AccScience Publishing / IJPS / Volume 8 / Issue 1 / DOI: 10.18063/ijps.v8i1.1301
Cite this article
3
Download
5
Citations
28
Views
Journal Browser
Volume | Year
Issue
Search
News and Announcements
View All
RESEARCH ARTICLE

Association between cognitive functioning and active life engagement: A time-use study of older adults in rural China

Huijun Liu1 Yaolin Pei2* Bei Wu2
Show Less
1 School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, Shaanxi Province, China
2 Rory Meyers College of Nursing, New York University, New York City, New York, USA
IJPS 2022 , 8(1), 52–62; https://doi.org/10.18063/ijps.v8i1.1301
© 2022 by the Authors. Licensee AccScience Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

This study aimed to examine the pattern of active life engagement and the association between cognitive functioning and active life engagement among older adults in rural China. Two waves of panel data with the previous day’s activities in a time-use survey were collected among older adults age 60 and older in rural China. Logistic and OLS regressions were used to examine the impacts of cognitive functioning on participation and intensity in six types of activities. The overall active life engagement level of older adults in rural China was relatively low. Cognitive functioning and its decline significantly associated with the active life engagement. Older adults with higher cognitive functioning were more likely to engage in household work, recreational activity, and socially connected activity, and the decline in cognitive functioning was also significantly associated with the lower likelihood of engaging in household work, recreational activity, physical activity, and lower intensity of socially connected activity. Participation in diverse life activities is an important component of successful aging. The findings of this study suggest the need for increasing awareness of the influence of cognition on daily activities. Future interventions need to consider cognitive health to maximize active life engagement in Chinese rural older adults.

Keywords
Cognitive functioning
Decline
Time-use
Active life engagement
Successful aging
References
[1]

Aartsen MJ, Smits CH, Van Tilburg T, et al. (2002). Activity in older adults: Cause or consequence of cognitive functioning? A longitudinal study on everyday activities and cognitive performance in older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(2):153-162. https://doi.org/10.1093/geronb/57.2.P153

[2]

Alma MA, Van der Mei SF, Melis-Dankers BJ, et al. (2011). Participation of the elderly after vision loss. Disability and Rehabilitation, 33(1):63-72. https://doi.org/10.3109/09638288.2010.488711

[3]

Anaby D, Miller WC, Eng JJ, et al. (2009). Can personal and environmental factors explain participation of older adults? Disability and Rehabilitation, 31(15):1275-1282. https://doi.org/10.1080/09638280802572940

[4]

Arnadottir SA, Gunnarsdottir ED, Stenlund H, et al. (2011). Participation frequency and perceived participation restrictions at older age: Applying the international classification of functioning, disability and health (ICF) framework. Disability and Rehabilitation, 33(22-23):2208-2216. https://doi.org/10.3109/09638288.2011.563818

[5]

Ben Ari E, Johansson S, Ytterberg C, et al. (2014). How are cognitive impairment, fatigue and signs of depression related to participation in daily life among persons with multiple sclerosis? Disability and Rehabilitation, 36(23):2012-2018. https://doi.org/10.3109/09 638288.2014.887797

[6]

Brenner PS. (2011). Investigating the biasing effect of identity in self-reports of socially desirable behavior. Sociological Focus, 44(1):55-75. https://doi.org/10.1080/00380237.2011.10571388

[7]

Chen F and Liu G. (2009). Population aging in China. In: P Uhlenberg (ed.). International Handbook of Population Aging. New York: Springer, p.157-172.

[8]

Chou K, Chow NW, and Chi I. (2004). Leisure participation amongst Hong Kong Chinese older adults. Ageing and Society, 24(4):617- 629. https://doi.org/10.1017/S0144686X04001813

[9]

Cimarolli VR, Boerner K, Reinhardt JP, et al. (2017). A population study of correlates of social participation in older adults with age-related vision loss. Clinical Rehabilitation, 31(1):115-125. https://doi.org/10.1177/0269215515624479

[10]

Desrosiers J, Demers L, Robichaud L, et al. (2008). Short-term changes in and predictors of participation of older adults after stroke following acute care or rehabilitation. Neurorehabilitation and Neural Repair, 22(3):288-297. https://doi. org/10.1177/1545968307307116

[11]

Dong X, Li Y, and Simon MA. (2014). Social engagement among US Chinese older adults findings from the PINE Study. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 69(Suppl 2):S82-S89. https://doi.org/10.1093/gerona/glu152

[12]

Folstein MF, Folstein SE, and McHugh PR. (1975). “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3):189-198.

[13]

Freedman VA, Cornman JC, Carr D, et al. (2019). Time Use and experienced wellbeing of older caregivers: A sequence analysis. The Gerontologist, 59(5):e441-e450. https://doi.org/10.1093/geront/gny175

[14]

Gauthier AH and Smeeding TM. (2003). Time use at older ages: Cross-national differences. Research on Aging, 25(3):247-274. https:// doi.org/10.1177/0164027503025003003

[15]

Harvey JA, Chastin SF, and Skelton DA. (2015). How sedentary are older people? A systematic review of the amount of sedentary behavior. Journal of Aging and Physical Activity, 23(3):471-487.

