Participation in Sports/Recreational Activities and the Occurrence of Psychological Distress in Mid-Aged Adults: Findings From the HABITAT Cohort Study.

OBJECTIVES: The aim of this study was to investigate prospective associations between participation in sports/recreational activities and the occurrence of moderate-to-severe psychological distress over 2 years in a sample of mid-aged Australians. METHODS: This prospective study used data from 6699 adults aged 40+ years, living in Brisbane in 2007, and surveyed in 2009, 2011 and 2013. Participants provided self-reported data on frequency of participation in each of 11 sports/recreational activities in past 12 months and completed the Kessler Psychological Distress 6-item Scale (K6). Generalized estimating equation (GEE) models with a 2-year lag were used to assess the associations of participation in sports/recreational activities in 2009 and 2011 with new cases of moderate-to-severe psychological distress (K6 score ≥ 5) in 2011 and 2013. RESULTS: From 2009 to 2013, 22.4% of participants without moderate-to-severe psychological distress at baseline (N = 4943) developed this outcome in at least one survey. Overall, there were no clear patterns of association between frequency of participation in sports and recreational activities and occurrence of moderate-to-severe psychological distress. In unadjusted models, weekly participation in some activities (e.g., tennis, golf, and exercise classes) was associated with reduced odds of moderate-to-severe psychological distress over the next 2 years, but these associations were attenuated in most adjusted models with sociodemographic, lifestyle, and health covariates. Participation in home-based exercise and running/jogging were associated with higher odds of psychological distress. CONCLUSION: Our findings do not provide strong evidence of beneficial associations of frequency of sport/recreational activities with psychological distress but show surprising negative associations of home-based exercise and running/jogging with occurrence of moderate-to-severe psychological distress over 2 years.

Effects of outdoor recreational physical challenges on general self-efficacy: A randomized controlled trial.

Outdoor programs involving recreational physical challenges are becoming increasingly popular for training and development purposes among adults, but rigorous studies investigating their effectiveness remain scarce. A randomized controlled trial was conducted to evaluate the effects of an outdoor adventure-based program on measures of self-efficacy, resilience, risk-taking propensity, and perceived stress. Participants were randomly assigned either to an intervention condition (half-day high ropes course) or a wait-list control group. Measures were taken at baseline and four days post-intervention and on the day to measure intervention perceptions. Significant increases in self-efficacy and risk-taking propensity were observed for the intervention arm compared to the control arm. Greater intervention engagement and affective valence ratings were associated with self-efficacy change. These findings highlight the practical relevance of adventure-based experiences for organizations and educational institutions seeking to enhance young adults' self-confidence. Additionally, they emphasize the importance of tailoring interventions to individual needs and ensuring positive participant experiences to achieve desired outcomes.

Impact of symptoms, experiences, and perceptions of the menstrual cycle on recreational physical activity of cyclically menstruating individuals: A systematic review.

OBJECTIVE: The menstrual cycle often presents barriers to participation in daily life activities, including physical activity (PA), which is a cornerstone of health and well-being. The purpose of this systematic review was to explore and summarize the impact of symptoms, experiences, and perceptions of the menstrual cycle on recreational PA (RPA), including sports, exercise and active recreation, in the general population. METHODS: Six databases were searched for studies that investigated the impact of the menstrual cycle on PA among individuals who were cyclically menstruating, healthy, and not involved in professional sports training. RESULTS: The search yielded 3025 studies that were screened for relevance and eligibility, resulting in 25 eligible studies, which were found to be of moderate-to-high quality following a quality and risk-of-bias assessment. Thematic synthesis of qualitative and quantitative data from the selected studies, constituting 16,557 adults and 3715 adolescents, identified the impact of menstrual symptoms on the physical and psychological capability to participate in RPA, social opportunity barriers to RPA (e.g., social pressure due to the sociocultural taboo against menstruation), as well reflective (knowledge) and automatic (habit) motivation on RPA behaviours. CONCLUSION: The variability in menstrual symptoms and corresponding experiences suggested the need for an individualized approach to RPA promotion. Furthermore, this review highlighted the need to address the sociocultural taboo against menstruation, as well as improve the provision of knowledge and resources related to the menstrual cycle and RPA, in order to promote and facilitate RPA for cyclically menstruating individuals throughout the menstrual cycle.

Built environment and loneliness in later life: productive engagement as the pathway.

