To investigate the impact of activity frequency on the self-care ability of older adults in China, providing a reference for developing active aging strategies aligned with their activity patterns.
Data were drawn from the 2021 Chinese Longitudinal Healthy Longevity Survey (CLHLS) covering 14 022 older adults aged ≥ 65 years in 27 provinces (autonomous regions and municipalities). Multivariate ordinal logistic regression models were employed to analyze the associations between activity frequency and two functional outcomes: activities of daily living (ADL) and instrumental activities of daily living (IADL).
Among the 14 022 participants, 9 474 (67.6%), 1 037 (7.4%), and 3 511 (25.0%) showed the ADL status of full independence, requiring partial assistance, and full dependence, respectively; 3 803 (27.1%), 2 104 (15.0%), and 8 115 (57.9%) exhibited the IADL status of full independence, requiring partial assistance, and full dependence, respectively. The activity frequency was low, moderate, and high in 2 830 (20.2%), 143 (1.0%), and 11 049 (78.8%) participants, respectively. After adjustment for sex, age, children′s financial support, marital status, residence, income adequacy, and pension insurance, multivariate ordinal logistic regression analysis revealed that compared with the low-frequency group, the moderate-frequency group had reduced risks of ADL impairment (OR = 0.309, 95%CI: 0.218–0.437) and IADL impairment (OR = 0.175, 95%CI: 0.110–0.280). Furthermore, compared with the low-frequency group, the high-frequency group had decreased risks of ADL impairment (OR = 0.142, 95%CI: 0.129–0.156) and IADL impairment (OR = 0.082, 95%CI: 0.067–0.100).
Increased activity frequency is associated with a reduced risk of ADL and IADL impairment among older adults in China, promoting greater independence.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |