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Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: a longitudinal study from the Kungsholmen project.

Abstract

Recent findings suggest that a rich social network may decrease the risk of developing dementia. The authors hypothesized that such a protective effect may be due to social interaction and intellectual stimulation. To test this hypothesis, data from the 1987-1996 Kungsholmen Project, a longitudinal population-based study carried out in a central area of Stockholm, Sweden, were used to examine whether engagement in different activities 6.4 years before dementia diagnosis was related to a decreased incidence of dementia. Dementia cases were diagnosed by specialists according to Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, criteria. After adjustment for age, sex, education, cognitive functioning, comorbidity, depressive symptoms, and physical functioning at the first examination, frequent (daily-weekly) engagement in mental, social, or productive activities was inversely related to dementia incidence. Adjusted relative risks for mental, social, and productive activities were 0.54 (95% confidence interval (CI): 0.34, 0.87), 0.58 (95% CI: 0.37, 0.91), and 0.58 (95% CI: 0.38, 0.91), respectively. Similar results were found when these three factors were analyzed together in the same model. Results suggest that stimulating activity, either mentally or socially oriented, may protect against dementia, indicating that both social interaction and intellectual stimulation may be relevant to preserving mental functioning in the elderly.

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  • Authors+Show Affiliations

    ,

    Aging Research Center, Division of Geriatric Epidemiology and Medicine, NEUROTEC, Karolinska Institutet, and Stockholm Gerontology Research Center, Stockholm, Sweden. huixin.wang@phs.ki.se

    , ,

    Source

    American journal of epidemiology 155:12 2002 Jun 15 pg 1081-7

    MeSH

    Aged
    Aged, 80 and over
    Dementia
    Educational Status
    Female
    Geriatrics
    Humans
    Interpersonal Relations
    Leisure Activities
    Logistic Models
    Longitudinal Studies
    Male
    Mental Health
    Risk Factors
    Sweden

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    12048221

    Citation

    Wang, Hui-Xin, et al. "Late-life Engagement in Social and Leisure Activities Is Associated With a Decreased Risk of Dementia: a Longitudinal Study From the Kungsholmen Project." American Journal of Epidemiology, vol. 155, no. 12, 2002, pp. 1081-7.
    Wang HX, Karp A, Winblad B, et al. Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: a longitudinal study from the Kungsholmen project. Am J Epidemiol. 2002;155(12):1081-7.
    Wang, H. X., Karp, A., Winblad, B., & Fratiglioni, L. (2002). Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: a longitudinal study from the Kungsholmen project. American Journal of Epidemiology, 155(12), pp. 1081-7.
    Wang HX, et al. Late-life Engagement in Social and Leisure Activities Is Associated With a Decreased Risk of Dementia: a Longitudinal Study From the Kungsholmen Project. Am J Epidemiol. 2002 Jun 15;155(12):1081-7. PubMed PMID: 12048221.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: a longitudinal study from the Kungsholmen project. AU - Wang,Hui-Xin, AU - Karp,Anita, AU - Winblad,Bengt, AU - Fratiglioni,Laura, PY - 2002/6/6/pubmed PY - 2002/7/12/medline PY - 2002/6/6/entrez SP - 1081 EP - 7 JF - American journal of epidemiology JO - Am. J. Epidemiol. VL - 155 IS - 12 N2 - Recent findings suggest that a rich social network may decrease the risk of developing dementia. The authors hypothesized that such a protective effect may be due to social interaction and intellectual stimulation. To test this hypothesis, data from the 1987-1996 Kungsholmen Project, a longitudinal population-based study carried out in a central area of Stockholm, Sweden, were used to examine whether engagement in different activities 6.4 years before dementia diagnosis was related to a decreased incidence of dementia. Dementia cases were diagnosed by specialists according to Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, criteria. After adjustment for age, sex, education, cognitive functioning, comorbidity, depressive symptoms, and physical functioning at the first examination, frequent (daily-weekly) engagement in mental, social, or productive activities was inversely related to dementia incidence. Adjusted relative risks for mental, social, and productive activities were 0.54 (95% confidence interval (CI): 0.34, 0.87), 0.58 (95% CI: 0.37, 0.91), and 0.58 (95% CI: 0.38, 0.91), respectively. Similar results were found when these three factors were analyzed together in the same model. Results suggest that stimulating activity, either mentally or socially oriented, may protect against dementia, indicating that both social interaction and intellectual stimulation may be relevant to preserving mental functioning in the elderly. SN - 0002-9262 UR - https://www.unboundmedicine.com/medline/citation/12048221/Late_life_engagement_in_social_and_leisure_activities_is_associated_with_a_decreased_risk_of_dementia:_a_longitudinal_study_from_the_Kungsholmen_project_ L2 - https://academic.oup.com/aje/article-lookup/doi/10.1093/aje/155.12.1081 DB - PRIME DP - Unbound Medicine ER -