OBJECTIVES: The built environment is increasingly recognized as being associated with late-life loneliness. However, the pathway remains understudied. This study investigated the mediating effects of productive engagement in relationships between the built environment and loneliness. METHODS: We conducted a cross-sectional analysis of data from 4,409 community-dwelling people aged 65 years and above in China. We employed the Chinese version of the De Jong Gierveld Loneliness Scale to assess loneliness. The built environment comprises residential density, street connectivity, park-based and vegetation-based green space, land use mix, and the number of and distance to the nearest recreational, health, shopping and community services within 300-meter and 500-meter buffer areas. Structural equation modeling was used. RESULTS: Only green space (parks) had a direct effect on loneliness. Residential density and green space (parks) had an indirect effect on loneliness through volunteering. The number of recreational services had an indirect effect on loneliness through recreational and sporting activities, although distance to the nearest recreational services did not. All the significant results were only found within 300-meter rather than 500-meter buffers. CONCLUSIONS: Our findings have implications for environmental gerontology theory and practice. Providing more green space and recreational services can significantly improve older adults' helping behavior, social activities and sporting activities, which can further reduce older adults' loneliness.

Schoolchildren's motivation for viewing Chinese opera animation according to opera genre.

The emergence of Chinese opera animation allows a wider audience, especially a younger audience, to access and embrace the art of opera heritage. This study used a two-way mixed-design ANOVA to explore the effect of Chinese opera animation on schoolchildren's viewing motivation; the independent variables were the children's grade level and the opera genre of the animation. Grade level was divided into three groups: lower, middle, and upper (grades 2, 4, and 6, respectively). Opera genre consisted of Peking, Yue, and Henan opera. The dependent variable, viewing motivation, comprised six dimensions: entertainment and relaxation, learning knowledge, escapist pastime, aesthetic appreciation, empathic identification, and socializing and sharing. After statistically analyzing the evaluations of 457 participants, the results showed the following: (1) Peking and Yue opera animation had a better entertainment and relaxation effect on the lower and middle groups. Henan opera had a better escapist pastime effect on the upper group but less effect on the lower group. (2) In terms of learning knowledge, empathic identification, aesthetic appreciation, and overall performance, Yue and Henan opera animations were more effective for enhancing viewing motivation compared with Peking opera animation. (3) The middle and lower groups showed higher viewing motivation than the upper group in the learning knowledge, empathic identification, and socializing and sharing dimensions. Overall, grades 2 and 4 were appropriate stages for schoolchildren to engage with opera animation. Our findings can provide a reference for promoting cultural heritage sustainability and support follow-up research on integrating opera animation into children's education.

The Perceptions and Use of Urban Neighborhood Parks Since the Outbreak of COVID-19: A Case Study in South Korea.

As the COVID-19 pandemic continues, the stress of city dwellers is increasing, and some adapt to the pandemic by pursuing physical and psychological well-being in neighborhood parks. To improve the resilience of the social-ecological system against COVID-19, it is important to understand the mechanism of adaptation by examining the perception and use of neighborhood parks. The purpose of this study is to investigate users' perceptions and use of urban neighborhood parks since the outbreak of COVID-19 in South Korea using systems thinking. To verify the hypotheses about the relationship between variables involved in COVID-19 adaptive feedback, two research objectives were set. First, this study determined the causal structure leading to park visits using systems thinking. Second, the relationship between stress, motivation, and the frequency of visits to neighborhood parks was empirically verified. To conduct the research, the system of use and perceptions of parks were analyzed through a causal loop diagram to determine the feedback between psychological variables. Then, a survey was conducted to verify the relationship between stress, motivation for visits, and visit frequency, which are the major variables derived from the causal structure. A total of three feedback loops were derived in the first step, including a loop in which COVID-19 stress was relieved by visits to parks and a loop in which COVID-19 stress worsened due to crowding in parks. Finally, the relationship of stress leading to park visits was confirmed, and the empirical analysis showed that anger about contagion and social disconnection were linked as motives for park visits, and that park visits were mainly motivated by the desire to go out. The neighborhood park functions as an adaptive space for the stress of COVID-19 and will maintain its role as social distancing becomes more important to various socio-ecological changes. The strategies driven by the pandemic can be adapted in park planning to recover from stress and improve resilience.

Going beyond ourselves: the role of self-transcendent experiences in wisdom.

