Cited by 437Aging, Health, and DisabilityAging and Gerontology ResearchHealth disparities and outcomes

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index; none of the 20 sources its claims cite is checked for support yet.

Relationship of Activity and Social Support to the Functional Health of Older Adults

Everard, K. M., Lach, H. W., Fisher, E. B., Baum, M. C.·2000·The Journals of Gerontology Series B: Psychological Sciences and Social Sciences

Abstract

OBJECTIVES: According to J. W. Rowe and R. L. Kahn (1997), successful aging is the combination of low probability of disease, high functioning, and active engagement with life. The purpose of this study was to assess the relationship between active engagement with life and functioning in a convenience sample of community-dwelling adults aged 65 and older. METHODS: In this cross-sectional study, 244 members of an organization for older adults were mailed a survey containing the Activity Checklist and the Social Support Inventory as measures of engagement with life and the SF-12 Health Survey as a measure of functioning. RESULTS: Hierarchical linear regression showed that maintenance of instrumental, social, and high-demand leisure activities was associated with higher physical health scores and maintenance of low-demand leisure activities was associated with lower physical health scores. Maintenance of low-demand leisure activities was associated with higher mental health scores. DISCUSSION: If changes in potentially modifiable risk factors such as activity are associated with the beginning of functional decline, early intervention may be possible before disability ensues, thus reducing the risk of disability and ultimately health care costs.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

In a cross-sectional survey of 244 community-dwelling older adults, maintenance of instrumental, social, and high-demand leisure activities was associated with better physical health, while low-demand leisure activities were associated with worse physical health but better mental health. Social support was not independently associated with functioning when activity variables were included.

Key findings

  • The physical health model accounted for 30.2% of variance (*p* = .0001); activity and social support added 25.5% beyond controls. Male gender (β = .16, *p* = .013), instrumental activities (β = .19, *p* = .006), social activities (β = .30, *p* = .0001), and high-demand leisure activities (β = .30, *p* = .0001) were positively associated with physical health; low-demand leisure activities were negatively associated (β = −.19, *p* = .015).
  • The mental health model accounted for 18.1% of variance (*p* = .0001); activity and social support added 14.7% beyond controls. Only maintenance of low-demand leisure activities was independently associated with higher mental health (β = .31, *p* = .0001).
  • Social support was not associated with functioning in this study.
  • Participants were primarily White (97.5%) and female (75%), with mean age 73 (*SD* = 5.3, range 65–89); 56.6% were married, 45% were college graduates, and 10.2% had incomes below $15,000.

Methods

  • Cross-sectional mailed survey of 244 members of OASIS, an organization for older adults. Of 1,007 questionnaires mailed, 23 were undeliverable, leaving 984 as the denominator; 697 were returned (71% response rate). A social support measure was added midway through data collection, and analyses used the 244 participants who completed it and other measures.
  • Measures included a 55-item Activity Checklist with instrumental, social, high-demand leisure, and low-demand leisure subscales; a 17-item Social Support Inventory assessing directive/nondirective and emotional/instrumental support; and the SF-12 Health Survey for physical and mental health functioning.
  • Two hierarchical linear regression models used SF-12 physical and mental health subscales as dependent variables. Age, gender, income, and marital status were entered first as controls; activity and social support variables were entered second.

Limitations

  • Stated: the sample was a random selection of members of an older adult organization but not representative of community-dwelling older adults; it was primarily White, well-educated, in good health, and high income, with few lower-income participants. Age was not associated with functioning, possibly due to the restricted, healthy sample.
  • Stated: cross-sectional data confine the study to describing associations; the authors cannot determine whether activity engagement leads to better functioning or whether functioning influences activity levels.
  • Evident: functioning was measured by mailed self-report SF-12 rather than a performance measure, and the social support measure was added midway through data collection, reducing the analytic sample to 244.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1093/geronb/55.4.s208

Cites

36 of 36 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 20 cited sources checked · 0 supported · 0 flagged

Show all 23 claims

  • Probably not a substantial claim. 18
  • It may state two separate claims as one. 10
25 of 25
  • The authors state this as an assumption.

    Activity is a potentially modifiable factor that can be changed by intervention.

    “What we have found in this study are potentially modifiable factors associated with functioning that could enhance successful aging.”
  • The paper relies on this without support.

    The 244 participants who completed the social support measure are representative of the larger sample of respondents.

    “A measure of perceived social support was added to the survey midway through data collection.Our analyses were conducted with the 244 participants who completed this and other measures.”
  • The authors state this as an assumption.

    Few studies have included both activity and social support, and none have included social, instrumental, and leisure activities together.

    “Few researchers have included both activity and social support when examining the relationship between engagement with life and functioning in older adults, and to our knowledge no studies have included social, instrumental, and leisure activities together.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Conclusion overstates which activities were associated with mental health

    Major

    The conclusion says social, leisure, and instrumental activities were associated with better physical and mental health. The results say that only low-demand leisure activity was independently associated with increased mental health.

1 of 1

Citations

Cites

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Show all 35 references

Research works printed but not linked: 2

  1. Berkman, 1992, Annals of Internal Medicine, 117, 1003, 10.1059/0003-4819-117-12-1003 · DOI
  2. 1996, Medical care, 32, 220

Cited by

Sorted by citations

Items 101–200 of 437

Metadata

Authors
Everard, K. M., Lach, H. W., Fisher, E. B., & Baum, M. C.
Affiliations
Washington University in St. Louis (US)
Corresponding author
Everard, K. M.
Venue
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Published
2000-07-01
Volume
55
Issue
4
Pages
S208-S212
ISSN
  • 1079-5014 (ISSN-L)
  • 1758-5368
OpenAlex
W2149121845
Cited by
437
References
35
Citations by year
2026: 7 · 2025: 8 · 2024: 7 · 2023: 7 · 2022: 19 · 2021: 17 · 2020: 16 · 2019: 18 · 2018: 28 · 2017: 20 · 2016: 33 · 2015: 24 · 2014: 28 · 2013: 18 · 2012: 36
FWCI
5.48
Type
journal article
Language
en
Open access
closed
Locations
  • The Journals of Gerontology Series B (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Heart, Lung, and Blood Institute (2T32HL07456, T32HL007456)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
  • Social Sciences › Health › Health disparities and outcomes
Keywords
successful aging, older adults, leisure, social support, functional health, physical health, mental health, instrumental activities, community-dwelling older adults, disability risk, health care costs
MeSH terms
Activities of Daily Living, Aged, Aged, 80 and over, Aging, Female, Humans, Leisure Activities, Life Style, Male, Mental Health, Social Support, Health Behavior

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