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Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults

Author

Listed:
  • Jin Wang

    (Faculty of Sport Science, Ningbo University, Ningbo 315211, China)

  • Nan Liu

    (Faculty of Sport Science, Ningbo University, Ningbo 315211, China)

  • Xiaoguang Zhao

    (Faculty of Sport Science, Ningbo University, Ningbo 315211, China
    Research Academy of Grand Health, Ningbo University, Ningbo 315211, China)

Abstract

Cognitive decline in older adults is a major public health threat. This study aimed to explore the association of participation in cards or mahjong with cognitive function in older adults. A total of 7308 older adults were selected from the 2018 Chinese Longitudinal Healthy Longevity Survey. A modified Mini-Mental State Examination (MMSE) was used to assess cognitive function. The participants were classified according to the frequency of playing cards or mahjong into the “regularly” (R) group, “occasionally” (O) group, or “never” (N) group. The results showed that older persons in the R group and O group had better cognitive function than those in the N group. Specifically, significant differences were found in attention and calculation, language, and total MMSE score between the R group and the N group. However, significant differences were not observed for adults aged 60–69 years old. Regression analysis indicated that playing cards or mahjong, together with age, educational level, sex, marital status, and occupation before age 60 could explain the cognitive function. The findings suggest that there is an association between participation in cards or mahjong and cognitive function in the population of Chinese older adults, and that the frequency of participation plays an important role in the association.

Suggested Citation

  • Jin Wang & Nan Liu & Xiaoguang Zhao, 2022. "Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults," IJERPH, MDPI, vol. 19(15), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9249-:d:874381
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    References listed on IDEAS

    as
    1. Wang, Ruoxi & Chen, Zhuo & Zhou, Yongjie & Shen, Lining & Zhang, Zhiguo & Wu, Xiang, 2019. "Melancholy or mahjong? Diversity, frequency, type, and rural-urban divide of social participation and depression in middle- and old-aged Chinese: A fixed-effects analysis," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    2. Jing Wang & Lily Dongxia Xiao & Kai Wang & Yan Luo & Xiaomei Li, 2020. "Gender Differences in Cognitive Impairment among Rural Elderly in China," IJERPH, MDPI, vol. 17(10), pages 1-16, May.
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