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Impact of activity frequency on self-care ability of Chinese older adults: an analysis based on 2021 CLHLS data
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Tian WANG1, 4, Wanting YANG2, 4, Tao WANG3, Hongbin CAO1, Yang LIU1
Chinese Journal of Public Health | 2026, 42(2) : 212 - 216
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Chinese Journal of Public Health | 2026, 42(2): 212-216
• Survey and Report •
Impact of activity frequency on self-care ability of Chinese older adults: an analysis based on 2021 CLHLS data
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Tian WANG1, 4, Wanting YANG2, 4, Tao WANG3, Hongbin CAO1, Yang LIU1
Affiliations
  • 1School of Automotive Business, Hubei University of Automotive Technology, Shiyan 442002, China
  • 2School of Digital Economy, Hubei University of Automotive Technology, Shiyan 442002, China
  • 3Northeast Asian Studies College, Jilin University, Changchun 130012, China
  • 4Green and Low-Carbon Research Institute, Hubei University of Automotive Technology‌, Shiyan 442002
Published: 2026-02-10 doi: 10.11847/zgggws1148133
Outline
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Objective

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.

Methods

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).

Results

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).

Conclusions

Increased activity frequency is associated with a reduced risk of ADL and IADL impairment among older adults in China, promoting greater independence.

activity frequency  /  self-care ability  /  impact  /  older adults  /  China
望甜, 杨婉婷, 王涛, 曹宏彬, 刘洋. 中国老年人不同活动频率对其生活自理能力影响:基于2021年CLHLS数据库. 中国公共卫生, 2026 , 42 (2) : 212 -216 . DOI: 10.11847/zgggws1148133
Tian WANG, Wanting YANG, Tao WANG, Hongbin CAO, Yang LIU. Impact of activity frequency on self-care ability of Chinese older adults: an analysis based on 2021 CLHLS data[J]. Chinese Journal of Public Health, 2026 , 42 (2) : 212 -216 . DOI: 10.11847/zgggws1148133
Year 2026 volume 42 Issue 2
117
46
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Article Info
doi: 10.11847/zgggws1148133
  • Receive Date:2025-06-05
  • Online Date:2026-10-23
  • Published:2026-02-10
Article Data
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History
  • Received:2025-06-05
  • Revised:2025-08-03
  • Accepted:2025-10-10
Affiliations
    1School of Automotive Business, Hubei University of Automotive Technology, Shiyan 442002, China
    2School of Digital Economy, Hubei University of Automotive Technology, Shiyan 442002, China
    3Northeast Asian Studies College, Jilin University, Changchun 130012, China
    4Green and Low-Carbon Research Institute, Hubei University of Automotive Technology‌, Shiyan 442002

Corresponding:

WANG Tao, E-mail:
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表12种不同金属材料的力学参数
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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
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