title: Trajectories of Leisure Activity and Disability in Older Adults Over 11 Years in Taiwan.
abstract: We aimed to identify leisure activity (LA) trajectories and examined the association among baseline characteristics, LA trajectories, and the later disability among older Taiwanese adults. Data were from the Taiwan Longitudinal Study on Aging Survey for the years 1996-2007 ( N = 3,186). LA trajectories were identified by using latent class growth curve modeling. Regression analyses were applied to predict the relationships among baseline characteristics, LA trajectories, and disability. Four LA trajectories-consistent high, consistent low, increasing, and decreasing-were identified. Lower depressive symptom was related to consistently active in LAs. Younger age and fewer comorbidities were related to develop an increasing LA trajectory. Participants in the consistent-high or increasing LA trajectories were more likely to be functionally independent, but those in the decreasing LA subgroup were more at risk of developing disability. The findings suggested that long-term changes in LA over time have benefits on physical health in older population.
authors.affiliation: 1 National Taiwan University, Taipei, Taiwan.
authors.forename: Hsiao-Wei
authors.initials: HW
authors.lastname: Yu
authors.affiliation: 1 National Taiwan University, Taipei, Taiwan.
authors.forename: Tung-Liang
authors.initials: TL
authors.lastname: Chiang
authors.affiliation: 1 National Taiwan University, Taipei, Taiwan.
authors.forename: Duan-Rung
authors.initials: DR
authors.lastname: Chen
authors.affiliation: 1 National Taiwan University, Taipei, Taiwan.
authors.forename: Yu-Kang
authors.initials: YK
authors.lastname: Tu
authors.affiliation: 1 National Taiwan University, Taipei, Taiwan.
authors.forename: Ya-Mei
authors.initials: YM
authors.lastname: Chen
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D000077272:Latent Class Analysis; D007899:Leisure Activities; D008137:Longitudinal Studies; D008297:Male; D013624:Taiwan / Q000453:epidemiology
keywords: Taiwan; disability; leisure activities; trajectories