Examining the association between late-life leisure activity participation and global cognitive decline in community-dwelling elderly Chinese in Hong Kong.

Grace Tak Yu Leung, Ada Wai Tung Fung, Cindy Woon Chi Tam, Victor Wing Cheong Lui, Helen Fung Kum Chiu, Wai Man Chan, Linda Chiu Wa Lam

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)

Abstract

Objective
This study examines the association between late-life leisure activity participation and global cognitive decline in community-dwelling elderly Chinese in Hong Kong.
Methods
Five hundred and five participants, not clinically demented at the baseline, were analysed in the follow-up study of a population-based community survey among Hong Kong Chinese aged 60 and over. Information regarding leisure activity participation, global cognitive function and important sociodemographic variables was collected. Late life leisure activity profiles were classified into intellectual, social, physical and recreational categories, and were measured by total hours per week, total frequency and total number of subtypes. Multivariate logistic regression analyses were used to evaluate the association between leisure activity participation at the baseline and the incidence of global cognitive decline at the 22-month follow-up. The incidence of global cognitive decline was defined as a one-point drop in z-score of the Cantonese version of the mini-mental state examination (CMMSE).
Results
At the follow-up, a higher level of participation in intellectual activities was significantly associated with a lower incidence of global cognitive decline as measured by both the total hours per week (multivariate-adjusted OR 0.97 (95% CI 0.94–0.99, p = 0.003)), and the total number of subtypes (multivariate-adjusted OR 0.74 (95% CI 0.58–0.95, p = 0.018)).
Conclusions
A higher level of late-life intellectual activity participation was associated with less global cognitive decline among community-dwelling elderly Chinese in Hong Kong. Copyright © 2010 John Wiley & Sons, Ltd.
Original languageEnglish
Pages (from-to)39-47
Number of pages9
JournalInternational Journal of Geriatric Psychiatry
Volume26
Issue number1
DOIs
Publication statusPublished - Jan 2011

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