title: Active ageing and quality of life: factors associated with participation in leisure activities among institutionalized older adults, with and without dementia.
abstract: OBJECTIVE
  Active ageing, considered from the perspective of participation in leisure activities, promotes life satisfaction and personal well-being. The aims of this work are to define and explain leisure activity profiles among institutionalized older adults, considering their sociodemographic characteristics and objective and subjective conditions in relation to their quality of life.
  
  
  METHODS
  Two samples of institutionalized people aged 60 and over were analysed together: 234 older adults without dementia and 525 with dementia. Sociodemographic, economic, family and social network, and health and functioning variables were selected. Cluster analysis was applied to obtain activity profiles according to the leisure activities, and ordinal regression models were performed to analyse factors associated to activity level.
  
  
  RESULTS
  The sample was clustered into three groups of people: active (27%), moderately active (35%) and inactive people (38%). In the final regression model (Nagelkerke pseudo R(2) = 0.500), a higher level of activity was associated with better cognitive function (Pfeiffer scale), self-perceived health status and functional ability, as well as with a higher frequency of gathering with family and friends, and higher educational level.
  
  
  CONCLUSIONS
  The decline in physical and mental health, the loss of functional capabilities and the weakening of family and social ties represent a significant barrier to active ageing in a context of institutionalization.
authors.affiliation: a Institute of Economics, Geography and Demography (IEGD) , Spanish National Research Council (CSIC) , Madrid , Spain.
authors.forename: Gloria
authors.initials: G
authors.lastname: Fernández-Mayoralas
authors.forename: Fermina
authors.initials: F
authors.lastname: Rojo-Pérez
authors.forename: Pablo
authors.initials: P
authors.lastname: Martínez-Martín
authors.forename: Maria-Eugenia
authors.initials: ME
authors.lastname: Prieto-Flores
authors.forename: Carmen
authors.initials: C
authors.lastname: Rodríguez-Blázquez
authors.forename: Salomé
authors.initials: S
authors.lastname: Martín-García
authors.forename: José-Manuel
authors.initials: JM
authors.lastname: Rojo-Abuín
authors.forename: Maria-Joao
authors.initials: MJ
authors.lastname: Forjaz
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D000368:Aged; D000375:Aging / Q000502:physiology / Q000523:psychology; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003704:Dementia / Q000523:psychology*; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D007326:Institutionalization; D007899:Leisure Activities / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology*; D012112:Residential Facilities; D012649:Self Concept; D012959:Socioeconomic Factors; D013030:Spain; D011795:Surveys and Questionnaires
keywords: Spain; active ageing; institutionalized older adults; leisure activities profile; quality of life