{"title":"中国老年人休闲活动与内在能力轨迹的关系:中国健康与退休的纵向研究。","authors":"Xinyi Zhang, Xiao Zheng, Ting Zheng, Mengjie Zhang, Lingli Yang, Benli Xue, Xinru Li, Yanan Wang, Chichen Zhang","doi":"10.1186/s13690-025-01651-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The global population ageing presents new challenges in older adult care. To elevate the quality of life of older adults, it is essential to explore their intrinsic capacity over time. Engaging in leisure activities may exert a positive impact, which is crucial for promoting healthy ageing.</p><p><strong>Method: </strong>This study used longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS). Group-based trajectory modeling was applied to identify the trajectories of intrinsic capacity, and respondents were categorized accordingly. Leisure activities were assessed based on their intellectual and social components. The impact of social and intellectual activities on intrinsic capacity trajectories was analyzed through multinomial logistic regression, with odds ratios (OR) and 95% confidence intervals (CI) reported.</p><p><strong>Results: </strong>Among the 1,344 respondents aged 65 and above at baseline, trajectory analysis revealed three distinct longitudinal patterns of intrinsic capacity: \"persistently low trajectory\" (n = 288, 21.43%), \"persistently moderate trajectory\" (n = 666, 49.55%), and \"persistently high trajectory\" (n = 390, 29.02%). After adjusting for sociodemographic factors, more frequent engagement in intellectual activities (OR 0.37, 95% CI 0.26-0.53) and social activities (OR 0.36, 95% CI 0.25-0.51) was associated with a reduced likelihood of being in the \"persistently low trajectory\" of intrinsic capacity.</p><p><strong>Conclusion: </strong>This study indicates that increased participation in social and intellectual activities is linked to more favorable trajectories of intrinsic capacity. Therefore, older adults should be encouraged to engage more in leisure activities to promote better ageing outcomes.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"162"},"PeriodicalIF":3.2000,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183806/pdf/","citationCount":"0","resultStr":"{\"title\":\"Associations between leisure activities with trajectories of intrinsic capacity among Chinese older adults: the China health and retirement longitudinal study.\",\"authors\":\"Xinyi Zhang, Xiao Zheng, Ting Zheng, Mengjie Zhang, Lingli Yang, Benli Xue, Xinru Li, Yanan Wang, Chichen Zhang\",\"doi\":\"10.1186/s13690-025-01651-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The global population ageing presents new challenges in older adult care. To elevate the quality of life of older adults, it is essential to explore their intrinsic capacity over time. Engaging in leisure activities may exert a positive impact, which is crucial for promoting healthy ageing.</p><p><strong>Method: </strong>This study used longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS). Group-based trajectory modeling was applied to identify the trajectories of intrinsic capacity, and respondents were categorized accordingly. Leisure activities were assessed based on their intellectual and social components. 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引用次数: 0
摘要
背景:全球人口老龄化对老年人护理提出了新的挑战。为了提高老年人的生活质量,有必要随着时间的推移探索他们的内在能力。从事休闲活动可以产生积极影响,这对促进健康老龄化至关重要。方法:本研究采用中国健康与退休纵向研究(CHARLS)的纵向数据。采用基于群体的轨迹模型识别内在能力轨迹,并对被调查者进行分类。休闲活动是根据其智力和社交成分来评估的。通过多项逻辑回归分析社会和智力活动对内在能力轨迹的影响,并报告了比值比(OR)和95%置信区间(CI)。结果:在1344名65岁及以上的被调查者中,纵向轨迹分析显示了三种明显的内在能力纵向模式:持续低轨迹(n = 288, 21.43%)、持续中等轨迹(n = 666, 49.55%)和持续高轨迹(n = 390, 29.02%)。在对社会人口因素进行调整后,更频繁地参与智力活动(OR 0.37, 95% CI 0.26-0.53)和社交活动(OR 0.36, 95% CI 0.25-0.51)与内在能力处于“持续低轨迹”的可能性降低相关。结论:本研究表明,参与社会和智力活动的增加与内在能力的发展轨迹更有利相关。因此,应该鼓励老年人更多地参与休闲活动,以促进更好的老龄化结果。
Associations between leisure activities with trajectories of intrinsic capacity among Chinese older adults: the China health and retirement longitudinal study.
Background: The global population ageing presents new challenges in older adult care. To elevate the quality of life of older adults, it is essential to explore their intrinsic capacity over time. Engaging in leisure activities may exert a positive impact, which is crucial for promoting healthy ageing.
Method: This study used longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS). Group-based trajectory modeling was applied to identify the trajectories of intrinsic capacity, and respondents were categorized accordingly. Leisure activities were assessed based on their intellectual and social components. The impact of social and intellectual activities on intrinsic capacity trajectories was analyzed through multinomial logistic regression, with odds ratios (OR) and 95% confidence intervals (CI) reported.
Results: Among the 1,344 respondents aged 65 and above at baseline, trajectory analysis revealed three distinct longitudinal patterns of intrinsic capacity: "persistently low trajectory" (n = 288, 21.43%), "persistently moderate trajectory" (n = 666, 49.55%), and "persistently high trajectory" (n = 390, 29.02%). After adjusting for sociodemographic factors, more frequent engagement in intellectual activities (OR 0.37, 95% CI 0.26-0.53) and social activities (OR 0.36, 95% CI 0.25-0.51) was associated with a reduced likelihood of being in the "persistently low trajectory" of intrinsic capacity.
Conclusion: This study indicates that increased participation in social and intellectual activities is linked to more favorable trajectories of intrinsic capacity. Therefore, older adults should be encouraged to engage more in leisure activities to promote better ageing outcomes.
期刊介绍:
rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.