Department of Psychiatry, Tai Po Hospital, Hong Kong SAR, China.
Int Psychogeriatr. 2010 Feb;22(1):2-13. doi: 10.1017/S1041610209991025. Epub 2009 Sep 29.
Growing evidence suggests that participation in late-life leisure activity may have beneficial effects on cognitive function. The objective of the study was to evaluate the association between leisure activity participation and cognitive function in an elderly population of community-dwelling Hong Kong Chinese.
512 participants were assessed in the follow-up study of a population-based community survey of the prevalence of cognitive impairment among Hong Kong Chinese aged 60 years and over. Leisure activities were classified into four categories (physical, intellectual, social and recreational). Information regarding leisure activity participation, cognitive function and other variables was collected. Multivariate linear regression analyses were performed to examine the association between leisure activity participation and cognitive function.
A higher level of late-life leisure activity participation, particularly in intellectual activities, was significantly associated with better cognitive function in the elderly, as reflected by the results of the Cantonese Mini-mental State Examination (p = 0.007, 0.029 and 0.005), the Category Verbal Fluency Test (p = 0.027, 0.003 and 0.005) and digit backward span (p = 0.031, 0.002 and 0.009), as measured by the total frequency, total hours per week and total number of subtypes, respectively; the Chinese Alzheimer's Disease Assessment Scale-Cognitive Subscale (p = 0.045) and word list learning (p = 0.003), as measured by the total number of subtypes; and digit forward span (p = 0.007 and 0.015), as measured by the total hours per week and total number of subtypes, respectively.
Late-life intellectual activity participation was associated with better cognitive function among community-dwelling Hong Kong elderly Chinese.
越来越多的证据表明，参与晚年休闲活动可能对认知功能有有益的影响。本研究的目的是评估香港老年人群体中休闲活动参与与认知功能之间的关系。
512 名参与者参加了香港中文老年人认知障碍患病率的基于人群的社区调查的随访研究。休闲活动分为四类（身体、智力、社会和娱乐）。收集了有关休闲活动参与、认知功能和其他变量的信息。进行了多变量线性回归分析，以检验休闲活动参与与认知功能之间的关系。
晚年休闲活动参与水平较高，特别是智力活动，与老年人认知功能较好显著相关，表现在粤语 Mini-mental State 考试（p = 0.007、0.029 和 0.005）、类别词语流畅性测验（p = 0.027、0.003 和 0.005）和数字倒背广度（p = 0.031、0.002 和 0.009）的总频率、每周总时间和总类型数量上；中国阿尔茨海默病评估量表认知分量表（p = 0.045）和词语列表学习（p = 0.003），表现在总类型数量上；以及数字顺背广度（p = 0.007 和 0.015），表现在每周总时间和总类型数量上。
晚年智力活动参与与香港老年人群体认知功能较好有关。