Having good moral character often involves shifting one's focus of attention from the self to others and the world. Across three studies (N = 605 adults), we found converging evidence that self-transcendent experiences, specifically awe and flow, enabled the expression of wisdom, as captured by wise reasoning and epistemic humility measures. Study 1 found that dispositionally awe- and flow-prone people have stronger wise reasoning and epistemic humility abilities, over and above dispositional happiness. Consistent with Study 1, Study 2 found that, across diverse recalled experiences, individuals who experienced more awe showed greater wise reasoning, and those who experienced more flow showed greater epistemic humility. In Study 3, using situated interventions, we induced awe (watching a video involving vast nature scenes) and flow (composing a song using an online music maker) and compared them with neutral and amusement experiences. Compared to these control conditions, eliciting awe and flow facilitated one's (1) ability to address interpersonal conflicts with wise reasoning, (2) ability to acknowledge one's epistemic gaps, and (3) willingness to improve those aspects and one's general moral character. Altogether, these findings reveal the promising role of self-transcendent experiences in motivating people to appreciate others' perspectives beyond one's own.

Determinants of Recreational Outcomes in Schizophrenia: An Exploratory Study Focusing on Gender Differences.

While recreation is impactful for recovery in schizophrenia, no study has examined the effects of schizophrenic symptoms on recreational outcomes. This study examined the determinants of recreational outcomes based on gender. We investigated the relationship between recreational outcomes, positive and negative symptoms, cognitive function, and factors such as negative self-evaluation and evaluation by others. Motivation had a significant impact on both men and women. However, participation in recreational activities was impacted by negative self-assessment for men and evaluations from others for women. The importance of matching strategies based on gender when using recreation therapeutically was emphasized.

The Association of Physical Activity and Urinary Incontinence in US Women: Results from a Multi-Year National Survey.

OBJECTIVES: To evaluate the relationships between physical activity, both work and recreational, and urinary incontinence among women. METHODS: We assessed women aged 20 years and older in 2008-2018 NHANES (National Health and Nutrition Examination Survey) cycles who answered self-reported urinary incontinence and physical activity questions. Weighted, multivariate logistic regression model was used to determine the association between incontinence and physical activity levels after adjusting for age, body mass index, diabetes, race, parity, menopause and smoking. RESULTS: A total of 30,213 women were included in analysis, of whom 23.15% had stress incontinence, 23.16% had urge incontinence, and 8.42% had mixed incontinence (answered "yes" to both stress and urge incontinence). Women who engaged in moderate recreational activity were less likely to report stress and urge incontinence (OR 0.79, 95% CI 0.62-0.99 and OR 0.66, 95% CI 0.48-0.90, respectively). Similarly, women who engaged in moderate activity work were less likely to report stress, urge and mixed incontinence (OR 0.84, 95% CI 0.70-0.99; OR 0.84, 95% CI 0.72-0.99; and OR 0.66 95% CI 0.45-0.97, respectively). CONCLUSIONS: Moderate physical activity and greater time spent participating in moderate physical activity are associated with a decreased likelihood of stress, urge and mixed incontinence in women. This relationship holds for both recreational and work-related activity. We hypothesize that the mechanism of this relationship is multifactorial, with moderate physical activity improving pelvic floor strength and modifying neurophysiological mediators (such as stress) involved in the pathogenesis of incontinence.

An investigation of healthcare professionals' health beliefs about sportive recreational activities.

OBJECTIVES: In this study, healthcare professionals' beliefs about sportive recreational activities were examined. MATERIAL AND METHODS: This was a cross-sectional study conducted with 940 volunteer healthcare professionals. The Sociodemographic Information Form prepared by the authors and the Health-Belief Scale on Sportive Recreational Activities (HBSSRA) determined on the basis of their literature review were used to collect data. RESULTS: Although it was concluded that 72% of the healthcare professionals did not have enough free time, the participation rate in sportive recreational activities reached 71.4%. The study revealed that 44.9% of the participants preferred to engage in sportive recreational activities individually, while 55.1% wanted to do such activities in a group. It was found that 72.9% of the participants took part in sports activities for health-related reasons. The mean health-belief score of the healthcare professionals regarding recreational activities was found to be 80.38 (SD = 10.32). As this score is very close to the maximum value (105.00), it can be stated that their health beliefs are high. CONCLUSIONS: It is understood that participation in sportive recreational activities has positive effects on individuals' physical and mental health; however, there are also some factors that prevent individuals' participation in such activities. The income level, the marital status, the spouse's employment status, having children, and time spent at the place of residence are important factors preventing participation in sportive recreational activities. This study is expected to help individuals gain a perspective about participation in sportive recreational activities, and to provide more evidence in raising the awareness about the protection of individual health. In addition, it is expected to help shape the behaviors aimed at being healthy by improving one's own health-related beliefs. Int J Occup Med Environ Health. 2022;35(2):217-33.

