title: Contribution of generative leisure activities to cognitive function in elderly Sri Lankan adults.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Peri-urban and rural area in southern Sri Lanka.
  
  
  METHODS
  Community-dwelling adults aged 60 and older (N = 252).
  
  
  METHODS
  The main predictors were leisure activities, grouped into generative, social, or solitary. The main outcome was cognitive function, assessed using the Montreal Cognitive Assessment (MoCA) and the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE).
  
  
  RESULTS
  More-frequent engagement in generative leisure activities was associated with higher levels of cognitive function, independent of the effect 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 using the MoCA (β = 0.47, 95% confidence interval (CI) = 0.11-0.83) and the IQCODE (β = -0.81, 95% CI = -1.54 to -0.09). In this combined model, solitary activities were also independently associated with slower cognitive decline using the MoCA (β = 0.40, 95% CI = 0.16-0.64) but not the IQCODE (β = -0.38, 95% CI = -0.88-0.12); the association with social activities did not reach statistical significance with either measure. These associations did not differ meaningfully according to sex.
  
  
  CONCLUSIONS
  Generative leisure activities are a promising area for the development of interventions aimed at reducing cognitive decline in elderly adults.
authors.affiliation: Duke Global Health Institute, Duke University, Durham, North Carolina; Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Durham, North Carolina.
authors.forename: Joanna
authors.initials: J
authors.lastname: Maselko
authors.forename: Matthew
authors.initials: M
authors.lastname: Sebranek
authors.forename: Mirna H
authors.initials: MH
authors.lastname: Mun
authors.forename: Bilesha
authors.initials: B
authors.lastname: Perera
authors.forename: Jill
authors.initials: J
authors.lastname: Ahs
authors.forename: Truls
authors.initials: T
authors.lastname: Ostbye
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016901:Intergenerational Relations; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D013188:Sri Lanka; D011795:Surveys and Questionnaires
keywords: Sri Lanka; generativity; rapidly aging; successful aging