory of Open Access Journals |
| ISSN: | 09175040 13499092 |
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| DOI: | 10.2188/jea.JE20200427 |
| Published in: | Journal of Epidemiology |
| Language: | English |