Distraction of Children Undergoing Vaccination / Distração de Crianças Durante Vacinação / Distracción de Niños durante la Vacunación

Abstract Vaccination is a procedure considered painful for children; therefore, the healthcare team should provide conditions for adequate pain assessment and control. This study sought to evaluate whether behavioral distraction procedures contribute to reduce pain perception and anxiety indicators in children during vaccination. One hundred and four children between three and 12 years attending a Health Center in the Federal District participated in the study. Children were divided into four groups: baseline, groups with balloons, cards and tablets. Data were obtained by means of sociodemographic questionnaires, the Monica and Friends Pain Scale and the Observational Scale of Distress Behavior. The collected data were measured using the SPSS Statistics program. Results show that the intervention groups had lower averages, concerning pain levels, incidence of competing behaviors and duration of vaccine procedures, compared to baseline.

Resumo A vacina é um procedimento considerado doloroso para crianças, portanto, a equipe de saúde deve fornecer condições para avaliação e controle adequados da dor. O objetivo deste estudo foi avaliar se procedimentos de distração comportamental contribuem para a redução da percepção de dor e de indicadores de ansiedade de crianças durante a vacinação. Participaram 104 crianças entre três e 12 anos em um Centro de Saúde do Distrito Federal. As crianças foram divididas em quatro grupos: linha de base, grupos com balões, cartões e tablet. Os dados foram obtidos através de: questionários sociodemográficos, Escala de Dor da Turma da Mônica e Observational Scale of Distress Behavior. Os dados coletados foram medidos por meio do programa SPSS Statistics. Os resultados revelaram que os grupos de intervenção apresentaram médias menores, em termos de níveis de dor, incidência de comportamentos concorrentes e duração dos procedimentos de vacina, em relação à linha de base.

Resumen La vacunación es un procedimiento considerado doloroso para los niños, por lo que el equipo de salud debe brindar las condiciones adecuadas para evaluación y control del dolor. El objetivo de este estudio fue evaluar si los procedimientos de distracción conductual contribuyen a disminuir la percepción del dolor y los indicadores de ansiedad en los niños durante la vacunación. En este estudio participaron 104 niños de entre 3 y 12 años de un Centro de Salud del Distrito Federal (Brasil). Los niños se dividieron en cuatro grupos: grupo de línea de base, grupo con globos, tarjeta y tableta. Los datos se obtuvieron a través de cuestionarios sociodemográficos, la Escala de Dolor de Mónica y sus Amigos y la Observational Scale of Distress Behavior. Los datos recopilados se midieron utilizando el programa SPSS Statistics. Los resultados revelaron que los grupos de intervención tenían medias más bajas, en cuanto a los niveles de dolor, incidencia de conductas concurrentes y duración de los procedimientos de vacunación, en comparación con el de línea de base.

Promoting the Participation of Children and Adolescents With Disabilities in Sports, Recreation, and Physical Activity.

The benefits of physical activity are likely universal for all children, including children and adolescents with disabilities (CWD). The participation of CWD in physical activity, including adaptive or therapeutic sports and recreation, promotes inclusion, minimizes deconditioning, optimizes physical functioning, improves mental health as well as academic achievement, and enhances overall well-being. Despite these benefits, CWD face barriers to participation and have lower levels of fitness, reduced rates of participation, and a higher prevalence of overweight and obesity compared with typically developing peers. Pediatricians and caregivers may overestimate the risks or overlook the benefits of physical activity in CWD, which further limits participation. Preparticipation evaluations often include assessment of health status, functional capacity, individual activity preferences, availability of appropriate programs, and safety precautions. Given the complexity, the preparticipation evaluation for CWD may not occur in the context of a single office visit but rather over a period of time with input from the child's multidisciplinary team (physicians, coaches, physical education teachers, school nurses, adaptive recreation specialists, physical and occupational therapists, and others). Some CWD may desire to participate in organized sports to experience the challenge of competition, and others may prefer recreational activities for enjoyment. To reach the goal of inclusion in appropriate physical activities for all children with disabilities, child, family, financial, and societal barriers to participation need to be identified and addressed. Health care providers can facilitate participation by encouraging physical activity among CWD and their families during visits. Health care providers can create "physical activity prescriptions" for CWD on the basis of the child's preferred activities, functional status, need for adaptation of the activity and the recreational opportunities available in the community. This clinical report discusses the importance of participation in sports, recreation, and physical activity for CWD and offers practical suggestions to health care providers.

