Association of playing cards/mahjong with all-cause mortality in older adults: a cohort study

作者：Miao Dai, Jie Wei, Jianbang Shi, Weiyun Zhao, Jinbing Zou, Ying Li, Xiang Wang · 发表于：BMC Geriatrics · 年份：2025 · DOI：10.1186/s12877-025-06263-3 · 被引用次数：1 · 研究领域：Physical Activity and Health、Dietary Effects on Health

BACKGROUND: Engagement in leisure activities such as playing cards or mahjong has been linked to cognitive and physical benefits among older adults. However, the relationship between playing cards/mahjong and all-cause mortality remains unclear. This study aims to explore the association between playing cards/mahjong and all-cause mortality in a cohort of older Chinese adults. METHODS: We analyzed data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) collected between 2002 and 2018. A total of 29,254 participants aged 65 or older were included in the study. Participants were categorized based on their frequency of playing cards/mahjong: almost every day, at least once a week, at least once a month or sometimes, and never. Cox proportional hazards models were applied to assess the association between playing cards/mahjong and all-cause mortality. Interaction and sensitivity analyses were conducted to explore potential effect modifications and the robustness of the findings. RESULTS: During a mean follow-up of 4.6 years, 7,651 participants died. Compared to participants who never played cards/mahjong, those who played almost every day had a significantly lower risk of all-cause mortality (HR = 0.88; 95% CI, 0.82–0.95). Participants who played at least once a week (HR = 0.84; 95% CI, 0.78–0.91) similarly demonstrated reduced mortality. Participants who consistently played cards/mahjong at least once a week at both baseline and follow-up had a significantly lower al...