[16]

Janke M, Davey A, and Kleiber D. (2006). Modeling change in older adults’ leisure activities. Leisure Sciences, 28(3):285-303. https:// doi.org/10.1080/01490400600598145

[17]

Lee Y, Chi I, and Palinkas LA. (2019). Retirement, leisure activity engagement, and cognition among older adults in the United States. Journal of Aging and Health, 31(7):1212-1234. https://doi.org/10.1177/0898264318767030

[18]

Lefrancois R, Leclerc G, and Poulin N. (1997). Predictors of activity involvement among older adults. Activities, Adaptation and Aging, 22(4):15-29. https://doi.org/10.1300/J016v22n04_03

[19]

Lennartsson C and Silverstein M. (2001). Does engagement with life enhance survival of elderly people in Sweden? The role of social and leisure activities. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56(6):S335-S342. https://doi.org/10.1093/geronb/56.6.S335

[20]

Lenze EJ, Munin MC, Dew MA, et al. (2004). Adverse effects of depression and cognitive impairment on rehabilitation participation and recovery from hip fracture. International Journal of Geriatric Psychiatry, 19(5):472-478. https://doi.org/10.1002/gps.1116

[21]

Levasseur M, Desrosiers J, and Tribble D. (2007). Comparing the disability creation process and international classification of functioning, disability and health models. Canadian Journal of Occupational Therapy, 74(Suppl 5):233-242. https://doi. org/10.1177/000841740707405S02

[22]

Liu X. (2016). How does social activities affect the rural elderly life satisfaction? Population and Economics, 2(215):40-47.

[23]

Luo Y, Pan X, and Zhang Z. (2019). Productive activities and cognitive decline among older adults in China: Evidence from the China health and retirement longitudinal study. Social Science and Medicine, 229:96-105. https://doi.org/10.1016/j. socscimed.2018.09.052

[24]

Mejía ST, Ryan LH, Gonzalez R, et al. (2017). Successful aging as the intersection of individual resources, age, environment, and experiences of well-being in daily activities. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 72(2):279-289. https://doi.org/10.1093/geronb/gbw148

[25]

McKenna K, Liddle J, Brown A, et al. (2009). Comparison of time use, role participation and life satisfaction of older people after stroke with a sample without stroke. Australian Occupational Therapy Journal, 56(3):177-188. https://doi.org/10.1111/j.1440- 1630.2007.00728.x

[26]

Parisi JM, Roberts L, Szanton SL, et al. (2017). Valued activities among individuals with and without cognitive impairments: Findings from the national health and aging trends study. The Gerontologist, 57(2):309-318.

[27]

Peng X. (2011). China’s demographic history and future challenges. Science, 333(6042):581-587. https://doi.org/10.1126/ science.1209396

[28]

Rosso AL, Taylor JA, Tabb LP, et al. (2013). Mobility, disability, and social engagement in older adults. Journal of Aging and Health, 25(4):617-637. https://doi.org/doi.org/10.1177/0898264313482489

[29]

Rowe JW and Kahn RL. (1997). Successful aging. The Gerontologist, 37(4):433-440. https://doi.org/10.1093/geront/37.4.433

[30]

Rowe JW and Kahn RL. (1998). Successful Aging. New York: Pantheon Books.

[31]

Sabbath EL, Matz-Costa C, Rowe JW, et al. (2016). Social predictors of active life engagement: A time-use study of young-old French adults. Research on Aging, 38(8):864-893. https://doi.org/10.1177/0164027515609408

[32]

Schooler C and Mulatu MS. (2001). The reciprocal effects of leisure time activities and intellectual functioning in older people: A longitudinal analysis. Psychology and Aging, 16(3):466-482. https://doi.org/10.1037/0882-7974.16.3.466

[33]

Simone PM and Haas AL. (2013). Frailty, leisure activity and functional status in older adults: Relationship with subjective well being. Clinical Gerontologist, 36(4):275-293. https://doi.org/10.1080/07317115.2013.788114

[34]

Stolwyk RJ, Mihaljcic T, Wong DK, et al. (2021). Poststroke cognitive impairment negatively impacts activity and participation outcomes: A systematic review and meta-analysis. Stroke, 52(2):748-760.

[35]

Strain LA, Grabusic CC, Searle MS, et al. (2002). Continuing and ceasing leisure activities in later life: A longitudinal study. The Gerontologist, 42(2):217-223. https://doi.org/10.1093/geront/42.2.217

[36]

Ver Ploeg M, Altonji J, Bradburn N, et al. (2000). Time-use Measurement and Research: Report of a Workshop. Washington, DC: National Academies Press.

[37]

World Health Organization. (2001). International Classification of Functioning, Disability and Health: ICF. Geneva: World Health Organization.

[38]

Zhang W. (2010). A study on the effects on labor participation of the Chinese elderly. Population and Economics, 1(178):85-92.

[39]

Zhou C. (2012). The analysis of elderly adriculture labor supply and its determinants in developed rural area. Population and Economics, 5(194):95-101.

Share
Back to top
International Journal of Population Studies, Electronic ISSN: 2424-8606 Print ISSN: 2424-8150, Published by AccScience Publishing