The role of soils in learning and inspiration, physical and psychological experiences, and in supporting identities.

This paper reviews the literature on soil and nature's contributions to people (NCP) around learning and inspiration, physical and psychological experiences, and supporting identities, revealing a range of relationships to imagining, understanding and experiencing soil. Often labelled elsewhere as 'cultural ecosystem services', these NCP provide a range of benefits that are mostly non-material, non-consumptive and intangible. The review finds that NCP framings help to highlight how soils have contributed to inspiring learning and creative works, like art; to mental and physical health benefits, such as through recreation and gardening; and to cultural identities and practices, including religious practices and efforts for social justice. Overall, soils have played a large role in human creative endeavours, are the root of significant relationships to the environment and can be conceptualized through key metaphors, ideas and theory as a bridge linking culture and nature together. Yet despite the wide-ranging contributions of soils to these NCP, the literature remains uneven and much more remains to be understood, including how relational values of care and stewardship with soils can be fostered and how attention to the co-produced 'biosocial' nature of soil can help improve practices for soil health. This article is part of the theme issue 'The role of soils in delivering Nature's Contributions to People'.

COVID-19 influences on US recreational angler behavior.

Recreational angling in the United States (US) is largely a personal hobby that scales up to a multibillion-dollar economic activity. Given dramatic changes to personal decisions and behaviors resulting from the COVID-19 pandemic, we surveyed recreational anglers across the US to understand how the pandemic may have affected their fishing motivations and subsequent activities. Nearly a quarter million anglers from 10 US states were invited to participate in the survey, and almost 18,000 responded. Anglers reported numerous effects of the pandemic, including fishing access restrictions. Despite these barriers, we found that the amount of fishing in the spring of 2020 was significantly greater-by about 0.2 trips per angler-than in non-pandemic springs. Increased fishing is likely associated with our result that most respondents considered recreational angling to be a COVID-19 safe activity. Nearly a third of anglers reported changing their motivation for fishing during the pandemic, with stress relief being more popular during the pandemic than before. Driven partly by the perceived safety of social fishtancing, recreational angling remained a popular activity for many US anglers during spring 2020.

Associations of park access, park use and physical activity in parks with wellbeing in an Asian urban environment: a cross-sectional study.

BACKGROUND: Relationships between park access, park use, and wellbeing remain poorly understood. The objectives of this study were to investigate: (1) perceived and objective park access in relation to park use and physical activity in parks; and; (2) perceived and objective park access, park use and physical activity in parks and their associations with wellbeing. METHODS: An interviewer-assisted survey collected data on perceived time to walk to parks, park use time, park physical activity time and wellbeing (using a scale containing nine domains) amongst adult participants of the Singapore Multi-Ethnic Cohort. Geospatial maps of parks and the "walkable" street networks were created for the city-state of Singapore to objectively determine distances to accessible points on park boundaries. Multiple linear regression models estimated the importance of park access to park use and associations of park access and park use with wellbeing, adjusting for potential confounders. RESULTS: Participants' (n = 3435) average age was 48.8 years (SD, 12.8), 44.8% were male and 72.6% were of Chinese ethnicity. Better perceived but not true park access was significantly associated with greater park use. Park access (perceived or true) was not associated with physical activity time in parks. Greater participant park time and physical activity time in parks were associated with higher wellbeing scores (p < 0.001). The differences in wellbeing scores between the reference groups, who spent negligible time in parks, and the highest quartiles of time in parks (10.8 h/month) and physical activity in parks (8.3 h/month) were 3.2 (95% CI 2.1-4.4) and 4.2 (95% CI 4.1-6.3) points out of 100 respectively. These associations were similar for most domains of wellbeing, with clear dose-response relationships. CONCLUSIONS: While perceived park access was strongly associated with park use and well-being, true park access was not, and neither park access measure was associated with park physical activity. Future studies could investigate the influence of park attributes on park use, physical activity in parks and wellbeing. The consistent associations of park use and particularly physical activity in parks with wellbeing suggest that promoting park use, and especially physical activity in parks, is a promising strategy for improving wellbeing in urban settings.

Public parks and the pandemic: How park usage has been affected by COVID-19 policies.

