Contribution of generative leisure activities to cognitive function in elderly Sri Lankan adults.
Contribution of generative leisure activities to cognitive function in elderly Sri Lankan adults.
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DOI：
10.1111/jgs.12985
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发表时间：
2014-09
影响因子：
6.3
通讯作者：
Ostbye T
中科院分区：
文献类型：
--
作者：
Maselko J;Sebranek M;Mun MH;Perera B;Ahs J;Ostbye T
Although a substantive body of research has shown a protective association between leisure activities and cognitive function, consistent evidence is lacking about which specific types of activities should be promoted. The objective of this analysis was to examine the unique contribution of generative leisure activities, defined as activities motivated by “a concern for others and a need to contribute something to the next generation” (Erikson). Cross-sectional survey. Peri-urban and rural area in southern Sri Lanka. Community dwelling adults aged 60+ (n=252). Main predictors were leisure activities grouped into generative, social, or solitary. Main outcome was cognitive function assessed with Montreal Cognitive Assessment (MoCA) and the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). We found that more frequent engagement in generative leisure activities was associated with higher levels of cognitive function, independent of the impact of other social and solitary leisure activities. In a fully adjusted model combining all three leisure activities, generative activities independently predicted cognitive function as measured with the MoCA (β =0.47 (0.11 to 0.83) and the IQCODE (β = -0.81 (-1.54 to -0.09)). In this combined model, solitary activities were also independently associated with slower cognitive decline with the MoCA (β =0.40 (0.16, 0.64), but not with IQCODE (β =-0.38 (-0.88, 0.12)); the association with social activities did not reach statistical significance with either measure. These associations did not differ meaningfully by gender. Generative leisure activities are a promising area for the development of interventions aimed at reducing cognitive decline among the elderly.
