Exercising or dancing reduced stroke odds by 25% (OR 0.75, 95% CI 0.60-0.94, p=0.01), while playing Mahjong increased heart disease odds by 10% (OR 1.10, 95% CI 1.02-1.19, p=0.02), and community activities raised dyslipidemia risk by 59% (OR 1.59, 95% CI 1.34-1.89, p<0.01) in Chinese adults aged ≥40 years.
Observational (n=6,899)
Yes
Does participation in different types of social activities reduce or increase the likelihood of cardiovascular diseases in adults aged 40 and older?
Different types of social activities have divergent effects on cardiovascular health, with physical activities like dancing reducing stroke risk, while sedentary or high-stress activities like playing mahjong or volunteering may increase the risk of heart disease and dyslipidemia.
Effect estimate: ORs for association between social activities and CVDs (varies by activity and outcome)
The relationship between social activities and cardiovascular health has garnered widespread attention, but the specific associations of different types of social activities across various populations remain unclear. This study aimed to explore the correlation between different social activities and the likelihood of cardiovascular diseases (CVDs), including heart disease, stroke, hypertension, and dyslipidemia. This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) to analyze the longitudinal associations between social activities and CVDs. Multivariable logistic regression models were applied to assess the link between different social activities and CVD outcomes, with stratified and sensitivity analyses conducted to verify the robustness of the results. A total of 38,684 observations were included, with an average follow-up period of five years. The analysis revealed that activities such as fitness and dancing were significantly associated with lower odds of stroke (OR = 0.75 95% CI: 0.60, 0.94, p = 0.01). Conversely, playing mahjong, participating in social groups, and engaging in volunteer work were associated with higher odds of heart disease and dyslipidemia. Mahjong was linked to a higher likelihood of heart disease (OR = 1.10 95% CI: 1.02, 1.19, p = 0.02), while social group participation was associated with an increased likelihood of dyslipidemia (OR = 1.59 95% CI: 1.34, 1.89, p < 0.01). Stratified analyses revealed significant variations in these associations across different populations, such as higher odds of heart disease among women and drinkers who engaged in fitness and dancing. This study highlights the complex associations between social activities and cardiovascular health, emphasizing the need for personalized and context-specific health intervention strategies. Future research should further explore the multidimensional effects of social behaviors on cardiovascular health to provide more precise guidance for disease prevention and management.
Tao et al. (Sat,) conducted a observational in Adults aged ≥40 years in China with longitudinal data assessing associations between social activities and cardiovascular diseases (n=6,899). Social activities (eight types: visiting friends, playing Mahjong/chess, helping others, exercising/dancing, community activities, volunteering, educational/training, other social activities) vs. Non-participation in respective social activities was evaluated on Incidence or presence of cardiovascular diseases including heart disease, stroke, hypertension, and dyslipidemia assessed via self-reported physician diagnosis (ORs for association between social activities and CVDs (varies by activity and outcome)). Exercising or dancing reduced stroke odds by 25% (OR 0.75, 95% CI 0.60-0.94, p=0.01), while playing Mahjong increased heart disease odds by 10% (OR 1.10, 95% CI 1.02-1.19, p=0.02), and community activities raised dyslipidemia risk by 59% (OR 1.59, 95% CI 1.34-1.89, p<0.01) in Chinese adults aged ≥40 years.
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