Evidence map›Paper›PMID 41214591›Full record

ArticleBMC geriatrics2025

Mediating role of psychological resilience in the relationship between leisure-time activities and long-term mortality in older adults.

Chi Zhang, Siwei Sun, Xiaoyin Wei, Zhelin Li, Anying Bai, Xiaoyang Zhou, Chao Meng, Ji Shen, Ping Zeng, Guoqing Fan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chi Zhang *The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, National Center of Gerontology of National Health Commission, Beijing, 100730, China.
Siwei Sun *Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191, China.
Xiaoyin WeiThe Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, National Center of Gerontology of National Health Commission, Beijing, 100730, China.
Zhelin LiSchool of Design, South China University of Technology, Guangzhou, 510006, China.
Anying BaiSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Xiaoyang ZhouThe Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, National Center of Gerontology of National Health Commission, Beijing, 100730, China.
Chao MengThe Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, National Center of Gerontology of National Health Commission, Beijing, 100730, China.
Ji ShenDepartment of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China. shenji4350@bjhmoh.cn.
Ping ZengThe Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, National Center of Gerontology of National Health Commission, Beijing, 100730, China. pzeng2000@163.com.
Guoqing FanDepartment of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China. fanguoqing5127@bjhmoh.cn.

Funding

National High Level Hospital Clinical Research Funding BJ-2024-219; BJ-2023-088; BJ-2024-157National Key R&D Program of China 2022YFC2010100
6 · The paper itself

Abstract

backgroundParticipation in leisure-time activities (LTAs) is associated with lower mortality; however, the related mechanisms have not been fully elucidated. The aim of this study was to explore the mediating role of psychological resilience in the relationship between LTAs and all-cause mortality in community-dwelling older adults.

methodsA total of 33,679 participants who were aged ≥ 60 in the Chinese Longitudinal Healthy Longevity Study from 1998 to 2018 were recruited. The frequency of seven typical LTAs and psychological resilience levels were collected using standard questionnaires at baseline. The mediating role of psychological resilience between LTAs and all-cause mortality was explored using mediated analyses in Cox proportional hazard models.

resultsDuring 150,208.03 person-years of follow-up, 24,705 deaths were documented. Older adults who engaged in LTAs more frequently had higher levels of psychological resilience. After adjusting for socio-demographics and health-related factors, we observed linear negative associations between leisure activities (P-nonlinear = 0.192) and psychological resilience (P-nonlinear = 0.308) with all-cause mortality in the total sample, respectively. The relationship between LTAs and all-cause mortality was partially mediated by psychological resilience, accounting for 13.61% (95%CI: 11.91-15.31%) of the association. Higher mediated proportions were observed for social activities than for productive activities. The mediating effect remained stable in sensitivity analyses and was more pronounced in the oldest-old (80 + years) and women subgroups.

conclusionsPsychological resilience mediated the association between LTAs and all-cause mortality. Frequent participation in leisure activities may play a beneficial role in preventing premature death by improving resilience levels in community-dwelling older people.

Indexed as

Leisure ActivitiesMortalityResilience, PsychologicalAgedAged, 80 and overChinaFemaleHumansIndependent LivingLongitudinal StudiesMaleMiddle AgedSurveys and QuestionnairesLeisure-time activitiesMediation analysisMortalityPsychological resilience

Identifiers

PMID41214591
PMCPMC12599072

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.