How changes in sedentary lifestyle behavior are associated with functional disabilities in Chinese older adults
Results from a longitudinal study (2008–2018)
Bibliographic Data
| ID | 21537137 |
|---|---|
| Authors | Cai Xu (0000-0002-1412-4229, Ohio University), Yen‐Chang Chang (0000-0002-9574-3194, National Tsing Hua University), Yen-Han Lee (0000-0003-4869-1982, College of Health Professions and Sciences, The University of Central Florida, corresponding author) |
| Year | 2026 |
| Pages | 1-23 |
| Publication date | 2026-03-30 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Educational Gerontology (JOURNAL) |
| Journal identifiers | ISSN: 0360-1277 • E-ISSN: 1521-0472 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/03601277.2026.2647774 |
| OpenAlex | W7143412840 |
| Language | EN |
| References cited | 42 |
Sedentary behavior has been linked to frailty and functional limitations in older Chinese adults, yet little is known about how changes in such behavior influence subsequent functional status, including activities of daily living (ADL) and instrumental ADL (IADL). We analyzed data from four waves (2008–2018) of the Chinese Longitudinal Healthy Longevity Study (n = 12,840; aged ≥ 65). Changes in the frequency of sedentary activities –, reading newspapers/books, playing cards/mahjong, and watching TV/listening to the radio –, were measured across two survey waves. Cox two-state regression models were used to estimate the associations between these changes and functional limitations in ADL, IADL, and combined ADL + IADL. Increased reading frequency was associated with lower risks of functional decline in ADL, IADL, and combined ADL + IADL (HRs around 0.73–0.78, all p 1). Changes in frequency of sedentary behavior were associated with functional status in later life. Promoting mentally engaging activities may help maintain ADL and IADL independence, especially in urban settings
Activities of daily living · Life style · Longitudinal study · Physical activity · Sedentary behavior · Sedentary lifestyle · Balance, Gait, and Falls Prevention · Frailty in Older Adults · Physical Activity and Health
The diagnosis of mild cognitive impairment due to Alzheimer's disease
Tutorial in biostatistics
Studies of Illness in the Aged
World Health Organization 2020 guidelines on physical activity and sedentary behaviour
Latent Classification Analysis of Leisure Activities and Their Impact on ADL, Iadl and Cognitive Ability of Older Adults Based on CLHLS (2008–2018)
Social Engagement and Elderly Health in China
Combining Activities of Daily Living with Instrumental Activities of Daily Living to Measure Functional Disability
Leisure Activity Engagement Among the Oldest Old in China, 1998–2018
Assessment of Older People
Fertility behaviors and mid-late-life health status in China
| Citation velocity | historical |
|---|---|
| Highly cited | No |