Public parks serve an important societal function as recreational spaces for diverse communities of people, with well documented physical and mental health benefits. As such, parks may be crucial for how people have handled effects of the COVID-19 pandemic, particularly the increasingly limited recreational opportunities, widespread financial uncertainty, and consequent heightened anxiety. Despite the documented benefits of parks, however, many states have instituted park shutdown orders due to fears that public parks could facilitate SARS-CoV-2 transmission. Here we use geotagged social media data from state, county, and local parks throughout New Jersey to examine whether park visitation increased when the COVID-19 pandemic began and whether park shutdown orders were effective at deterring park usage. We compare park usage during four discrete stages of spring 2020: (1) before the pandemic began, (2) during the beginning of the pandemic, (3) during the New Jersey governor's state-wide park shutdown order, and (4) following the lifting of the shutdown. We find that park visitation increased by 63.4% with the onset of the pandemic. The subsequent park shutdown order caused visitation in closed parks to decline by 76.1% while parks that remained open continued to experience elevated visitation levels. Visitation then returned to elevated pre-shutdown levels when closed parks were allowed to reopen. Altogether, our results indicate that parks continue to provide crucial services to society, particularly in stressful times when opportunities for recreation are limited. Furthermore, our results suggest that policies targeting human behavior can be effective and are largely reversible. As such, we should continue to invest in public parks and to explore the role of parks in managing public health and psychological well-being.

Behavioral changes before lockdown and decreased retail and recreation mobility during lockdown contributed most to controlling COVID-19 in Western countries.

BACKGROUND: The COVID-19 pandemic has prompted a lockdown in many countries to control the exponential spread of the SARS-CoV-2 virus, hereby reducing the time-varying basic reproduction number (Rt) to below one. Governments are looking for evidence to balance the demand of their citizens to ease some of the restriction, against the fear of a new peak in infections. In this study, we wanted to quantify the relative contribution of mobility restrictions, and that of behavioral changes that occurred already before the lockdowns, on the reduction of transmission during lockdowns in Western countries in early 2020. METHODS: Incidence data of cases and deaths from the first wave of infections for 35 Western countries (32 European, plus Israel, USA and Canada) were analyzed using epidemiological compartment models in a Bayesian framework. Mobility data was used to estimate the timing of changes associated with a lockdown, and was correlated with estimated reductions of Rt. RESULTS: Across all countries, the initial median estimate for Rt was 3.6 (95% IQR 2.4-5.2), and it was reduced to 0.78 (95% IQR 0.58-1.01) during lockdown. 48% (18-65%) of the reduction occurred already in the week before lockdown, with lockdown itself causing the remaining drop in transmission. A lower Rt during lockdown was independently associated with an increased time spent at home (0.21 per 10% more time, p < 0.007), and decreased mobility related to retail and recreation (0.07 per 10% less mobility, p < 0.008). CONCLUSIONS: In a Western population unaware of the risk, SARS-CoV-2 can be highly contagious with a reproduction number R0 > 5. Our results are consistent with evidence that recreational activities (including restaurant and bar visits) enable super-spreading events. Exiting from lockdown therefore requires continued physical distancing and tight control on this kind of activities.

Specific Activities and the Trajectories of Cognitive Decline Among Middle-Aged and Older Adults: A Five-Year Longitudinal Cohort Study.

BACKGROUND: How specific activities influence cognitive decline among different age groups, especially the late middle-aged and the early old, remains inadequately studied. OBJECTIVE: To examine the association between specific activities with trajectories of cognitive functions in different age groups in China. METHODS: A longitudinal cohort study was conducted based on data from the China Health and Retirement Longitudinal Study (CHARLS). Mixed effects growth models were applied to analyze the association between specific activities and cognitive functions. RESULTS: Interacting with friends (infrequent: ß= 0.13, confidence interval [CI] = 0.03 to 0.22; daily: ß= 0.19, CI = 0.09 to 0.28), playing Mah-jong or other games (infrequent: ß= 0.12, CI = 0.02 to 0.22; daily:ß= 0.26, CI = 0.10 to 0.42), infrequent providing help to others (ß= 0.24, CI = 0.11 to 0.37), and going to a sport (infrequent: ß= 0.31, CI = 0.08 to 0.54); daily: ß= 0.22, CI = 0.05 to 0.38) are significantly associated with participants' memory. Infrequently playing Mah-jong or other games (ß= 0.30, CI = 0.17 to 0.43) and daily sports (ß= 0.24, CI = 0.03 to 0.45) are significantly associated with better mental status. Effect of each activity varies among population of different age, education level, gender, and residence. CONCLUSION: This study identifies four social activities that are associated with better cognitive functions, and provides a comprehensive, in-depth understanding on the specific protective effect of each activity among different subgroups.